The CASE BOX was developed to offer practitioners a means of documenting and comparing their cases covering all aspects of regenerative therapies, but also for sharing and discussing them with their colleagues. Users have the choice here, whether they wish to keep their cases to themselves or whether they share them with a certain colleague or one of their networks, or whether they want to show the case to all users of THE BOX platform.
One of the main objectives in developing the CASE BOX was to make it as easy as possible for the user and yet to offer them the possibility of uploading as much information as possible for each case. Even if the data record is incomplete or not all information is available, the cases can still be saved.
STEP BY STEP
The user is guided step-by-step through the process: At the very start, the initial situation and the indication are selected. Then the following information is requested progressively:
Step 1: Personal Title of the case – this is never visible for other users, even if the case is shared.
Step 2: Timepoints – dates of relevance to the case are selected here. Only "Surgery" is mandatory. The user can add further timepoints here later on.
Step 3: Patient Demographics – gender, age and race
Step 4: Systemic Factors – various factors are requested here, which can influence the treatment success, such as pre-existing conditions, periodontal status, other diseases.
Step 5: Site Selection – the treated sites are selected on the basis of a graphic and is therefore independent of the odontogram applied.
Step 6: Site Specific Factors – the local conditions, such as biotype, recession, periodontal status or also bone defects – are entered for each position previously selected.
Step 7: Techniques & Materials – here the user can select which materials were used in the treatment, e.g. bone substitute materials, membranes, autologous grafts, medications or growth factors. Information on the surgical technique deployed can also be entered here.
Step 8: Pictures – photos can be conveniently uploaded by drag & drop for all the selected milestones. The pictures can also be flipped, cut to size or rotated.
Step 9: Parameters – depending on the indication, various clinical parameters of most interest for this treatment are requested, e.g. the width of keratinised mucosa, the recession depth or pain. The values can be individually entered for each position previously selected in Step 5.
All done - and the entire case is now entered after just 9 steps. It takes around 10 minutes in total to document a case in the CASE BOX and to enter all the relevant information. Further information on numerous parameters is available, for instance on how measurement is to take place or on which classification it is to be based. This information can be accessed by clicking the question marks.
The user can write further notes and background information, which could be of relevance for the case, in an online notebook. This is created and saved individually for each case and is not public.
MY PRACTICE – ALL CASES AT A GLANCE AT ALL TIMES
Of course, all cases can be changed and supplemented at any time. Users always find all their cases in the 'My BOX' area under 'My Practice' where they can look at them and process them whenever they like, upload new pictures, add further timepoints, or enter new data. There is also the possibility of saving individual cases with all information as a PDF file.
Many users are sure to be interested in sharing their cases with others. They can do this either after the last step of uploading a case, or also later in the 'My Practice' area where the status (Public, Shared, Private) is viewable and can be changed. If a case is "Public", it is visible for all registered users. You find it in the CASE BOX under "Browse Cases" and you can also leave a comment or ask a question.
SHARE CASES - WITH ONE PERSON OR WITH ALL
If a case is shared with one or more other users of the platform, the case is displayed as "Shared". The users must previously have been added as contacts. This function is practical too, so under “My Contacts” you can sort your contacts into so-called "Networks" with which you can also share and discuss cases.
Private cases are not visible for anyone, of course, apart from the users themselves, and the rights to all pictures and data always remain with the author and do not have to be assigned.
ANALYSIS OF CASES
An especially exciting feature of the CASE BOX is the "Analyze" function, especially once the number of cases grows. Because this function allows you to graphically display the results of your treatment as charts and to see the change over time. You can also compare your cases with another, with all your cases in this indication, or even with the general data pool in which all values of all cases are combined with those uploaded by users for this indication.
The quality of these data is obviously not scientifically based. The results of the analysis certainly have to be interpreted with the greatest of caution and critically scrutinised. Nevertheless, they may provide this or that insight, especially with increasing numbers of cases in the database.