Research Study Launches on Intraoral Telehealth Device, The TelScope Telehealth System, for Early Detection of Oral Cancers and Head & Neck Cancers

Holland Healthcare is supporting a research study on its intraoral telehealth device that incorporates illumination and imagery in one tool compatible with software already in use at study site Duke University Hospital.

The study will be led by Dr. Ben Hechler, MD, DDS, a Craniomaxillofacial Surgeon and Head and Neck Oncology Surgeon at Duke University Hospitals in Durham, North Carolina. The research study will utilize the intraoral telehealth device, TelScope Telehealth System, for early detection of oral potentially malignant disorders (OPMDs) and oral cancers, interprofessional collaboration, and minimizing unnecessary outpatient visits.

Examine, capture, connect.” The TelScope Telehealth System is an illuminated intraoral examination, imaging, and telehealth device designed and developed for professionals and their patients. This device enables the user to complete an intraoral examination, and then transform any smart device into an intraoral camera to capture and connect a superior quality intraoral telehealth image or video. The TelScope Telehealth System incorporates illuminated retraction, depression, and intraoral imaging and video of the throat, palate, oral cavity and teeth, all within the palm of one hand. The system provides a straightforward, user-friendly intraoral telehealth solution for use in clinics, hospitals, and homes by providers, specialists, and their patients to connect anywhere, anytime. 

The purpose of this study is to implement the TelScope Telehealth System and determine if the TelScope can adequately detect new oral and oropharyngeal lesions or changes in existing lesions in the remote setting and minimize unnecessary in-office visits,” states Dr. Hechler. “We also hope to determine the functionality of the TelScope as compared to the current remote monitoring standard, which is simply a patient’s cellular telephone alone.”

“We are proud to partner with Duke to study the first intraoral smart device pilot that has the potential to enable and empower doctors and patients with intraoral communication for pre- and post-op care,” said Jennifer Holland, CEO and Founder of Holland Healthcare, Inventor of the TelScope Telehealth System, and Virtual Oral Healthcare Pioneer.

Finding a Tooth Root Tip Left In After Extraction – Dr. Alisa Kauffman

image captured with TelScope Telehealth System

PROBLEM

An 85-year-old homebound patient complained that a new tooth was developing and was painfully breaking through the gum.

SOLUTION

“With the help of TelScope Telehealth System by Holland Healthcare, I was able to examine and photograph the root tip left behind after an extraction done years ago. I was able to X-ray the area and extract the root! Thank you TelScope for making my job easier.

Back on Tuesday!”

Schedule your own personalized, free demo:


 

INFORMATION & CONTENT DISCLAIMER

This content is for information only. This content is not for advice, diagnosis, or guarantee of outcome for patients. No patients should use the information, resources, or tools contained within to self-diagnose or self-treat any health-related conditions. 

Sign up for more content like this from Holland Healthcare:

Subscribe

* indicates required

Profession / Field

Rotting Teeth in an Alzheimer’s Patient – Dr. Alisa Kauffman

image captured with TelScope Telehealth System

PROBLEM

“I was called by a family who said that their mother stopped eating and they didn’t understand why. She was complaining of a toothache, but when they looked in her mouth they didn’t see anything wrong – she had all of her teeth.

So they called me in. This woman has advanced Alzheimer’s disease and was extremely combative; she didn’t want you to touch her mouth, brush her teeth, or be anywhere near her mouth.” said Dr. Alisa Kauffman, dentist and owner of Geriatric House Call Dentistry in New York, New York.

SOLUTION

“But I was able to trick her that I would be taking pictures of her teeth to let her know where the toothache would be coming from.” Alisa used the TelScope Telehealth System to examine her patient and then capture an image of her teeth.

That way, Alisa was able to examine this patient and detect the problem, and then capture a high quality image to share with the patient’s family and show them the problem.

Alisa also assessed that it would not be possible to fill this patient’s teeth. So, she used Proflourid L by VOCO. It is for hypersensitive teeth and is easy to apply via a bottle or single-use tabs, which Alisa prefers for her mobile dentistry business. It has double-protection including sodium fluoride and calcium deposits, giving the patient immediate and long-term relief.

Then Alisa gave her patient ice cream. The patient said her toothache went away.

Schedule your own personalized, free demo:


 

INFORMATION & CONTENT DISCLAIMER

This content is for information only. This content is not for advice, diagnosis, or guarantee of outcome for patients. No patients should use the information, resources, or tools contained within to self-diagnose or self-treat any health-related conditions. 

Sign up for more content like this from Holland Healthcare:

Subscribe

* indicates required

Profession / Field

TelScope Telehealth System featured on Viewpoint Project with Dennis Quaid

The Viewpoint Project with Dennis Quaid featured the TelScope Telehealth System by Holland Healthcare in a Segment on Progressive Telehealth

Innovative med-tech company Holland Healthcare has been featured in The Viewpoint Project with Dennis Quaid for their intraoral telehealth device, TelScope Telehealth System.

Viewpoint Project is an educational program which focuses on meaningful stories that “change our lives for the better.”

“A pioneer is defined as a trailblazer. Someone who develops a new way of doing things. Nowhere is this truer than in the field of healthcare. Every medical advancement starts with a pioneer who explores and digs deep in the name of science. Here’s one such story.” says Dennis Quaid about Jennifer Holland, inventor of the TelScope Telehealth System, at the beginning of the segment.

The segment interviews leading health professionals Duke University Hospital head and neck surgeon Dr. Ben Hechler, MD, DDS, Alabama-based pediatric dentist Dr. Richard Simpson, DMD, pediatrician Benjamin Freeman, MD, and Australian leading head and neck surgeon Dr. Richard Gallagher, MD. The segment also interviews medtech inventor Jennifer Holland, who is the CEO of Holland Healthcare and the inventor of TelScope Telehealth System. Dennis Quaid describes Jennifer as “a pioneer in the field of healthcare” for her invention of the TelScope.

This team of various oral health professionals comes together to emphasize the importance of oral healthcare. The professionals particularly emphasize the importance of enabling all Americans with oral healthcare, especially those in remote and rural areas who have limited access to actual clinics and dental offices.

Never miss a blog post

* indicates required
Profession / Field
Which device(s) or service are you interested in?

TelScope Telehealth System Compatible with MyChart by Epic

TelScope Telehealth System, the Intraoral Examination & Image/Video Capture Device Compatible with MyChart Powered by Epic

by Dr. Ben Hechler, MD, DDS – Duke University Hospitals

Epic Software

The Electronic Health Record (EHR) has revolutionized the way healthcare information is documented and shared between providers, patients, and third parties involved in patient care. Over the last decade, Epic has become the most widely utilized EHR in the United States and has expanded to cover multiple domains including a comprehensive smart device compatible software (Epic Haiku & Limerick), an electronic dental record (Epic Wisdom), and an electronic patient portal (Epic MyChart).

Intraoral Images & Videos of the Throat, Mouth, & Teeth

Today, patients and providers can utilize their smart devices, powered by various Epic software, to communicate via text, photographs, and video in synchronous or asynchronous fashions. Although sharing images of surface wounds or other tissue abnormalities is relatively simple, it still has remained difficult for dentists and physicians to share quality intraoral photographs with standard smart devices and Epic software alone due to the secluded nature of the oral cavity and throat.

Using TelScope Telehealth System with Epic

The TelScope Telehealth System by Holland Healthcare bridges this gap. This device allows providers and patients to obtain superb intraoral and throat images and videos using its ingenious illuminated tongue blades for simultaneous retraction and illumination and attaching to any smart device to transform it into an intraoral camera. Being compatible with all Epic software, the TelScope allows providers and patients alike to capture high-quality images and videos while utilizing Epic. It immediately saves the images and videos captured to the patient record, or it can send them to collaborating providers. By using TelScope with Epic, intraoral examinations that previously almost uniformly required in-office evaluation for adequate assessment now can be performed via telehealth with confidence.

"The TelScope’s compatibility with Epic software allows me, my peers, and my patients to communicate virtually using the power of Epic with the quality intraoral and throat imaging that only the TelScope can achieve."
Dr. Ben Hechler, MD, DDS
Head & Neck Surgeon, Oral & Maxillofacial Surgeon, Surgical Oncologist Duke University Hospital

Today, we are now able to adequately triage patient concerns virtually including those of dental and throat infections, wound opening, bleeding, intraoral and throat pathology, tooth fracture, and nearly any other concern. Virtual triaging has allowed us to improve our stewardship by decreasing unnecessary antibiotic prescriptions, limit the number of unnecessary in-office visits, identify post-operative problems sooner, and, most importantly, reassure and take better care of our patients.

Schedule a free, personalized 1-on-1 demo of TelScope:

Author

Dr. Ben Hechler, MD, DDS

Head & Neck Surgeon, Oral & Maxillofacial Surgeon, Surgical Oncologist
Duke University Hospital
Chief Medical Officer for Holland Healthcare

Holland Healthcare Wins Denobi Award – Las Vegas, March 2022

Aussie Female-Led Company Holland Healthcare Wins American Denobi Awards in Las Vegas

Australian female-led company Holland Healthcare has been selected as a winner of the Denobi Awards in Las Vegas in the United States as a recognition for their contribution in making dental care more accessible via teledentistry.

The Denobi Awards are awarded to “industry stars who have made outstanding contributions in the field of dentistry.” These awards are presented at the National Mobile and Teledentistry Conference (NMTC), an annual event held for dental professionals, industry experts, and brand leaders who are paving the way into the future of dentistry. After being nominated by several trailblazers in the dental industry from around the world, Jennifer Holland, the founder and CEO of Holland Healthcare, was selected as a recipient of this prestigious award.

Holland Healthcare is led by its CEO and founder, Jennifer Holland, who accepted the award at the NMTC in Vegas this weekend. Jennifer represented both her company and Australia at the conference and at the Denobi Awards ceremony.

“From the medical, dental, and homecare community, bringing you all together is the most important thing we can do,” said Jennifer during her acceptance speech. “The impact that teledentistry can have in remote areas, in rural areas, and for the underserved is incredible. It’s life-changing. Thank you for supporting our mission to provide a simple solution for everyone, anywhere, so they can connect to everyone like you.”

“We would like to extend our congratulations to Jennifer Holland for being an outstanding and worldwide innovator in dentistry,” said the presenter of the Denobi Awards.

Never miss a blog post

* indicates required
Profession / Field
Which device(s) or service are you interested in?

Interactive Webinar: “How Rural Physicians are Saving Time, Saving Money, & Saving Lives with Intraoral Telehealth” – w/ Duke Surgeon Ben Hechler, MD, DDS

"How Rural Physicians are Saving Time, Saving Money, & Saving Lives with Intraoral Telehealth"

Interactive Webinar with Duke Hospital Surgeon Ben Hechler, MD, DDS

Duke University Hospital surgeon Dr. Ben Hechler, MD, DDS hosted  our interactive webinar, “How Rural Physicians are Saving Time, Saving Money, & Saving Lives with Intraoral Telehealth” via Zoom this March 2022.

The interactive webinar allowed guests to ask questions answered in real time by Dr. Hechler. The webinar also featured a live demonstration of the intraoral telehealth tool, TelScope Telehealth System, which Ben uses in his practice.

Learning Objectives / Agenda:

  1. The impact & benefits of intraoral telehealth, especially for rurally-located physicians and clinics and in relation to head & neck cancer
  2. Use cases – How Dr. Hechler is using intraoral telehealth at Duke University Hospitals + success stories & life-saving potential
  3. How physicians can save time & save money with intraoral telehealth
  4. A demonstration of TelScope Telehealth System

“Intraoral Illumination for the Healthcare Professional” – Roundtable by The American Mobile & Teledentistry Association

Roundtable: Intraoral Illumination for the Healthcare Professional

The American Mobile and Teledentistry Alliance hosted the roundtable discussion, “Intraoral Illumination for the Healthcare Professional.” The event featured team members from Holland Healthcare, Teledentix, and dental professionals who are leaders in the field of teledentistry.

You can view this roundtable discussion featuring expert clinicians and industry brands Teledentix and Holland Healthcare to learn about how to best leverage illumination devices like TelScope Telehealth System for your dental practice. Learn tips and tricks from  Sarah Tanner, RDH, BSDH, Founder and CEO of Luxury Tooth Booth, Joleyn Carriveau, Founder of Dental Home to You, and pediatric dentist Dr. Richard Simpson, DMD.

The roundtable event discusses TelScope Telehealth System, a teledentistry tool that enables the user with examinaton, illumination, and image/video capture. TelScope Telehealth System integrates with the Teledentix provider app to offer a complete teledentistry solution, from start to finish. In the roundtable, dental professionals discussed how TelScope’s unique illumination benefits their mobile & teledentistry practices, as well as brick and mortar dental clinics.

When?

This roundtable discussion was on Tuesday, January 11, 2022 at 8 p.m. EST. You can view it below.

Where?

This roundtable discussion was held virtually with speakers from all across the United States.

Who?

This discussion is hosted by the American Mobile and Teledentistry Alliance.

The speakers of the event included leading brands and oral health professionals from the dentistry and teledentistry industries.

Dr. William Jackson
Dr. Bill is the co-founder of Virtual Dental Care (Teledentix) and has extensive experience in clinical dentistry. Teledentix meets the “unique needs of a teledentistry practice require different technology needs and business flow process management than a traditional dental practice.” 

Joleyn Carriveau, RDH, BS, PDHC
Joleyn Carriveau is a dental hygienist and the owner of Home Dental To You. Joleyn’s practice brings dental services to clients. Joleyn is passionate about providing seniors in nursing homes with easily accessible dental care.

Sarah Tanner, RDH, BSDH
Sarah Tanner is a dental hygienist and the founder of Luxury Tooth Booth. Her practice offers teledentistry and mobile dentistry in Colorado. Sarah is passionate about personalizing dental care, making dental care accessible regardless of barriers, and serving the Hispanic c0mmunity.

Dr. Richard Simpson, DMD
Dr. Richard is a board certified pediatric dentist in private practice with experience and interests in telehealth, child advocacy, health disparities, policy, prevention, and improving access to medical-dental care. He is also a veteran with 15 years of military service, and is currently an MPH candidate with the Johns Hopkins Bloomberg School of Public Health.

Mike Vogel
Mike Vogel is a key member of the Holland Healthcare team. In the roundtable discussion, Mike offers a live demonstration using the TelScope Telehealth System and even examines his own mouth to show the power of TelScope’s illumination and how it transforms your smart device into an intraoral camera. He also reviews how the TelScope Telehealth System integrates with the Teledentix provider app to offer a complete teledentistry solution for dental professionals.

In the live demonstration of TelScope Telehealth System, Mike shows how the device illuminates the mouth for an intraoral examination. He then shows how you can capture intraoral teledentistry images and videos. The demonstration also includes a walkthrough of accessing and annotating the patient images/videos, and then uploading them into patient files and your user portal on the Teledentix provider app.

“It’s all at the tip your fingers, right there on your phone,” he remarks on the vast amount of features offered by the Teledentix provider app.

“We had, early on, assumed intraoral cameras were going to be the solution. We built a lot of our application to support intraoral cameras out in the field. But this (TelScope Telehealth System) is so much better, and I’m saying that just as much professionally as I am having worked with other people who have used TelScope. So much easier to use than an intraoral camera, and it’s also something that a non-professional can use quite easily… Now we have a tool that, frankly I think it takes as good or better an image. We’re really excited to work with Holland Healthcare on this integration,” said Teledentix co-founder, Dr. William Jackson.

“Teledentix has been amazing in the instance of providing an app, for instance. I love the accessibility, the app function, not needing WiFi. I had an experience with TelScope at COMOM (Colorado Mission of Mercy), where we saw 650 patients and they received oral healthcare services at no cost to them. I worked with Susan Cotten and I met Mike, who gave me this new gadget to use while I was there. I was thrilled to dive in under the expertise of Susan Cotten and her impeccable expertise on oral cancer. Most of the patients were streamlined through their health history form. If they were current smokers or tobacco chewers, they were filtered through our section of oral cancer screening. We took a look at their intraoral tissues. The illumination from the TelScope was amazing, illuminating the entire oral cavity. Pictures were taken of lesions. We sent them to the oral surgeon in a HIPAA compliant form. At one point there was something going on behind a patient’s uvula, and that’s when Mike showed me there was a video function in the app. I used TelScope on every person in my chair and I quickly got used to it. I’d like to use it on all of my patients just as a standard of care.” said Sarah Tanner on TelScope.

Schedule your free, live 10-minute demo

Never miss a blog post

* indicates required
Profession / Field
Which device(s) or service are you interested in?

Intraoral Illumination – Why did we invent TelScope Telehealth System?

Why did we invent TelScope Telehealth System?

“Oral health refers to the health of the teeth, gums, and the entire oral-facial system that allows us to smile, speak, and chew.”

At Holland Healthcare, we developed our TelScope Telehealth System based on six years of advice working with clients in the medical, dental, and speech industries.

TelScope is designed to bring together healthcare professionals treating oral health problems.

Our customers asked for intraoral illumination, tissue retraction, and tongue depression.

 During development, our medical, dental, and speech customers asked for the following:

  1. Medical & Speech:
    Intraoral illumination.
    By placing the source of light inside the mouth, you can direct the light to illuminate extremely hard to reach and hard to see places inside the oral cavity. Intraoral illumination also provides superior images & videos to increase AI software accuracy. Added benefit – the light can be used as a LightSaber to entice children or difficult patients to open their mouth.

  2. Dental:
    Tissue retraction.
    Retraction of the tongue and cheeks are essential to viewing and capturing superior images & videos of the entire maxillary and mandibular anatomy, including the back molars.

  3. Medical & Speech:
    Tongue depression.
    It is necessary to depress the tongue to view and capture superior oropharynx & tonsil images & videos.

Our TelScope is the first and only solution available to provide a complete oral health examination and superior tele-image capture! TelScope combines intraoral illumination with depression and retraction for superior images and videos to provide the best patient outcomes every time from anywhere.

Schedule your free, live 10-minute demo

About Jennifer Holland

Jennifer Holland is the founder and CEO of Holland Healthcare.
She is also the inventor of TelScope Telehealth System and Throat Scope, as well as Ear Scope, Wound Scope, and Pap Scope.
 
Jennifer is an award-winning medical technology inventor.
 
Her mission is to “Raise awareness for Head & Neck Cancer and Enable Virtual Oral Healthcare Worldwide.” You can learn more about Jen here.
 

Never miss a blog post

* indicates required
Profession / Field
Which device(s) or service are you interested in?

Buy One, Donate One this Holiday Season

This December, your purchase makes a difference to an underserved health center.

For every purchase of TelScope Telehealth System this December,
Holland Healthcare will donate a system to an underserved health center.
Plus, you’ll save $100 on TelScope Telehealth System (US customers only).

We are thrilled to announce our December community outreach donation program, which will donate one TelScope Telehealth System for each system purchased. This program is an effort towards our vision of enabling all Americans with access to quality oral healthcare.

This program will run throughout December for United States customers only. In addition to your purchase helping an underserved community center, you will also save $100 on your TelScope Telehealth System purchase.

Happy holidays from the Holland Healthcare team!

Schedule your Free 10-minute Demo

Screening for Oral Cancer in At-Risk Patients in a Non-Profit Event

Screening Over 300 Patients for Oral and Oropharyngeal Cancer

Susan Cotten RDH, BSDH, OMT and the Colorado Mission of Mercy oral cancer screening team screened over 300 patients for head and neck cancers in Canon City, Colorado at the free 2-day dental event organized by Colorado Mission of Mercy (COMOM).

In just one day, the team screened over 200 people, and 100 more the next day. They captured teledentistry images and videos of suspicious lesions in the mouth and emailed to an oral surgeon for further evaluation. The oral exam area featured eight chairs each supplied with a TelScope Telehealth System while the experts conducted these head and neck cancer exams.

This event enabled 650 patients to safely receive oral healthcare services for no cost!

Images from the oral cancer screening in Canon City with Colorado Mission of Mercy – using TelScope Telehealth System

Why Screening for Oral Cancer is Important

“Due to inadequate screening and late stage diagnosis people die every day. I educate on best practices for screening and office systems so that doesn’t happen.”

Susan has written up the below to give an idea of why screening for oral cancer is becoming increasingly important:

While the term oral cancer is commonly used, there are really two cancers we are talking about when we say the general term “oral” cancer.

  1. Oral cancer: Cancers in the anterior portion of the mouth – everything that isn’t listed below in the oropharynx.
  2. Oropharyngeal cancer (also called throat cancer): Cancers in the posterior portion of the mouth, the oropharynx – consists of the soft palate, uvula, pharyngeal walls, palatine tonsils, lingual tonsils, posterior base of the tongue, back wall of the throat.

So when we read that approximately 54,000 Americans will be diagnosed with oral cancer in 2021, this number includes oral and oropharyngeal cancers (Oral Cancer Foundation).

Oral cancers are caused most by tobacco and alcohol use. Combining the two increases the risk 15 times more. However, Tobacco and alcohol are etiologies for both oral and oropharyngeal cancers. 

Human Papillomavirus (HPV-16) causes about 70% of oropharyngeal cancers, and rarely causes oral cancers. 

It is the HPV oropharyngeal cancers that are most on the rise and responsible for the increase in the number of cancers diagnosed.

Assessing if your Patients are at Risk

It is important to screen all patients for oral and oropharyngeal cancer, especially because these cancers are on the rise in young, “seemingly healthy” patients.

Those most at risk for HPV-related oropharyngeal cancer are non-white smoking males ages 35 to 55. This subset is not who we historically have known were high risk for “oral” cancers (Oral Cancer Foundation).

Men are four times as likely as women to contract oropharyngeal cancer.

Another area where we are seeing an increase is in the number of oral/anterior portion of the mouth cancers in young females. Their oral cancers have no known etiology, so not tobacco, alcohol, or HPV caused.  This is a good reason for medical and dental providers to perform screenings on all patients.

As stated above, HPV oropharyngeal cancers are the most on the rise. Transmission of the HPV virus to the oral cavity is through oral sex. A greater number of oral sex partners increases the risk of exposure to HPV and having an oral HPV infection. However, an oral HPV infection may occur with just one exposure. It is the persistent HPV infection that tends to at some point cause cancer. It is suspected that open mouth, deep aggressive kissing may also be a way of transmitting HPV orally.

Further risk factors include being immunocompromised, genetics, previous head and neck cancer, poor oral health, and having a poor diet.

Questions you can ask patients:
(persistent = two weeks or longer – Any sign or symptom persisting for two weeks should be investigated further by a specialist.)

  1. Do you have any persistent lesions, sores, lumps, bumps, or growths in your head and neck region, or inside your mouth?
  2. Do you have any difficulty swallowing, or the sensation of something caught in the throat that won’t go down?
  3. Have you noticed any persistent, non-painful, swollen lymph nodes in your head and neck area?
  4. Are you experiencing persistent hoarseness, change in voice, cough, sore throat, pain or numbness in the head and neck region, or inside the mouth?

Free Head and Neck Cancer Screening Course

“The Changing Faces of Head and Neck Cancer” is a free online training course that teaches professionals how to screen for the early signs of head and neck cancer, including HPV-related oropharyngeal cancer.

Schedule your Free 10-minute Demo

TelScope Telehealth System is an oral examination tool that illuminates inside the mouth, depresses the tongue, and retracts the tongue and cheek to allow for head and neck cancer screening.

About Susan Cotten, RDH, BSDH, OMT

Susan Cotten, RDH, BSDH, OMT is the owner of Oral Cancer Consulting and a subject matter expert on HPV (human papillomavirus) and oral and oropharyngeal cancer screening. She created the “Cotten Method”, a comprehensive approach to early detection of oral cancer.

  • Regional Coordinator and RDH Advisory Board member for The Oral Cancer Foundation
  • Recipient of the Sunstar/RDH Award of Distinction, Colorado Dental Hygiene Association Outstanding Contribution and Ethyl Covington Awards
  • Dental workgroup lead and trainer for Alliance for HPV-Free Colorado
  • Board member and oral cancer screening coordinator for Colorado Mission of Mercy
  • A director with Dental Codeology Consortium
  • Founded M.A.D. for Healthy Smiles as part of the Donny Osmond Make a Difference program
  • Has organized countless free oral cancer screening and awareness events
  • Has volunteered with the Denver Homeless Head and Neck Cancer Screening and Care Group

Never miss a blog post

* indicates required
Profession / Field
Which device(s) or service are you interested in?

A Solution to the Dental Crisis in Rural Alabama

Alabama's Dental Crisis

Alabama is facing a shortage of dentists, with nearly half of Alabama’s counties having less than 10 dentists each – and some counties have none at all. 

Alabama has the lowest dentist per population ratio in the country. A third of these dentists are 60 years old or older, and at least half of those practice in rural Alabama – this all means the majority of rural dentists are going to be retiring soon.

Especially affected are residents in rural communities, many of whom have to drive an hour or more to reach any dental care.

Nearly half the dentists who graduate from the UAB School of Dentistry end up leaving the state to practice in states with higher insurance reimbursement rates or to enter specialty programs. “In the last several years, out of a graduating class of fifty-five from our dental school, an average of four go into rural area or small town each year,” stated pediatric dentist Dr. Richard Simpson.

On the Forefront - Pediatric Dentist Dr. Richard Simpson

Alabama-based pediatric dentist Dr. Richard Simpson, DMD, is at the forefront of dental care in the state. His practice in Tuscaloosa serves children from 17 different Alabama counties.

Since the onset of the pandemic, Dr. Simpson has been seeing pediatric patients with increased rates of tooth decay. Dr. Simpson’s practice is also overwhelmed with a constantly increasing number of new patients whose dentists retired or have stopped accepting Medicaid.

“Sometimes we have patients that are driving two hours to get to our office. That’s a burden on the family; working parents have to take off an entire day of work to get their child to the dentist because there’s no one in the area to see them,” explained Dr. Simpson.

Dr. Simpson says it is not necessarily the dentists’ fault that this is happening. “Even if they would like to [serve in rural areas], they can’t afford it,” explained Dr. Richard Simpson. “The average dentist graduating from dental school nationally has over $300,000 in debt. They need immediate income, so they are gravitating toward the large metropolitan areas, not the rural communities and to existing practices.”

“80% of all tooth decay is in 20% percent of children. We see similar scenarios in adults because of lower socio-economic status. In rural areas with decreased access to care, we see a higher disease rate. Studies show that in schools that have at least 75% of students on free or reduced lunch, those students have twice the amount of decay as children in other communities.” Simpson continued.

“We have nowhere else to send them and the waiting list at Children’s Hospital for young children that need this care or special needs kids is almost a year,” Simpson admitted. “So when they do the exam of kids that are in pain and have significant disease state, by the time they’re actually seen is 10-12 months later.”

A Solution that Empowers Rural Communities with Access to Dental Care

TelScope Telehealth System is the teledentistry tool that is capable of empowering anyone, anywhere with access to dental healthcare.

As both an oral examination device and intraoral camera, this system is designed for patients and professionals alike. It is affordable, easy to use, portable, and practical. The tool aims to bridge the gap between doctors, dentists, specialists, and patients.

TelScope is now fully integrated with Virtual Dental Care’s Teledentix app, meaning that patients can connect to a dentist virtually. For rural patients, this saves hours of driving and the hassle of scheduling an appointment. TelScope and Teledentix also limit the back-and-forth, which gives patients peace of mind, eliminates unnecessary visits, and limits further implications of untreated dental issues.

Dr. Simpson sees virtual oral healthcare through telehealth and teledentistry as one of the solutions to addressing the declining rural dental workforce. Connecting dentists and hygienists with each other and with other health care providers treating patients in remote and underserved locations serves as a workforce multiplier and lends itself to more comprehensive and patient centered care.

“I am most excited about the potential for digital triage, screening, and referrals inter-professionally (dental-dental, dental-medical, medical-medical). The ease with which a clinician can illuminate and examine the entire oral cavity and throat, capture images, and then connect and securely transmit those images with any desired mark-up and commentary can greatly enhance efficient and timely referral, improve patient satisfaction, and address the difficulties of access for rural and underserved populations. We have begun fielding TelScopes into several rural pediatric medical practices in our state, and I look forward to seeing measurable results in the near future,” said Dr. Simpson on using the device in his clinic.

Schedule your free, live 10-minute demo

About Dr. Richard Simpson, DMD

Dr. Richard is a board certified pediatric dentist in private practice.
His achievements include:
• Diplomate in the American Board of Pediatric Dentistry
• Fellow in the American College of Dentists
• Fellow in the International College of Dentists
• Fellow in the American Academy of Pediatric Dentistry
• Advisory Board Member of The TeleDentists
• Advisory Board Member of Holland Healthcare
 
Dr. Richard’s experience and active interests include telehealth, child advocacy, health disparities, policy, and advancing improved medical-dental access to care. Dr. Richard is also a veteran with 15 years of military service. 

Never miss a blog post

* indicates required
Profession / Field
Which device(s) or service are you interested in?

TikTok DIY Tooth Gem Gone Wrong – by Dr. Richard Simpson, DMD

DIY tooth pull gone wrong

image captured with TelScope Telehealth System

PROBLEM

This 10-year-old girl presented to the dental office for a scheduled 6 month cleaning and check up.

During the exam, this large and painful ulcerated area was discovered, which was unknown to the mother at the time.

DIAGNOSIS

TIKTOK DIY TOOTH GEM

After questioning the child, it was learned that she attempted to apply a tooth gem to her right lateral incisor after seeing the procedure on TikTok. It is known as the TikTok DIY Tooth Gem. Tooth gems are not new. There is a resurgence in interest since they were last popular in the late 90s and early 2000s.

The ulcerated area is a very significant chemical burn from a brand of super glue, but similar damage can occur from glue used for nails. The circled area on the tooth shows enamel damage from the adhesive and removal of the tooth gem.

This image, captured using the TelScope Telehealth System by Holland Healthcare, clearly shows just a few of the many complications that can occur from DIY dentistry and trending hacks on social media, such as the DIY tooth gem:
  1. Any form of super glue or other similar bonding agents are toxic to humans, and can obviously cause direct damage to tissues
  2. Potential problems that are well documented include:
    1. Damage to enamel
    2. Tooth wear
    3. Tooth chipping, even when placed in a functional area
    4. Loss of tooth minerals with subsequent enamel discoloration
    5. Tooth decay

COMMENTARY

Parents should be aware of popular trends on social media that can be dangerous to their child’s health. Tooth gems and other attachable decorative displays such as grills (which can cause severe gum disease and bone loss) should be discouraged from the pediatric population.
Teenagers or adults who want to have tooth gems are strongly encouraged to follow informed consent of the potential complications. Then these should be applied by appropriately trained professionals utilizing materials and adhesives that are safe to the human body.
You can learn more about and find an authorized distributor for TelScope Telehealth System here.

About the Author: Dr. Richard Simpson, DMD

Dr. Richard is a board certified pediatric dentist in private practice.
His achievements include:
• Diplomate in the American Board of Pediatric Dentistry
• Fellow in the American College of Dentists
• Fellow in the International College of Dentists
• Fellow in the American Academy of Pediatric Dentistry
• Advisory Board Member of The TeleDentists
• Advisory Board Member of Holland Healthcare
Dr. Richard’s experience and active interests include telehealth, child advocacy, health disparities, policy, and advancing improved medical-dental access to care. Dr. Richard is also a veteran with 15 years of military service.
————
INFORMATION & CONTENT DISCLAIMER

This content is for information only. This content is not for advice, diagnosis, or guarantee of outcome for patients. No patients should use the information, resources, or tools contained within to self-diagnose or self-treat any health-related conditions. 

Sign up for more content like this from Holland Healthcare:

Subscribe

* indicates required

Profession / Field

Teledentistry in Aged Care Facilities & Nursing Homes: TelScope Telehealth System

Dental Hygienist & Oral Health Therapist Shida Taheri owns Dental On Demand, a mobile dentistry business that services aged care, schools, child care, corporate locations, and home visits. Shida is also on the board of the Dental Hygienists Association of Australia (DHAA).

Shida uses TelScope Telehealth System for teledentistry in aged care facilities (nursing homes). TelScope Telehealth System is an intraoral examination tool. It doubles as an intraoral camera for oral telehealth images and videos, as well as secure and instant telehealth connection.

TelScope Telehealth System Examination & Intraoral Camera Tool used for Teledentistry in Aged Care Facilities & Nursing Homes

Using TelScope as a Teledentistry Tool in Aged Care Facilities (Nursing Homes)

“In my business, I work closely with aged care residents and their carers,” says Shida Taheri, dental hygienist and oral health therapist. “I love using the TelScope to conduct an efficient intraoral examination that I can refer back to at a later stage. I use the TelScope Telehealth System to send photos and videos to other clinicians in my team for treatment planning, and to share these images (and videos) securely with the residents’ family members who often aren’t at the appointments. These high quality images and videos help the families to better understand the patient’s oral health conditions. The TelScope Telehealth System makes communication with my patients, their families, and their carers so much easier.”

TelScope for Teledentistry - DHAA

TelScope Telehealth System

TelScope Telehealth System enables dental professionals and their patients with access to virtual oral healthcare, mobile dentistry, and teledentistry. Examine your patient, capture a superior quality image or video by transforming your phone into an intraoral camera, and securely connect those files from patient to provider, provider to provider or patient files, and provider to specialist.

Learn more about TelScope Telehealth System and schedule a free, live demo here.

Contributing Author

Shida Taheri

Dental Hygienist & Oral Health Therapist
Dental On Demand
Dental Hygienists Association of Australia

Rural & Remote Patient Oral Healthcare: How Oral Telehealth Will Improve Your Practice

Telehealth for oral healthcare has countless benefits. Telehealth allows you to reach more patients, improves communication between professionals and patients, and provides better patient outcomes. Telehealth can also not only save your practice money, but it can be a source of revenue for your practice. Oral telehealth, specifically, can empower rural and remote patients with access to quality oral healthcare, while allowing you to see more patients.

Rural & Remote Patient Outreach

Patients who are located remotely face barriers such as long commute times and being isolated from major cities, where specialists and major hospitals are often located. Oral telehealth will allow your practice to reach remotely located patients for triaging, specialist connection, monitoring of lesions or oral manifestations of diseases, and post-operative monitoring. Oral telehealth connectivity also allows you to track patient progress for head and neck patients or for patients with recurrent or ongoing oral conditions or infections.

Provider & Clinic Benefits

Oral telehealth connectivity will ultimately allow you and your clinic to serve more patients. You can serve patients outside of your geographical scope, as telehealth allows the patient to connect to you from anywhere. Furthermore, since the patient will not have to come into the clinic, you can save time on preparing the clinic and cleaning up the clinic between patient visits.

A telehealth consultation can also take less time than an in-person consultation, and can save you time from patients that present in-person unnecessarily. The National Library of Medicine (US) determined that the average consultation time fell from 23 minutes to 10 minutes when consulting a patient via telehealth. This means that your practice can provide consultations to over double the amount of patients within the same amount of time when using an oral telehealth tool such as TelScope Telehealth System.

"Using the TelScope in our practice has helped to streamline patient visits, facilitate communication with other specialists, and put patients at ease from their own homes. The TelScope allows us to do more and increase reimbursement without having to work harder. Plus, patients actually prefer the option. It's a win-win situation for us."
Dr. Ben Hechler, MD, DDS
Head & Neck Surgeon, Oral & Maxillofacial Surgeon, Surgical Oncologist Duke University Hospital

The TelScope allows the patient to examine inside of their own mouths, and then easily and efficiently capture a medical-grade quality image or video inside the mouth. Video sessions “involving patient, GP and hospital consultant have speeded up assessment and reduced the need for referrals.” A faster assessment means you can see more patients, and immediate connectivity and communication with a specialist eliminates unnecessary referrals as well as time spent on back-and-forth communication. Duke University Hospital is onselling TelScope Telehealth System to patients to allow for oral telehealth connectivity. “Using the TelScope in our practice has helped to streamline patient visits, facilitate communication with other specialists, and put patients at ease from their own homes. The TelScope allows us to do more and increase reimbursement without having to work harder. Plus, patients actually prefer the option. It’s a win-win situation for us,” says Duke University Hospital head and neck surgeon Dr. Ben Hechler, MD, DDS.

TelScope Telehealth System also provides a way to follow up with your patients virtually during the insurance global period, which typically lasts 90 days after a patient’s surgery. “This is why telehealth for post-operative monitoring can be so beneficial, because physicians don’t get paid for this anyway, so why waste your time with in-office visit and patient travel when a telehealth visit and oral check with the TelScope can do?” noted Hechler.

If a provider shows up to the clinic in the morning and finds that some patients have cancelled, it is quite a task to get those slots filled with in-house patient visits. However, if inhouse patients are provided with a TelScope Telehealth System, then patients who have a new issue could easily make a request that day. Therefore, as patients cancel or do a no-show, those telehealth request patients can easily pop online for a telehealth visit, even if it is last minute, since no travel or schedule rearrangement is required.

In addition to saving time and seeing more patients with the TelScope Telehealth System, oral telehealth will also reduce exposure, which we know is especially important in a post-COVID world. Allowing patients to stay at home instead of presenting in-person for a consultation or a follow-up means less risk of spreading disease. Telehealth connectivity will save your clinic time on cleaning and sanitizing between each patient and will reduce PPE costs. Telehealth keeps you, your colleagues, and your patients safe.

Finally, TelScope Telehealth System improves communication between provider and specialist, encourages dental-medical integration, and provides a solution for multi-provider consultations, second opinions, and store-and-forward transmission of patient images, videos, and information. In addition to capturing intraoral images & videos, TelScope Telehealth System connects those images & videos securely via encrypted, password-protected folder. Instantly share patient files to another provider for a second opinion or onto a specialist for patient referral. Store patient images & videos into your electronic medical record (EMR) system, and securely forward those files onto other providers and specialists via the HIPAA-compliant TelScope software in the TelScope app.

Patient Benefits

Telehealth has endless patient benefits, especially in regards to oral healthcare. At its most basic level, the TelScope Telehealth System can instantly connect a superior quality image/video of a sore throat or a sore tooth from a patient to a professional. Instant connectivity saves the patient time in organizing an appointment, commuting to the doctor’s office or dental clinic, and wait times between specialist referrals. The patient will also not need to worry about external factors and barriers that may often limit them from seeing a doctor, such as getting time off of work, organizing childcare, pulling a child out of school, or “rounding up the children into the car” as TelScope inventor Jennifer Holland was jaded by when she got the idea to invent TelScope.

Instant connectivity takes out the stress for patients and gives patients ease of mind. No more stress building up to an appointment or while waiting to see a specialist. A less stressed patient is a happier patient, and happy patients will keep coming back to your clinic when they have an issue.

TelScope Telehealth System is a gamechanger in enabling homebound patients with oral healthcare. Patients immobilized by condition or elderly age can stay home while still receiving quality oral healthcare virtually. Patients in nursing homes or long-term medical facilities can access oral healthcare without having to leave their facility.

Patient outcomes can be improved when a patient does not need to wait for their appointment or to be connected with a specialist. Further, follow-ups following hospital discharge or surgery have been shown to have a higher compliance and patient satisfaction when available virtually, and for oral and oropharyngeal conditions, the TelScope can enhance this service.

Consultations via TelScope Telehealth System will eliminate unnecessary clinic visits, as well. The World Health Organization stated that 15 million Americans visit a medical clinic with a sore throat every year, and only one-third of them require antibiotics. An initial telehealth consultation can prohibit issues from progressing by assigning the patient the care that they need immediately. A teledentistry consult for a sore tooth or any dental issue can keep the patient from getting more severe issues down the road, or even spare them from ending up in the emergency room. The American Dental Association determined that a patient visits the emergency department every 15 seconds with an oral health concern – that means that 2.2 million Americans are visiting the ED every year due to oral health concerns. These unnecessary emergency visits could be avoided with initial oral telehealth or teledentistry consultations.

Finally, expedited and convenient triaging and consultations allowed for by TelScope can promote early detection and intervention to a patient before an oral issue progresses. Early detection is key in preventing the progression of deadly head and neck cancers, such as oral cancer and HPV-related oropharyngeal cancer. By using a TelScope Telehealth System, patients can instantly connect any lesions or lumps to a primary care physician, oral surgeon, or a head and neck doctor, who can then determine if the patient needs to be brought in for further analysis. You can learn how to screen patients for the early signs of head and neck cancer for free here.

The Solution: TelScope Telehealth System

TelScope Telehealth System enables practices and their patients with access to virtual oral healthcare. Examine your patient, capture a superior quality image or video, and securely connect those files from patient to provider, provider to provider or EMR system, and provider to specialist.

Read about use cases with TelScope Telehealth System by Dr. Ben Hechler, MD, DDS from Duke University Hospital.

Learn more about TelScope Telehealth System and schedule a free, live demo here.

Contributing Editors

Dr. Ben Hechler, MD, DDS

Head & Neck Surgeon, Oral & Maxillofacial Surgeon, Surgical Oncologist
Duke University Hospital

Dr. Richard Simpson, DDS

Pediatric Dentist
Children and Teen Dental, Tuscaloosa, AL

Sources:
https://pubmed.ncbi.nlm.nih.gov/12952731/
https://pubmed.ncbi.nlm.nih.gov/12916407/
https://www.digitalhealth.gov.au/healthcare-providers/initiatives-and-programs/telehealth
https://www.thinkgp.com.au/education/head-neck-cancer-screening