Staff perspectives on using an intra-oral camera in early years school screening

Aims This qualitative study explored the feasibility and acceptability of incorporating an intra-oral camera into a supervised toothbrushing programme by examining the practical factors shaping its use from the perspectives of staff involved in its implementation.Methods Six university staff involved in delivering the programme were interviewed, and the data were analysed thematically.Results Participants reported that the camera improved accuracy, supported clearer communication with children. Children engaged well with the technology, and the visual element helped make dental screening feel more understandable and approachable. At the same time, implementation exposed practical hurdles. Technical setup, data security, staffing, and inconsistent operator experience contributed to delays. The process was most effective when qualified staff captured the images, highlighting the importance of defined roles. Strong teamwork and clear protocols were seen as essential for future scaling.Conclusions The findings show that the intra-oral camera is potentially valuable within school-based prevention, but its success depends less on the device itself and more on the systems built around it. Reliable digital infrastructure, dedicated staff time, and a standardised imaging pathway are critical for sustainability. With these elements in place, the technology could strengthen early detection and enhance the educational aims of supervised toothbrushing programmes.