ACCURACY OF ORTHOGNATHIC EVALUATION USING TELEMEDICINE TECHNOLOGY

Objective: Telemedicine technology has the ability to project highly s pecialized medical and dental expertise anywhere in the world. This is particularly important to many small, isolated communities that do no t have access to medical and dental specialists. Telemedicine also has the potential to reduce unnecessary travel, time away from work, and unneeded hospital admissions. For this technology to be successful, ho wever, clinicians need to have confidence in its capabilities. This st udy was conducted to determine the accuracy of an orthognathic evaluat ion using telemedicine. Materials and Methods: Thirteen patients were randomly selected for review by two surgeons each using telemedicine a nd clinical examinations. Clinically acceptable differences were estab lished, and the results of the two examination methods were compared. Results: A main effect of the examination method was observed in 7 of the 18 continuous measurements taken. Examination of the absolute valu e of the within-subject difference between the two examination methods demonstrated that the mean absolute difference was statistically diff erent from zero for 13 of 18 measurements taken. Conclusions: These da ta demonstrate that a relatively accurate orthognathic examination can be performed with this technology. With this in mind, clinicians may feel comfortable using this technology for other clinical applications .