Abstract
In France, access to a dentist for elderly people, disabled people or inmates is limited. A person’s access to a dentist decreases by 25% when joining a nursing home. A national report mentioned that 85% of residents in nursing homes didn’t have access to a dentist in the past year and 42% in the last 5 years. There are fewer data on disabled people, but 48% of people with disabilities have, at least, one important issue related to oral health. Two examples of teledentistry, the e-DENT project from University Hospital of Montpellier and the TEL-E-DENT project from the public Hospital of Guéret, are presented to describe how teledentistry works in France, the current legal framework, remuneration of teledentistry and the pros and cons of teledentistry in France. 2019 will be crucial for the development of teledentistry as a number official decisions will be made that will influence the implementation of this kind of activity.
Highlights
As in almost all countries in the world, there is no equality of access to healthcare in France.[1]
One of the official recommendations from the Ministry of Health for elderly people and disabled people in France is to attend an oral consultation by a dentist when they arrive to the facility, and an annual oral consultation
The aim of this paper is to present the teledentistry system in France using two examples: e-DENT from the University Hospital of Montpellier and TEL-E-DENT from the public hospital of Guéret
Summary
As in almost all countries in the world, there is no equality of access to healthcare in France.[1]. One of the official recommendations from the Ministry of Health for elderly people and disabled people in France is to attend an oral consultation by a dentist when they arrive to the facility, and an annual oral consultation. A national report showed that 85% of residents in nursing homes did not have access to a dentist in the past year and 42% in the past 5 years.[3] For disabled people there are fewer studies, but it is reported that 48 of people with disabilities have, at least, one important issue related to oral health.[3] For prison inmates, there is an official and legal obligation for every new inmate to undergo a medical examination, including an oral consultation. Only 25% of these oral consultations are realised at the national level.[4]
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