bringing teledentistry into practice series: delivering … · • covid-19 impact on health...
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DELIVERINGEXCEPTIONAL CARE WITHINTERPERSONAL SKILLSDentaQuest Partnership Continuing Education Webinar
June 2, 2020
Bringing Teledentistry Into Practice Series:
2
Housekeeping
• All lines will remain muted to avoid background noise.
• A copy of the slides and a link to the recording will be shared after the webinar
concludes.
• In order to receive CE credit you must fill out the webinar evaluation, which
will be shared at the end of the presentation. The evaluation must be
completed by EOD Friday, June 12 to receive CE credit. CE certificates will
be distributed a few days after the webinar takes place.
The DentaQuest Partnership is an ADA CERP Recognized Provider. This presentation
has been planned and implemented in accordance with the standards of the ADA CERP.
*Full disclosures available upon request
3
Q&A Logistics
After the presentations we hope to have some
time for Q&A
We will be monitoring the chat box throughout
the entire presentation and we will do our best
to answer all questions.
• Type your question in the chat box
and make sure you send it to all
panelist.
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Presenter:
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• Consultant, Dentaquest Partnership for Oral Health Advancement and
Elevate Oral Care
• Clinician, Clinica Family Health – Denver, CO
• Adjunct Faculty, University of Colorado School of Dental Medicine
• Member, Motivational Interviewing Network of Trainers
Matt Allen, DDS
PresidentM David MI Inc
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• Consultant working with
DQP and other clients
• IHI Improvement Coach
• Former Dental Director
• Teledentistry since 2009
Carolyn Brown, DDS
Senior Strategic Advisor DentaQuest Partnership for Oral Health Advancement
• DDS, University of Maryland School of Dentistry
• Certificate, Value-based Care, Geisel School of Medicine, Dartmouth College (In progress)
• MAEd, University of the Pacific
• BS, University of Maryland
• Speaker, researcher, expert advisor, review panel
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Today’s Objectives:
After this training, participants will:
1. Understand the importance of and barriers to effective communication and
patient engagement during synchronous teledentistry
2. Explore how various elements of technical setup and conversational skills
can help or hinder the effectiveness of a teledental visit
3. (Re)imagine the value of preventive dental telehealth to patients and
practitioners
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Setting the baseline
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TELEDENTISTRY: A PRACTITIONER PERSPECTIVE
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Searches for “Teledentistry” in the US
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TeleDentistry
TeleDentistry
Google trends “teledentistry” Jan 1- May 16, 2020
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Searches for “Teledentistry” & “Re-Opening Dental” in the US
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TeleDentistry and Re-Opening Searches
TeleDentistry Reopening
Google search trends “teledentistry” and “ Dental Re-opening” Jan 1- May 16, 2020
12Photo courtesy of The Oral Health Progress and Equity Network, OPEN.
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TELEDENTISTRY:A PATIENT PERSPECTIVE
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Patient Health Priorities
26%
30%
32%
36%
39%
50%
34%
37%
39%
45%
47%
51%
Dermatologic/skin
Mental
Digestive/gastro-intestinal
Ophthalmologic/eye
Cardiac/heart
Dental/oral
Patients Parents (for children)
Top
Concern
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Even Before COVID-19, patients welcomed teledentistry
https://dentavox.dentacoin.com/blog/teledentistry-surteledentistry-survey-shows-patients-are-ready-to-welcome-it/
78% of patients
are likely to start
using teledentistry
within the next 5 years
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The best use cases for teledentistry according to patients
https://dentavox.dentacoin.com/blog/teledentistry-surteledentistry-survey-shows-patients-are-ready-to-welcome-it/
65%
Health Promotion
& Education
50% 27%
Diagnosis & Dental Disease
Risk Management
Preventive Procedures
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TELEDENTISTRY: REIMAGINING OUR ROLE
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Primary Care ProvidersSurgical Sub-Specialists
vs.
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Diagnosis & PreventionTreatment
vs.
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AuditoryVisual/Tactile
vs.
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THE SHARE FRAMEWORK
Accepted by the British Dental Journal in Practice for publication July 2020.
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Learning to SHARE: Five Essentials for
Patient-Centered Communication During Synchronous Teledentistry
1. Setting and Speech matter
Accepted by the British Dental Journal in Practice for publication July 2020.
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Learning to SHARE: Five Essentials for
Patient-Centered Communication During Synchronous Teledentistry
1. Setting and Speech matter
2. Hold eye contact by looking at the camera
Accepted by the British Dental Journal in Practice for publication July 2020.
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Learning to SHARE: Five Essentials for
Patient-Centered Communication During Synchronous Teledentistry
1. Setting and Speech matter
2. Hold eye contact by looking at the camera
3. Ask open-ended questions
Accepted by the British Dental Journal in Practice for publication July 2020.
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Learning to SHARE: Five Essentials for
Patient-Centered Communication During Synchronous Teledentistry
1. Setting and Speech matter
2. Hold eye contact by looking at the camera
3. Ask open-ended questions
4. Relationally share information
Accepted by the British Dental Journal in Practice for publication July 2020.
27
Learning to SHARE: Five Essentials for
Patient-Centered Communication During Synchronous Teledentistry
1. Setting and Speech matter
2. Hold eye contact by looking at the camera
3. Ask open-ended questions
4. Relationally share information
5. Express warmth and gratitude
Accepted by the British Dental Journal in Practice for publication July 2020.
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SETTING AND SPEECH MATTER
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Precovid photo of dds/rdh greeting pt Post covid photo of dds greeting pt
placeholder
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Precovid photo of dds/rdh greeting pt Post covid photo of dds greeting pt
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Precovid photo of dds/rdh greeting pt Post covid photo of dds greeting pt
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Precovid photo of dds/rdh greeting pt Post covid photo of dds greeting pt
placeholder
33sarrelldental.org
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Precovid photo of dds/rdh greeting pt Post covid photo of dds greeting pt
placeholder
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HOLD EYE CONTACTBY LOOKING AT THE CAMERA
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Precovid photo of dds/rdh greeting pt Post covid photo of dds greeting pt
placeholder
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Precovid photo of dds/rdh greeting pt Post covid photo of dds greeting pt
placeholder
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ASK OPEN-ENDED QUESTIONS
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What is your chief complaint? What matters most for you to
cover today?
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What is your chief complaint? What matters most for you to
cover today?
Do you have any questions? What, if any, questions might I
be able to help you answer?
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What is your chief complaint? What matters most for you to
cover today?
Do you have any questions? What, if any, questions might I
be able to help you answer?
Where does it hurt? Tell me about what’s been
bothering you.
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RELATIONALLY SHARE INFORMATION
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Explore-Offer-Explore
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Explore: What does the patient know?
Offer: Share information
Explore: What does the patient think?
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EXPRESS WARMTH AND GRATITUDE
46https://www.youtube.com/watch?v=df7KWFCTUYs&t=261s
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“How do I assess
caries risk?”
“Where does
the dental team
fit in?”
Using teledentistry…
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“How do I assess
caries risk?”
“Where does
the dental team
fit in?”
“Types of health
education tools?”
Using teledentistry…
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Drink tap water (containing fluoride)
Floss Leave toothpaste foam in mouth at bedtime
Use xylitol
Visit dentist every _ months
Use Clinpro 5000, MI Paste or
ReminPro daily
Family receives dental treatment
Limit juice, soda and sports drinks
to mealtime
Eat healthy snacks (nuts and cheese)
Use fluoride mouthwash nightly
Brush with fluoride toothpaste at least
2 times daily
Chew sugarless gum
50
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Moving the baseline
5
4
3
2
1
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Setting and
SpeechHold eye contact
Ask open-ended questions
Relationally share
information
Express gratitude
and warmth
Learning to SHARE: Five Essentials for
Patient-Centered Communication During Synchronous Teledentistry
Accepted by the British Dental Journal in Practice for publication July 2020.
QUESTIONS?
54
Webinar Evaluation
https://www.dentaquestpartnership.org/node/199250
*Must complete by EOD Friday, June 12 in order to receive CE credit
Upcoming Webinars:
• COVID-19 Impact on Health Inequity (June 11th at 1:00 PM – 2:00 PM)
• Bringing Teledentistry Into Practice Series – Webinar 3: Directing Patient
Care in a New and Innovative Format (June 22 at 1:00 PM – 2:00 PM)
Sign up to receive our newsletter to get more information on future webinars!