Telemed J E Health - Comparative effectiveness study to assess two examination modalities used to detect dental caries in preschool urban children.

Tópicos

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Resumo

CKGROUND: Dental caries affecting the primary dentition of U.S. children continues to be the most prevalent chronic childhood disease. Preventive screening for dental caries in toddlers by dental professionals is labor-intensive and costly. Studies are warranted to examine innovative screening modalities that reduce cost, are less labor-intensive, and have the potential to identify caries in high-risk children.SUBJECTS AND METHODS: Two hundred ninety-one children were randomized into two groups: Group 1 received a traditional, visual tactile examination initially and follow up-examinations at 6 and 12 months, and Group 2 received a teledentistry examination initially and follow-up examinations at 6 and 12 months. The mean primary tooth decayed and filled surfaces (dfs) scores were calculated for all children at baseline and 6 and 12 months.RESULTS: At baseline, the mean dfs score for children examined by means of teledentistry was 2.19, and for the children examined by means of the traditional method, the mean was 1.27; the means were not significantly different. At the 12-month examination, the mean dfs score for the children examined by means of teledentistry was 3.02, and for the children examined by means of the clinical method, the mean dfs was 1.70; the means were not significantly different. At 12 months the mean fillings score for the children examined by means of teledentistry was 1.43 and for the children examined by means of the clinical method was 0.51; the means were statistically significantly different (p<0.001).CONCLUSIONS: These results suggest that the teledentistry examinations were comparable to clinical examinations when screening for early childhood caries in preschool children. The data further showed that color printouts of teeth with cavities provided to parents of children who received teledentistry screenings promoted oral healthcare utilization, as children from the teledentistry study group received more dental care than children from the clinical study group.

Resumo Limpo

ckground dental cari affect primari dentit us children continu preval chronic childhood diseas prevent screen dental cari toddler dental profession laborintens cost studi warrant examin innov screen modal reduc cost less laborintens potenti identifi cari highrisk childrensubject method two hundr ninetyon children random two group group receiv tradit visual tactil examin initi follow upexamin month group receiv teledentistri examin initi followup examin month mean primari tooth decay fill surfac dfs score calcul children baselin monthsresult baselin mean dfs score children examin mean teledentistri children examin mean tradit method mean mean signific differ month examin mean dfs score children examin mean teledentistri children examin mean clinic method mean dfs mean signific differ month mean fill score children examin mean teledentistri children examin mean clinic method mean statist signific differ pconclus result suggest teledentistri examin compar clinic examin screen earli childhood cari preschool children data show color printout teeth caviti provid parent children receiv teledentistri screen promot oral healthcar util children teledentistri studi group receiv dental care children clinic studi group

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