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Dental informatics in clinical practice

BIODONTICS – INNOVATIONS IN ORAL HEALTH

Center for Dental InformaticsUniversity of Pittsburgh School of Dental Medicine

Clinical computer use in general dentistry

Ligonier, Pennsylvania, 10//2004

T. Schleyer, H. Spallek, T. Thyvalikakath, M. Torres-Urquidy, P. Hernandez, J. Yuhaniak

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Dental Informatics Online Community Webcast


Background and motivation

30%

50%

70%

85%

11%

1984 1987 1990 1994 1997 2000

Patient accounting & billing

Internet connectivity

Processing insurance forms

Scheduling patients

Maintaining treatment records

Diagnosis and monitoring

percentage of all dentists

yearComputer ownership, Internet connectivity and selected computer uses in dental practice (1984-2000)(Schleyer T.K. Spallek H, Bartling WC, Corby P. The technologically well-equipped dental office. Journal of the American Dental Association 2003: 134 (January); 30-41.)


Study goal and methods

• Goal– determine how dentists use computers in clinical care

(infrastructure, data entry/retrieval, barriers/enablers, etc.)

• 39-item telephone interview (exploratory study!)• random US sample (from the ADA): 1,159

dentists

Schleyer TK, Thyvalikakath TP, Spallek H, Torres-Urquidy MH, Hernandez P, Yuhaniak J. Clinical computing in general dentistry. J Am Med Inform Assoc. 2006 May-Jun;13(3):344-52.


Two-stage survey process

Screening

Interview


Results

• 61% have taken a computer course• computer experience was rated as:

Practices, operatories and chairside computers• Practice: solo: 45%; group: 55 %• average number of operatories: 6• 83% had computers in all operatories.

• 42% very comfortable • 47% comfortable• 11% not very comfortable

Experience with computers


Practice management systems (n=101*)

21%Other10%Practiceworks15%Softdent15%Eaglesoft40%Dentrix

Used bySoftware application

*One dentist did not answer

Dental informatics in clinical practice

BIODONTICS – INNOVATIONS IN ORAL HEALTH


Reasons for using computers at chairside (n=173*)

5%5%6%

11%

Direct data entry Treatment planning Retrieval Scheduling

1%Error reduction 2%Better communication 3%Convenience 5%Other 6%Patient education 6%Intraoral charting 6%Minimize front desk congestion 9%Current technology

12%Efficiency 17%Digital imaging

27%Data management

*Multiple reasons cited


Storage of patient information


Chairside data entry

(100 offices; sorted by dentist’s activity in descending order)


How computers could be improved for chairside use


Thank you for your attention!

Natchez Trace, Mississippi, 11/2001

Please visit us on the Web:

Dental Informatics Online Communityhttp://www.dentalinformatics.com

Center for Dental Informaticshttp://di.dental.pitt.edu

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This study has been published as:

Schleyer TK, Thyvalikakath TP, Spallek H, Torres-Urquidy MH, Hernandez P, Yuhaniak J. Clinical computing in general dentistry. J Am Med Inform Assoc. 2006 May-Jun;13(3):344-52.

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