An Innovative App (ExoDont) for Postoperative Care of Patients After Tooth Extraction: Prototype Development and Testing Study

• Published in: JMIR perioperative medicine Vol. 4; no. 2; p. e31852
• Main Authors: Krishna, Meenakshi, Sybil, Deborah, Shrivastava, Priyanshu Kumar, Premchandani, Shubhangi, Kumar, Himanshu, Kumar, Pintu
• Format: Journal Article
• Language: English
• Published: Canada JMIR Publications 31.12.2021
• Subjects: Analgesics; Antibiotics; Architecture; Design; Field study; Health literacy; Original Paper; Patient compliance; Perioperative care; Personal information; Postoperative period; Privacy; Software upgrading; User interface; postoperative; oral surgery; Android app; dentistry; mHealth; teledentistry; dental surgery; teeth; ExoDont; tooth extraction; dentist
• ISSN: 2561-9128; 2561-9128
• DOI: 10.2196/31852

The postoperative period is crucial for the initiation of healing and prevention of complications after any surgical procedure. Due to factors such as poor compliance, comprehension, and retention of instructions, and other unaccounted factors, the objectives of postoperative care are not always achieved. Therefore, an Android-based mobile health app (ExoDont) was developed to ensure a smooth postoperative period for patients after a dental extraction. The ExoDont app delivers reminders for postoperative instructions and drug intake at defined intervals, thus fostering self-reliance among patients in taking their prescribed dose of medication. The aim of this study is to design, develop, and validate ExoDont, an innovative app for improved adherence to postoperative instructions after tooth extraction. A postoperative treatment protocol was developed by a team of oral and maxillofacial surgeons and general dentists, following which the clinical and technological requirements of the app were determined along with the software engineers, graphic designers, and applications architect in the team. ExoDont was developed to provide timely reminders for medication and postoperative care. The app was field tested and validated using the User Version of the Mobile Application Rating Scale. The ExoDont software design was divided into a 3-level architecture comprising a user interface application, logical layer, and database layer. The software architecture consists of an Android-based ExoDont app for patients and a web version of the admin panel. The testing and validation of the ExoDont app revealed that Perceived Impact received the highest mean score of all rated components (mean 4.6, SD 0.5), while Engagement received the lowest mean score (mean 3.5, SD 0.8). The testing and validation of the app support its usability and functionality, as well as its impact on users. The ExoDont app has been designed, keeping the welfare of patients in view, in a user-friendly manner that will help patients adhere to the prescribed drug regimen and ensure easy and efficient dissemination of postoperative instructions. It could play an instrumental role in fostering compliance among patients and significantly decrease the complication rate following dental extractions.