FDI World Dental Congress Road to Fact-Based Dental Health Policy Formulation and Treatment Delivery Wouter Put FDI World Dental Congress Buenos Aires 05.09.2018

So many thanks to: Argentina Brazil Cambodia Colombia India Indonesia Netherlands Philippines Turkey USA

The global dental caries epidemic Premise: Only if you understand the problem you have a chance to fix it So: If you know the extent of the caries epidemic (who, where, how bad) you are able to formulate oral care policy, as well as provision of treatment and prevention In other words: If you have a database on the oral health status of a population, i.e. the result of an oral health survey then you are able to … etc.

Anything new ? well …, NO or …, perhaps YES ?

Time, time, time !! Oral health surveys The obstacle to keep annually updated data on oral health has always been the cumbersome classic survey process: Data acquisition in the field requires: Distributing paper dental charts to the field Charting the subjects Collecting the charts Central data processing into oral health statistics requires: Transporting the paper charts to central location Transferring data into statistics software Creating statistics and graphs Compiling the paper survey report Distributing copies of the report Time, time, time !!

Cloud surveying and processing Tasks of the optimized all-online process: Chart distribution e-Charting (digital odontogram: on laptop, tablet, smart phone) Instant generation of population statistics directly from the odontograms Report distribution Evaluation of the DentalCharting tool was carried out: Objective: evaluate the tool (usefulness, efficiency, ease of use) At 9 partner dental colleges + Radboud University advice February – May 2018 Paperless

30 evaluation questions

30 evaluation questions (2)

Rating All questions Overall functions Strongly disagree Disagree Neutral Agree Strongly agree

Rating (2) Questions 25 – 30 Statistics functions Strongly disagree Neutral Agree Strongly agree

Conclusion Evaluators: Agree N Disagree Overall functions rating Statistics functions rating (25-30) In other words: Statistics functions rating Why ? Agree N Disagree 68 20 12 80 14 5 Very favorable Extremely favorable

Why ? Because: of the all-online process: Chart distribution all paperless of the all-online process: Chart distribution e-Charting (digital odontogram: on laptop, tablet, smart phone) Instant generation of population statistics directly from the odontograms Report distribution

Cloud surveying and processing Features Online log-in: Username and Password Per subject: drag-n-drop odontogram For the population: instant automatic processing of statistics Numbers and Graphs per subject (Temporary/Permanent – Male/Female) DMFT ICDAS CAST

Simple e-Charting steps 1. Open the Caries menu …

Simple e-Charting steps … select for example the D2DO decay class …

Simple e-Charting steps … then, drag ’n drop it on for example tooth # 14

Simple e-Charting steps 2. Select e.g. the Distal surface which is decaying

Simple e-Charting steps 3. Select ICDAS index 3 for the Distal and …

Simple e-Charting steps … do similar for the Occlusal ICDAS index 5, so that … … release so that the Distal is marked for D2DO-3, then …

Simple e-Charting steps … it is marked D2DO-5, and as a result … … tooth # 14 is properly charted

Statistics

Statistics

Statistics

Statistics Example comparison Region 3 Region 7

Statistics

Statistics

Statistics

Statistics

Statistics

then you are able to … etc. In conclusion So …, Road to Fact-Based Dental Health Policy Formulation and Treatment Delivery ? If you have a database on the oral health status of a population, i.e. the result of an oral health survey then you are able to … etc.

Thank you ! Q & A