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      User-centred digital solution for dentofacial deformities management: an innovative approach technology based

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          Abstract

          Objective

          Dentofacial deformities (DFD) encompass a range of conditions affecting approximately 60% of the population, varying from mild to severe cases. Managing these disorders requires a multidisciplinary approach, yet establishing a unified therapeutic protocol across different specialties often proves challenging. This underscores the necessity to understand the specific needs and demands of patients diagnosed with DFD, aiming to develop an effective treatment pathway. The objective of our study is to identify the unmet needs of patients with DFD and to propose digital solutions, based on Information and Communication Technology (ICT), that can help patients meet these needs by improving the diagnostic-therapeutic pathway.

          Methods

          By examining the medical records of 147 patients diagnosed with DFD, a team of specialists created the profile of a hypothetical DFD patient, termed “Persona” by using the “Blueprint- persona”. This Persona theoretically represents the broader DFD patient population, capturing their needs, demands, goals, problems, and challenges. Based on these findings, a comprehensive ‘DFD Management Pathway’ is proposed, encompassing both general and specialized preoperative and postoperative consultations required for these patients.

          Results

          The identified unmet needs of a typical DFD patient were psychological support, nutritional support and diet recommendations, advice on oral hygiene, assistance by specialized professionals. The proposed digital solutions were the use of video tutorials and online courses, daily notifications on applications on smartphones, social media channel and multidisciplinary platform.

          Conclusion

          This study highlights that the Blueprint methodology proves instrumental in pinpointing specific characteristics and unmet needs of various patient groups. The critical gaps in the diagnostic-therapeutic pathway for patients with dentofacial deformities and underscores the potential of digital solutions in addressing these unmet needs. By creating a detailed patient Persona, by using The Blueprint methodology, and mapping their challenges, psychological support, nutritional guidance, oral hygiene advice have been identified as unmeet needs. The proposed digital tools, including video tutorials, online courses, smartphone notifications, social media channels, and multidisciplinary platforms, provide a promising avenue to enhance patient engagement, streamline care delivery, and improve overall treatment outcomes. Future research should focus on validating these solutions in clinical settings to ensure their feasibility and effectiveness in addressing the unique demands of DFD patients.

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          Most cited references36

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          Digital Transformation in Healthcare: Technology Acceptance and Its Applications

          Angelos I. Stoumpos, Fotis Kitsios, Michael A. Talias (2023)
          Technological innovation has become an integral aspect of our daily life, such as wearable and information technology, virtual reality and the Internet of Things which have contributed to transforming healthcare business and operations. Patients will now have a broader range and more mindful healthcare choices and experience a new era of healthcare with a patient-centric culture. Digital transformation determines personal and institutional health care. This paper aims to analyse the changes taking place in the field of healthcare due to digital transformation. For this purpose, a systematic bibliographic review is performed, utilising Scopus, Science Direct and PubMed databases from 2008 to 2021. Our methodology is based on the approach by Wester and Watson, which classify the related articles based on a concept-centric method and an ad hoc classification system which identify the categories used to describe areas of literature. The search was made during August 2022 and identified 5847 papers, of which 321 fulfilled the inclusion criteria for further process. Finally, by removing and adding additional studies, we ended with 287 articles grouped into five themes: information technology in health, the educational impact of e-health, the acceptance of e-health, telemedicine and security issues.
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            Current Concepts in Orthognathic Surgery

            Sanjay Naran, Derek M. Steinbacher, Jesse A Taylor (2018)
            Article 0 comments Cited 32 times – based on 0 reviews     Review now
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              Virtual Surgical Planning in Orthognathic Surgery

              Brian Farrell, Peter B. Franco, Myron Tucker (2014)
              Computer-aided surgical simulation has greatly enhanced the efficiency and accuracy of orthognathic surgery for correction of dentofacial deformities. Virtual surgical planning (VSP) improves the efficiency of the presurgical work-up and provides an opportunity to illustrate the multidimensional correction at the dental and skeletal level. VSP provides preoperative insight into the surgical intervention and the fabrication of cutting jigs/guides and templates can help decrease intraoperative surgical inaccuracies. VSP is rapidly becoming the standard of care for surgical treatment planning of dentofacial deformities.
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                Author and article information

                Contributors
                Vincenzo Abbate: URI : https://loop.frontiersin.org/people/2252876/overviewRole: Role:
                Emanuele Carraturo: URI : https://loop.frontiersin.org/people/2751393/overviewRole:
                Giulia Togo: Role:
                Stefania Troise: URI : https://loop.frontiersin.org/people/2854677/overviewRole:
                Federica Calabrìa: URI : https://loop.frontiersin.org/people/2852982/overviewRole:
                Mauro Cataldi: URI : https://loop.frontiersin.org/people/28543/overviewRole:
                Daniela Adamo: URI : https://loop.frontiersin.org/people/994561/overviewRole:
                Guido Iaccarino: Role:
                Maddalena Illario: Role:
                Riccardo Nocini: URI : https://loop.frontiersin.org/people/908334/overviewRole:
                Giovanni Dell'Aversana Orabona: Role: Role: Role:
                Journal
                Journal ID (nlm-ta): Front Digit Health
                Journal ID (iso-abbrev): Front Digit Health
                Journal ID (publisher-id): Front. Digit. Health
                Title: Frontiers in Digital Health
                Publisher: Frontiers Media S.A.
                ISSN (Electronic): 2673-253X
                Publication date (Electronic): 06 March 2025
                Publication date Collection: 2025
                Volume: 7
                Electronic Location Identifier: 1502853
                Affiliations
                [ 1 ]Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples Federico II , Naples, Italy
                [ 2 ]Department of Clinical Medicine and Surgery, University of Naples Federico II , Naples, Italy
                [ 3 ]Department of Public Health, University of Naples Federico II , Naples, Italy
                [ 4 ]Otolaryngology Department, University of Verona , Verona, Italy
                Author notes

                Edited by: Sabato Mellone, University of Bologna, Italy

                Reviewed by: Ana Corte-Real, University of Coimbra, Portugal

                Enrico Nastro Siniscalchi, Kore University of Enna, Italy

                [* ] Correspondence: Stefania Troise stefania.troise@ 123456unina.it
                [ † ]

                ORCID Stefania Troise orcid.org/0000-0001-8421-0328

                Article
                DOI: 10.3389/fdgth.2025.1502853
                PMC ID: 11922915
                PubMed ID: 40114666
                SO-VID: 04814524-8b8c-472d-9fd6-304647299ff4
                Copyright © © 2025 Abbate, Carraturo, Togo, Troise, Calabrìa, Cataldi, Adamo, Iaccarino, Illario, Nocini and Dell'Aversana Orabona.
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                Date received : 27 September 2024
                Date accepted : 17 February 2025
                Page count
                Figures: 2, Tables: 3, Equations: 0, References: 38, Pages: 9, Words: 0
                Funding
                The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This work was financially supported by the Italian Ministry of Health, through the project HubLife Science – Digital Health (LSH-DH) PNC-E3-2022-23683267 - DHEAL-COM – CUP E63C22003790001, within the “National Plan for Complementary Investments - Innovative Health Ecosystem” - Unique Investment Code: PNC-E.3.
                Categories
                Subject: Digital Health
                Subject: Original Research
                Custom metadata
                section-at-acceptance Human Factors and Digital Health

                Keywords: full digital approach,blueprint,dentofacial deformities,computer assisted surgery,communication technology
                Data availability:
                Keywords: full digital approach, blueprint, dentofacial deformities, computer assisted surgery, communication technology

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