PDF(Pubmed)
Abstract：
BACKGROUND: Early childhood caries (ECC) is one of the most common childhood diseases affecting the primary teeth of children younger than 6 years of age. ECC progression can be reversed in the early stages although these lesions often go undetected. New approaches are needed to detect oral diseases at an early stage when they can be better controlled. The aim of the study is to assess the effectiveness of ECC tele-detection methods combined with referral pathways with and without user fee removal in controlling ECC.
METHODS: A randomized factorial trial will be used to compare two tele-dentistry detection methods for ECC (intraoral camera and smartphone camera) and two referral pathways (user fee removal versus conventional care). The study will recruit children younger than 6 years of age in marginalized communities in Alexandria, Egypt. The primary outcome is the percentage of teeth receiving indicated care, while the secondary outcomes are the oral health-related quality of life, acceptance of teledentistry by dentists, procedure time, and child cooperation. Two-way analysis of variance will be used to assess the effect of the two factors as between group variables on the outcomes after 6 and 12 months. The interaction between detection methods and referral pathways will also be assessed, and the effect of confounders will be controlled in a multivariable linear regression model.
CONCLUSIONS: The findings of this study have the potential to inform clinical practice and oral healthcare policies for ECC management. Successful tele-detection and referral pathways could be integrated into oral healthcare systems, leading to improved oral health outcomes for children.
BACKGROUND: The trial has been registered on ClinicalTrials.gov in August 2023 (initial release) ID: NCT06019884.
METHODS: A randomized factorial trial will be used to compare two tele-dentistry detection methods for ECC (intraoral camera and smartphone camera) and two referral pathways (user fee removal versus conventional care). The study will recruit children younger than 6 years of age in marginalized communities in Alexandria, Egypt. The primary outcome is the percentage of teeth receiving indicated care, while the secondary outcomes are the oral health-related quality of life, acceptance of teledentistry by dentists, procedure time, and child cooperation. Two-way analysis of variance will be used to assess the effect of the two factors as between group variables on the outcomes after 6 and 12 months. The interaction between detection methods and referral pathways will also be assessed, and the effect of confounders will be controlled in a multivariable linear regression model.
CONCLUSIONS: The findings of this study have the potential to inform clinical practice and oral healthcare policies for ECC management. Successful tele-detection and referral pathways could be integrated into oral healthcare systems, leading to improved oral health outcomes for children.
BACKGROUND: The trial has been registered on ClinicalTrials.gov in August 2023 (initial release) ID: NCT06019884.
摘要：
背景：幼儿龋齿（ECC）是影响6岁以下儿童乳牙的最常见的儿童疾病之一。ECC进展可以在早期阶段逆转，尽管这些病变通常未被发现。需要新的方法来在可以更好地控制口腔疾病的早期阶段检测口腔疾病。该研究的目的是评估ECC远程检测方法与转诊途径相结合的有效性，无论是否取消用户费用，都可以控制ECC。
方法：一项随机析因试验将用于比较ECC的两种远程牙科检测方法（口腔内照相机和智能手机照相机）和两种转诊途径（用户费用去除与常规护理）。该研究将在亚历山大的边缘化社区招募6岁以下的儿童，埃及。主要结果是接受指定护理的牙齿百分比，而次要结果是口腔健康相关的生活质量，牙医接受远程医疗，程序时间,儿童合作。双向方差分析将用于评估两组变量之间的两个因素对6个月和12个月后结果的影响。还将评估检测方法和转诊途径之间的相互作用，混杂因素的影响将在多变量线性回归模型中得到控制。
结论：这项研究的结果有可能为ECC管理的临床实践和口腔保健政策提供信息。成功的远程检测和转诊途径可以整合到口腔医疗保健系统中，改善儿童口腔健康结果。
背景：该试验已于2023年8月在ClinicalTrials.gov上注册（初始版本）ID：NCT06019884。
方法：一项随机析因试验将用于比较ECC的两种远程牙科检测方法（口腔内照相机和智能手机照相机）和两种转诊途径（用户费用去除与常规护理）。该研究将在亚历山大的边缘化社区招募6岁以下的儿童，埃及。主要结果是接受指定护理的牙齿百分比，而次要结果是口腔健康相关的生活质量，牙医接受远程医疗，程序时间,儿童合作。双向方差分析将用于评估两组变量之间的两个因素对6个月和12个月后结果的影响。还将评估检测方法和转诊途径之间的相互作用，混杂因素的影响将在多变量线性回归模型中得到控制。
结论：这项研究的结果有可能为ECC管理的临床实践和口腔保健政策提供信息。成功的远程检测和转诊途径可以整合到口腔医疗保健系统中，改善儿童口腔健康结果。
背景：该试验已于2023年8月在ClinicalTrials.gov上注册（初始版本）ID：NCT06019884。
