An interventional study of bucco-dental teleexpertise in Tooth Diseases, sponsored by University Hospital, Montpellier. Terminated at 13 sites in France. Open to participants aged 60 Years to 120 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-08-27.
Sponsored by University Hospital, Montpellier · Not applicable, Interventional, and Diagnostic
Oral care in medical and social institutions is a real public health problem. The impact of poor oral health on the general state of residents but also on their overall quality of life is significant.
The development of a precise regulatory framework for telemedicine in France aims to transform experiments into sustainable medical activities. Odontology often set aside in this reflection, must be reintegrated. The use of tele-expertise for the oral care of nursing home residents should make it possible to replace oral health in medico-social institutions. The investigators will assess in a cluster randomized controlled study whether the buccodental telemedicine has a viable economic model and a significant impact on the overall health of facility for dependent elderly persons residents.
The medico-economic impact of the buccodental telexpertise is fundamental for the development of this innovative activity.
116 studies on the registry are indexed under Tooth Diseases; 14 are open to participants now.
This study's enrollment of 171 is above the median of 46 across 82 interventional studies indexed under Tooth Diseases.
Browse Tooth Diseases studies →University Hospital, Montpellier is the lead sponsor of 1,244 studies on the registry; 225 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
One buccodental teleexpertise at the completion day and a second buccodental teleexpertise at the end of study
Other: bucco-dental teleexpertise
Only one buccodental teleexpertise at the end of study
A bucco-dental consultation remotely using telemedicine system
Cost-Utility ratio of buccodental telemedicine in nursing home as compared to usual care
Costs include telemedicine and medical costs related to oral health care. Utility correspond to the Quality Adjusted Life-Years (QALY) score measured using the EQ5D-3L questionnaire (EuroQol 3 levels of 5 dimensions).
Time frame: At month 6
Cost/Efficacity ratio of buccodental telemedicine in nursing home as compared to usual care
Costs include telemedicine and medical costs related to oral health care. The clinical efficacy criteria correspond to the proportion of patients with a zero dental emergency score. The score of Emergency is measured according to WHO classification: Score "0" correspond to "unnecessary care" Score "1" correspond to "descaling required" Score "2" correspond to "Low urgency: need for restoration and/or crown but not immediately (superficial damage to the tooth). Includes patients requiring fixed and/or removable prostheses". Score "3" correspond to: "Advanced emergency: need for restorations and/or crowns quickly (within 7 to 14 days) to avoid pulp damage and/or infection" Score "4" correspond to: "High urgency: urgent need for care due to pain and/or infection. Includes patients requiring endodontic treatment or extraction"
Time frame: At month 6
Quality of life comparison: EQ5D-3L questionnaire
The Quality of Life measured using the EQ5D-3L (EuroQol 3 levels of 5 dimensions) questionnaire. EQ-5D-3L questionnaire comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 3 levels: no problems, some problems, extreme problems. Levels of perceived problems are coded as follows: Level 1 (no problems) is coded as a '1' - Level 2 (some problems) is coded as a '2' - Level 3 (extreme problems) is coded as a '3'. The best score for the 5 dimensions is coded by '11111' and the worst state is coded by '33333'. In addition a EQ visual analogue scale (EQ VAS) help people say how good or bad a health state is, on which the best state is marked 100 and the worst state is marked 0.
Time frame: At month 6
Economic impact of teleexpertise on dental treatment
Budgetary impact of the new coverage expressed in annual cash flows
Time frame: At month 6
Evaluate satisfaction rate of use of teleexpertise of nursing home staff
Satisfaction of nursing home staff measured by an ad hoc Likert scale
Time frame: At month 6
Compare the emergency score
The emergency score measured by the Oral Health Assessment Tool (OHAT) questionnaire. The OHAT comprises eight categories of screening tool to assess oral health : Lips, Tongue, Gums and tissues, Saliva, Natural teeth, Dentures, Oral cleanliness, Dental pain. After a dental examination by telemedicine, the dentist will evaluate each category as following : Score "0" correspond to "healthy", score "1" corresponds to "changes" or score "3" correspond to "unhealthy".
Time frame: At month 0 and at month 6
Plan to share: No
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This study is terminated, as verified in Aug 2020. You cannot join it, but the record below documents what was studied.
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University Hospital, Montpellier