DIGITAL HELP

DIGITAL DEVICES

At well as software, digital sensors get smaller, cheaper, and more accurate year on year. Such as the sensors in gum shields for rugby.

A link between Oral Health and Dementia. What other linked research is becoming available?

club cards are used to maximise profits for the company. Could there be a similar card to give a score on your diet?
Could the same diet history for diabetes be used for dental health available funded by the NHS available on a phone?

Click on NEWS image for the details.
How many of the required signs are now available on a watch?
Could this be part of a general assessment?

Downs peer review project

I think very soon AI will take over a considerable amount of clinical diagnosis. It will also have an effect on treatment design on more traditional treatment of disease as well as the current orthodontic and smile assessment software. Below is my question on designing a triage for dental pain. It took a lot less time, than it took me to write this! For links, click on the images.

Designing a triage system for dental pain involves creating a structured process to assess the severity of patients' dental issues and prioritize their treatment accordingly. Here's a basic framework for a dental pain triage system:
Step 1: Patient Assessment

Initial Contact: When a patient contacts the dental clinic, a trained staff member or automated system should gather essential information, including the patient's name, contact details, a brief description of the issue, and any relevant medical history (e.g., allergies, current medications).
Pain Assessment: Determine the nature and intensity of the dental pain using a standardized pain scale (e.g., 0-10 scale). Ask questions to understand the type of pain (e.g., sharp, dull, throbbing), location, duration, triggers, and any factors that alleviate or worsen the pain.

Step 2: Triage Categories
Based on the initial assessment, categorize patients into different levels of urgency:

Emergency:
- Severe, uncontrolled pain (e.g., pain score of 8 or higher).
- Active bleeding.
- Swelling, abscess, or infection that could compromise the patient's airway or spread to other parts of the body.
- Trauma resulting in significant pain or structural damage.
Urgent:
- Moderate pain (e.g., pain score of 4-7) that interferes with daily activities.
- Swelling, abscess, or infection that is not immediately life-threatening but requires prompt attention.
- Broken teeth or restorations causing discomfort.
- Lost temporary crown or filling.
Non-Urgent:
- Mild pain (e.g., pain score of 1-3) that can be managed with over-the-counter pain relievers.
- Minor issues, such as minor chips or cracks, that don't cause significant discomfort.
- Routine follow-up appointments.

Step 3: Prioritization and Action

Emergency Cases:
- These cases require immediate attention. Schedule an emergency appointment on the same day or refer the patient to an oral surgeon or hospital if necessary.
- Provide instructions for managing pain and any immediate first aid.
Urgent Cases:
- Schedule the patient for the earliest available appointment, preferably within 24-48 hours.
- Provide advice on pain management and oral hygiene until the appointment.
Non-Urgent Cases:
- Schedule a routine appointment based on the clinic's availability.
- Offer guidance for managing pain or discomfort until the appointment.

Step 4: Communication and Follow-up

Patient Communication:
- Clearly communicate the assigned category and appointment details to the patient.
- Provide information about pain management techniques and any necessary precautions.
Follow-up:
- Contact the patient after the emergency or urgent appointment to ensure their condition has improved.
- For non-urgent cases, send appointment reminders and make sure patients attend their scheduled visits.

Remember that this is a basic framework, and you should adapt it to the specific needs and resources of your dental clinic. Regularly review and update the triage process to ensure it remains effective in managing dental pain and providing quality patient care.

If we develop a template for the public, they can give verbal answers and the AI will pull out the relent data and analyse it. The more data, the better the assessment. It can triage users and direct them to DCPs who provide specific services. If you have "white space", you could potentially charge for use of your radiographic equipment, as well as scanning and then the user could send their data for assessment.

I have a few partners to help redevelop the teeth4life App and I need some help with development. We want it to appeal to the individual DCP with a sliding scale of membership, as well as a licence for larger templates for practices. It will be rebranded as DHS, a Dental Health Service and will also include nudges to general health through diet and general wellbeing. It will have a portal for teledentistry, as well as an online triage portal for user needs as well as wants. Why an App? Click below.

ChatGPT

Creating features in an app that hook the public and keep them engaged requires a mix of understanding your target audience, offering value, and maintaining a user-friendly experience. Here's a step-by-step guide:

Know Your Audience: Understand your target audience's needs, preferences, and pain points. Conduct surveys, analyze user data, and gather feedback to identify what features would resonate most with them.
Offer Value: Each feature you introduce should provide clear and tangible value to users. Solve a problem, make a task easier, or enhance their experience in a meaningful way.
Simplicity and User-Friendly Design: Keep the user interface clean and intuitive. Complex or cluttered designs can discourage users. Ensure that users can easily understand how to use new features without a steep learning curve.
Personalization: Integrate features that allow users to customize their experience. Personalization helps users feel a deeper connection to the app and its content.
Gamification: Implement gamified elements like rewards, badges, levels, or challenges. Gamification can create a sense of achievement and encourage users to stay engaged.
Social Interaction: Introduce features that enable users to connect with each other. Social engagement, such as user profiles, commenting, sharing, and chat functionalities, can foster a sense of community.
Real-Time Updates: Incorporate features that provide real-time information or updates. This could include live feeds, notifications, and alerts that keep users engaged and informed.
Feedback and Iteration: Allow users to provide feedback on new features and listen to their suggestions. Regularly update the app based on user input to show them that their opinions matter.
Integration of Trends and Technologies: Keep an eye on emerging trends and technologies. Integrating features like augmented reality (AR), virtual reality (VR), or voice recognition can add novelty and attract users.
Marketing and Teasers: Create anticipation around new features. Use teasers, sneak peeks, and marketing campaigns to build excitement and curiosity among your user base.
Continuous Improvement: Don't stop at the initial launch of new features. Continuously improve and refine them based on user feedback and changing trends.
Data Analysis: Regularly analyze user engagement and behavior data to understand how users are interacting with the new features. This information can guide further enhancements and updates.
User Support: Offer robust customer support to help users with any questions or issues related to the new features. A positive support experience can greatly influence user satisfaction.

Remember that building a successful app is an ongoing process that requires a deep understanding of your audience, creative thinking, and a commitment to delivering value. By continuously focusing on user needs and adapting to their preferences, you can create features that truly hook the public and keep them engaged.

You may be familiar with this. The software for intra oral radiographs has had FDA approval. Their representative in London maintains they will get approval for CBCT next year. In my view, while is will be a good aid for perio diagnosis, some RCT will not look ideal, and may reduce further the lack of standard treatments we all carried out in the past with endomethazone and silver points. The DLP may set up some units in shopping centres for the public, and give "advice".

We need to do something first, such as set the parameters to human eye level. If we can't see the MB2 on a radiograph, is it big enough to cause an issue?

As of my last update in September 2021, both individual dentists and AI have their strengths and limitations when it comes to radiographic diagnosis of teeth. Let's discuss both options:

Individual Dentists:
- Strengths: Experienced dentists bring years of education, training, and practical experience to their diagnoses. They can consider not only the radiographic images but also the patient's medical history, clinical examination, and other contextual information. Their expertise allows them to identify subtle nuances and make comprehensive assessments.
- Limitations: Diagnosis can vary based on the skill and experience of the dentist. Misinterpretations or oversights can occur, and diagnostic accuracy may be affected by factors like fatigue, time constraints, and personal biases.
AI Radiographic Reports:
- Strengths: AI has the potential to process large amounts of radiographic data quickly and consistently. It can detect patterns and anomalies that might be missed by human eyes. AI systems can provide a standardized assessment, reducing the variability seen among different dentists.
- Limitations: AI systems require thorough training on diverse datasets to be accurate. They might struggle with rare or complex cases that fall outside their training data. Additionally, AI lacks the contextual understanding that a human dentist can bring to the diagnosis. The technology is still evolving and may not replace human expertise entirely.

The most accurate approach might involve a combination of both:

Human Expertise + AI Assistance: Using AI as a supplementary tool for dentists can enhance the diagnostic process. Dentists can leverage AI to identify potential issues quickly and then use their clinical judgment to make a final diagnosis based on the radiographic images, patient history, and other factors.

It's important to note that advancements in AI technology are ongoing, and AI's capabilities may have evolved beyond my last update. Always consider the current state of the technology, as well as any regulatory guidelines that apply to the use of AI in medical diagnoses. Consulting with professionals in the dental and medical fields will provide the most accurate and up-to-date information on this topic.

3D printing.

I'm still trying to work out a workflow for this. The aim is to encourage practices to allow their portable scanners into care homes. Not only could they enable replacement copy dentures with a reduction in time and cost, they allow asynchronous oral health screening. This will get quicker and cheaper through advances in the technology, we just need to set up an efficient workflow.
At the least, a relative may bring in grannies teeth for you to scan in the practice, for a fee😁

I need some different views on what would appeal to different DCPs and so please ask if any other members of the dental team are interested. You can register via care4teeth.co.uk now. If anyone registers on teeth4life now, they can have the use of any future App for the same fee for life. Anyone who helps with the design process , and is a BETA tester can have it for free for life. I already have some ideas, I need yours.

If interested, or you know someone who may be email me [email protected]

DIGITAL DEVICES

Downs peer review project

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