Integrating telemedicine into dental workflows for medically complex patients: An exploratory pilot feasibility and care coordination study - Scorecard - MDSpire
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Incorporating Telehealth into Dental Practices for Patients with Complex Medical Conditions: A Pilot Study on Feasibility and Care Coordination

  • By

  • Shawn Adibi

  • Mahshid Mohajeri

  • Julian Nathaniel Holland

  • Elizabeth Scott Hamilton

  • Lorena Millan

  • Bonita A. Wynkoop

  • Chelsea J. Guy-Frank

  • Mary C. Farach-Carson

  • September 12, 2026

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Clinical Scorecard: Incorporating Telehealth into Dental Practices for Patients with Complex Medical Conditions: A Pilot Study on Feasibility and Care Coordination

At a Glance

CategoryDetail
ConditionMultisystemic disorders including diabetes mellitus and hypertension
Key MechanismsTelemedicine for medical assessment and care coordination in dental settings
Target PopulationAdults aged ≥18 years with type 2 diabetes mellitus and/or hypertension requiring medical evaluation before dental treatment
Care SettingDental practices incorporating telehealth for patient assessment

Key Highlights

  • Pilot study evaluated feasibility of telemedicine in dental care for medically complex patients
  • Participants included adults with diabetes and hypertension needing medical clearance
  • Telemedicine consultations conducted on-site using digital health platforms
  • Study compared telemedicine pathway with conventional referral to external physicians
  • Longitudinal follow-up monitored retention and clinical outcomes

Guideline-Based Recommendations

Diagnosis

  • Utilize point-of-care clinical measures such as blood pressure and fingerstick blood glucose

Management

  • Remote medical providers to manage conditions based on established guidelines

Monitoring & Follow-up

  • Longitudinal follow-up for up to 12 months with scheduled visits

Risks

  • Potential delays in dental care due to referral processes and patient adherence

Patient & Prescribing Data

Adults with documented medical histories of diabetes mellitus and/or hypertension

Telemedicine may expedite medical assessments and improve care coordination

Clinical Best Practices

  • Integrate telehealth consultations into dental workflows for medically complex patients
  • Ensure clear communication between dental and medical professionals
  • Monitor patient adherence and follow-up visits to enhance care coordination

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