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Get Smart – technological innovations in endodontics part 2: case-difficulty assessment and future perspectives

From Volume 48, Issue 7, July 2021 | Pages 556-562

Authors

Pratik Kamalkant Shah

BDS, MJDF RCS Eng, MSc, MEndo RCS Edin, FHEA

Clinical Lecturer in Endodontics, Institute of Dentistry, Barts and The London School of Medicine and Dentistry, Queen Mary University of London.

Articles by Pratik Kamalkant Shah

Email Pratik Kamalkant Shah

Qianni Zhang

PhD

Senior Lecturer, School of Electronic Engineering and Computer Science, Queen Mary University of London.

Articles by Qianni Zhang

Bun San Chong

BDS, MSc, PhD, LDS, FDS RCS Eng, FDS RCS Edin, MFGDP (UK), MRD, FHEA

Professor of Restorative Dentistry/Honorary Consultant, Academic Endodontic Lead, Institute of Dentistry, Barts and The London School of Medicine and Dentistry.

Articles by Bun San Chong

Abstract

Given the importance of risk management to avoid mishaps, to achieve a quality result and to ensure a favourable outcome, challenging endodontic cases are best treated by clinicians with the appropriate level of training and experience. Digital and technological innovations in endodontics have led to the development of web-based and smartphone-compatible case-difficulty assessment tools that can help less-experienced dentists identify endodontic management complexities. These interactive tools may also be used for other applications, including primary and secondary care triage, research and dental education. Similarly, advances such as artificial intelligence and mixed reality technologies, are predicted to also benefit endodontics and help support dentists in the management of complex endodontic cases.

CPD/Clinical Relevance: Digital and technological developments may help improve the management and treatment of endodontic cases.

Article

Scientific and technological developments have permeated every aspect of everyday life, including healthcare. A recently published report1 on the UK's publicly funded National Health Service (NHS) envisages the application of new technologies to empower patients, reduce strain and improve the effectiveness of clinical workforce.1,2 For example, in medicine, there are commercially available ‘smart watches,’ equipped with sensors capable of providing important diagnostic information (electrocardiogram, temperature and blood pressure readings) to healthcare professionals and designed to encourage patients to manage their long-term medical conditions.

The development and implementation of cloud-based systems for interoperability and access to shared electronic patient and summary care records, electronic prescription services and electronic referral systems are already underway.3,4 There is also smartphone application (app) software, such as the NHS App, which can facilitate patient access to their clinical records, appointment booking systems and healthcare advice.4 This connected network and time-saving infrastructure for information exchange can help to ensure continuity of care and multidisciplinary co-operation, with minimal delays in diagnosis and treatment decision-making. In dentistry, data from ‘smart’ electric toothbrushes can be collected on tooth brushing habits, and apps may be used to encourage good oral care (eg My Dental Care), educate patients on dental conditions and treatment procedures, and monitor pain experience and treatment outcome.

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