1. Peer-To-Peer Public Health Data Acquisition Via Dental E-Charting
John M. Cutter, D.D.S., etal.*
* C. Apolonio; A. Bakhtiyari; J. Cortuna; J. de Guzman;
D. Goto; D. Pauco; J. Sangalang; D. Santos; S. Sinco; L. Yazuri
FDI World Dental Congress
Buenos Aires

2. 12th most populous country on earth
The Developing Nation
12th most populous country on earth
7000+ islands
107 Million…
and growing!

3. From Cradle to Grave

4. Only 10 % Access Dental Care

5. Out of 37 priorities as identified by the government at large
The Response to Crisis ?
Oral Health ranks
35th
Out of 37 priorities as identified by the government at large

6. An eChart for each child 60 volunteer dentists trained in e-charting
Precedent
An eChart for each child
Dr. Clarissa Jane F. Pe
6 weeks
60 volunteer dentists trained in e-charting
42 Philippine schools
8,000 school children

7. FDI World Dental Congress
e-Charting – Public Health Data Acquisition Efficacy Via Undergraduate Dental Students
Dr. John M. Cutter
Mr. Wouter Put
FDI World Dental Congress
Free Communication
Madrid

8. Precedent Results
Feasibility was clearly demonstrated that large scale public oral health surveys could be met by utilizing the digital e-charting platform deployed within a coordinated organizational approach – IDJ, 2016
Feasibility was demonstrated that undergraduate dental students can serve as valuable manpower in public oral health initiatives while e-formats far-outdistanced older, analog protocols and provided statistically more accurate acquisition of DMFT, needed treatment, and existing oral health condition data, Likewise, attitudinal preference for e-charting was evidenced while recognizing the inherent benefits over analog modalities – IDJ, 2017

9. As of Today… Still no up-to-date Philippines public oral health data
2011 most recent data from the DOH
Funding sequestered until fiscal 2018 was applied to incentivization of government dentists rather than database programs
Reported by FDI in 2014, Philippines #1 in caries incidence in Asia
No furtherance of past success via enlarged programs by the Philippine Dental Association although memoranda of agreement were previously written
Existing epidemiologist, MPH, DPH, and government dentist numbers are inadequate to make a substantial impact

10. What Year Is It…?
1952

11. Now What Year Is It…?

12. Paper vs. Digital

14. Purpose of the Current Study
To determine the ability of dental e-charting to:
● identify, acquire, and manage data acquisition
within clinical populations
● provide insight into the significant scalability of
such platforms when utilized in local, regional,
and national epidemiological database creation

15. Methodology 18 dental students – Sophomore to Senior
All students either established Student Research Assistants (SRA) or trained in e-charting by SRA’s to gold standard methodology
SRA’s randomly assigned patients from their clinic population, y.o.a.
Study patient population target sample = 150
SRA’s performed e-charting including MHX, DHX, and baseline evaluations
Data was measured for time of completion, DMFT and ICDAS analytics
Student attitudinal survey also deployed post-facto
Time = 6 wks. (maximum allotted)

16. e-Chart

17. Time

18. DMFT

19. ICDAS

20. Scalability in Academic Setting
Given a minimum input of 2.86 pts. / student / day, 7,000 undergraduate dental students in Metro Manila, and a 252 day academic year, e-Charting could effectively input a population database of:
5,045,040

21. Scalability in Professional Setting
Given a minimum input of 2.86 pts. / dentist / day, 24,000 dental professionals in the Philippines, and 312 day work year, e-Charting could effectively input a population database of:
10% of Dentists ,141,586
15% of Dentists ,211,200
20% of dentists 4,281,600
25% of Dentists 5,352,000

22. Scalability in Professional Setting
Given a potential input of 10 pts. / dentist / day, 24,000 dental professionals in the Philippines, and 312 day work year, e-Charting could effectively input a population database of:
10% of Dentists ,488,000
15% of Dentists 11,232,000
20% of dentists 14,976,000
25% of Dentists 18,720,000

23. Conclusions
Study again reinforced the value / important availability of university undergraduate dental students as a potent manpower source in public health data acquisition
Scalability of cloud-based, digital oral health data acquisition of such manpower was evidenced when compared to the number of licensed dental practitioners
Scalability of cloud-based, digital e-charting in particular was evidenced when extrapolated to licensed dental practitioner populations adopting same
Potential for creation of peer-to-peer research within every dental venue adopting e-charting platforms
Evidence of immediate input for national programs seeking betterment of general and underserved populations

24. Co-Authors and Student Research Assistants
J. DeGuzman A. Bakhtiyari
L. Yazouri J. Sangalang S. Sinco
L. Goto M. Cortuna
C. Apolonio D. Pauco
D. Santos

25. Our many thanks to:
Argentina
Brazil
Cambodia
Colombia
India
Indonesia
Netherlands
Philippines
Turkey
USA