張育超CHANG, YU-CHAO劉庭嘉LIU, TING-CHIATING-CHIALIU牙醫學系碩士班2026-03-172024-02-0120242024-01-30https://handle.ncl.edu.tw/11296/ephu6ehttps://scholars.csmu.edu.tw/handle/123456789/5641嚴重特殊傳染性肺炎(coronavirus disease 2019, COVID-19)的發生，使得遠距醫療成為一個熱門的選擇，在牙科領域的運用也使得遠距牙醫學擁有了前所未有 的關注度。本研究使用科學計量法分析遠距牙醫學的全球研究發展趨勢及其應用 現況。以關鍵詞“teledentistry 或 oral telemedicine 或 dental telemedicine 或 telemedicine in dentistry”在 Web of Science 核心資料庫中進行標題和主題檢索， 並聚焦於 Dentistry, Oral Surgery & Medicine 領域，採計從建庫日至 2023 年 12 月 31 日止的文獻進行篩選。共有 205 篇文獻經標題審閱後，排除 46 篇不符合主題 的文獻。再將 159 篇文獻進一步執行全文審閱，排除無法獲取全文、非以遠距牙 醫學為主題、缺乏完整作者與機構相關紀錄、為會議摘要的文獻。最終共篩選出 146 篇文章進行科學計量分析。文獻詳細資料紀錄於 Microsoft Excel 中，用於描 述性科學計量分析及統計分析;VOSviewer 則運用在繪製資料視覺化的科學計量 分析圖。分析結果發現，遠距牙醫學的相關文獻在 2020 年起有較多的文獻發表 數量，比較 COVID-19 發生前後的整體平均文獻數量，統計結果具有顯著差異 (p<0.01)。遠距牙醫學相關文獻以原著文章(original article)為主要發表文獻類型， 有 95 篇文獻(65.07%)。以文獻研究領域探討遠距牙醫學的應用方向，與牙科臨 床應用相關約佔 89.73%，而與牙科教育相關則約佔 10.27%。在牙科臨床應用中 五個較常見的應用方向包含口腔顏面外科相關有 22 篇相關文獻;齒顎矯正相關 有 19 篇相關文獻;齲齒相關有 13 篇相關文獻;口腔黏膜相關有 12 篇相關文獻; 牙科急診相關有 6 篇相關文獻。在使用遠距牙醫學於臨床應用的研究對象上，除 一般患者之外也涵蓋兒童、老年人、和偏遠地區的患者。以通訊作者分析文獻地 理分佈，北美洲發表了 51 篇文獻(34.93%)，是擁有最多發表文獻的七大洲，而以 國家為單位，美國為出產最多文獻的國家，有 46 篇文獻發表，約佔 34%。分析 關鍵詞的網絡圖則可見齒顎矯正(orthodontics)、齲齒(caries)、口腔癌(oral cancer)、 口腔內科學(oral medicine)、照護(care)和 COVID-19 等為相關的熱門研究關鍵詞， 可見其目前的應用與發展趨勢。本研究藉由對大量資訊進行結構化分析，以一個 宏觀的視野提供對現有遠距牙醫學研究的概述，及未來發展趨勢的展望。With the COVID-19 outbreak, telemedicine gained popularity, including in dentistry, where teledentistry received increased attention. This study utilized scientometric methods to analyze global research trends and the current application status of teledentistry. Titles and subjects were searched in the Web of Science Core Collection database using the keywords "teledentistry OR oral telemedicine OR dental telemedicine OR telemedicine in dentistry". The focus was on the category of Dentistry, Oral Surgery & Medicine. Documents collected from the establishment date up to December 31, 2023. Out of 205 articles, 46 were excluded for not aligning with the theme. The remaining 159 documents underwent further full-text review, excluding those that were inaccessible, not primarily focused on teledentistry, lacked complete author and institutional records, or were conference abstracts. A total of 146 articles were included for analysis. Detailed bibliographic information has been recorded in Microsoft Excel for descriptive scientometric and statistical analysis. VOSviewer was used to create data visualizations. The statistical analysis revealed a significant difference (p < 0.01) in the overall average number of publications between before and after the occurrence of COVID-19. The majority of literature on teledentistry comprises original articles, accounting for 65.07% (95 articles). In the literature, 89.73% of teledentistry applications are related to clinical dentistry, while 10.27% pertain to dental education. The top five clinical applications are oral and maxillofacial surgery (22 articles), orthodontics (19 articles), dental caries (13 articles), oral mucosal lesions (12 articles), and dental emergencies (6 articles). In utilizing teledentistry for clinical applications, research subjects include not only general patients but also children, the elderly, and patients in remote areas. Analyzing literature by corresponding authors' geographical distribution, the United States leads with 46 publications (34%). Keyword network analysis highlights prominent research areas in teledentistry, including orthodontics, dental caries, oral cancer, oral medicine, care, and COVID-19.遠距醫療遠距牙醫學科學計量分析COVID-19telemedicineteledentistryscientometric analysisthesis