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A Tele-detection and referral pAthways model for early childhood cariEs control- a protocol for a randomized
Nourhan M Aly1, Mona K El Kashlan2, Nicolas Giraudeau3
1Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria University, Champollion St., Azarita, Alexandria, 21527, Egypt. nourhan.moustafa@alexu.edu.eg.
BMC Oral Health
|August 11, 2024
Summary
This study evaluates teledentistry for early childhood caries (ECC) detection and treatment referral, exploring camera types and fee removal to improve children's oral health outcomes.
Area of Science:
- Oral Health
- Public Health
- Teledentistry
Background:
- Early childhood caries (ECC) is a prevalent childhood disease affecting primary teeth in children under six.
- ECC is reversible in early stages but often goes undetected, necessitating early detection methods.
- Current approaches require enhancement for timely and effective ECC management.
Purpose of the Study:
- To assess the effectiveness of ECC tele-detection methods combined with referral pathways.
- To compare the impact of user fee removal versus conventional care on ECC control.
- To evaluate different teledentistry detection tools for managing early childhood caries.
Main Methods:
- A randomized factorial trial comparing intraoral and smartphone cameras for ECC detection.
- Two referral pathways: user fee removal and conventional care.
- Recruitment of children under six in marginalized communities in Alexandria, Egypt.
Main Results:
- The study will measure the percentage of teeth receiving indicated care as the primary outcome.
- Secondary outcomes include oral health-related quality of life, dentist acceptance, procedure time, and child cooperation.
- Statistical analysis includes two-way ANOVA and multivariable linear regression to assess factors and confounders.
Conclusions:
- Findings may inform clinical practice and policies for ECC management.
- Successful teledentistry and referral integration can improve children's oral health.
- This research aims to optimize early childhood caries control strategies.
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