Telehealth Secrets 2019: The Perfect Storm for Teledentistry & Oral Health - Maria Kundstadter, MD, Teledentists

1. The Perfect Storm
Perfect Storm
Definition:
An unusual combination of events
or things that produce an
unusually powerful result

2. Red Sky in Morning, Sailors’ Warning

4. The Perfect Storm for Teledentistry
• Demonte Driver
• $1.7B spent in EDs on toothache codes in one
year
• Reduce healthcare costs 17% by integrating
Oral Health
• Oral Health Must be a Part of Primary Care
Surgeon General, Academy of Pediatrics
(AAFP)
• Telehealth Technology

5. • Dental Care Services
39% of the people in the US did not see a
dentist last year—125 million people all
need dental help.
• The ER
• 140.3 million ER visits in 2015
• 4% of all emergency room (ER) visits (5.5M) are
for oral related conditions
• $1.7B is spent at hospital ERs for dental
complaints.

6. U.S. 750,000/yr. dx with sepsis
250,000 will die
Monitored Tooth-brushing in Hospitals
Prevented 117 cases of pneumonia—
saving an estimated 21 lives and
reducing costs by $4.69 million.

8. The Silent Epidemic
Almost 100% Preventable
Tooth decay can be stopped, reversed and prevented
without the need for the traditional 'drill and fill'
approach that has dominated dental care for decades,
another study has found.
Integrating oral health into healthcare just became
easier and patients can’t wait!!!
No more drilling at the dentist!

9. 2000 – US Surgeon General
2010 – Institute of Medicine
2014 – Human Resources Service Administration (HRSA)
2015 – American Academy of Family Practitioners
“All healthcare providers should include
participation in oral healthcare”
• Dental Medical Integration

10. AETNA
$3T in Healthcare Costs
Compared to a statistically matched control
group without the DMI program, DMI members
receive 10% more preventive dental care, and
42% less basic and major dental treatment.
We also found that DMI members had an
average of 17% lower medical costs
Aetna
and
Columbia
2006

11. Focus on Chronic Disease
27% lower risk scores
12% lower medical costs
25% lower preterm delivery rates
34% fewer incidents of low birth weight

12. Heed Storm Warnings

13. What You Don’t Know CAN Hurt You
Intensive Care Med. 2014 Jan;40(1):23-31. doi: 10.1007/s00134-013-3049-y.
Epub 2013 Aug 7.
Impact of improvement in preoperative oral health on
nosocomial pneumonia in a group of cardiac surgery
patients: a single arm prospective intervention study.
Bergan EH1, Tura BR, Lamas CC.
J Antimicrob Chemother. 1995 Oct;36 Suppl B:59-72.
Bacterial complications of transplantation: diagnosis and
treatment.
Donnelly JP1.
BMC Infect Dis. 2009 Jun 29;9:104. doi: 10.1186/1471-2334-9-104.
Role of pathogenic oral flora in postoperative pneumonia
following brain surgery.
Bágyi K1, Haczku A, Márton I, Szabó J, Gáspár A, Andrási M, Varga I, Tóth J, Klekner A

14. 14

15. Where can we do TELEDENTISTRY?
Telehealth Cos. Benefit Aggregators Employer Clinics Hospital ERs Mobile Health
Long Term Care DSOs Urgent Care EHRs Retail Pharmacy
Insurance FQHC Student Health Travel Health International
Over 220
Telemedicine
Companies

16. “Soon, the question won’t be ‘did the patient
have a dental consult?’, it will be ‘Why didn’t
the patient have a dental consult?’”
- Scott Lakin, Former Missouri
Insurance Commissioner

17. Navigating Healthcare with
Dental Medical Integration

18. TeleDentistry
Healthcare Solutions for
Smooth Sailing