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Understanding Children's Attention to Dental Caries through Eye-Tracking
Vanessa Y Cho1, Janet H Hsiao2,3, Antoni B Chan4
1Dental School, The University of Western Australia, Perth, Washington, Australia.
Caries Research
|April 10, 2022
Summary
Preschool children
Area of Science:
- Pediatric Psychology
- Ophthalmology
- Dental Public Health
Background:
- Untreated dental caries negatively impacts children's self-esteem and quality of life.
- Visual attention is a critical developmental behavior in young children.
- Understanding visual attention to dental aesthetics is crucial for early intervention.
Purpose of the Study:
- To investigate preschool children's visual attention patterns towards images with and without dental caries.
- To analyze eye movement data using hidden Markov models (EMHMM) to identify distinct attention patterns.
- To determine if children exhibit attentional bias towards dental caries.
Main Methods:
- 157 preschool children were calibrated to an eye-tracker (Tobii Nano Pro).
- Participants viewed standardized images with and without dental caries.
- Eye movement data was analyzed using EMHMM to derive representative visual patterns.
Main Results:
- Two significant eye movement patterns were observed: distributed (78%) and selective (21%).
- Most children did not show an attentional bias towards images with or without caries.
- A small subset of children displayed selective attention towards images with dental caries.
Conclusions:
- Selective eye movement patterns may predict sustained visual attention to dental caries in preschoolers.
- EMHMM is a suitable method for assessing inter-individual differences in children's visual attention.
- Further research is needed to understand developmental origins of visual attention to oral health issues.

