{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T15:21:02Z","timestamp":1785338462613,"version":"3.55.0"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T00:00:00Z","timestamp":1759449600000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical &amp;amp; Exp Dental Res"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Early childhood caries (ECC) is a public health challenge, leading to long\u2010term dental problems and costs. Limited access to preventive care underscores the need for innovative screening methods. Tele\u2010dentistry, using smartphone\u2010based imaging, offers a scalable solution for ECC detection and intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study evaluates the accuracy of maternal smartphone\u2010based ECC assessments compared to professional evaluations as a reliable screening tool.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional\u2010study recruited 114 mother\u2013child pairs from primary healthcare centers in Tehran province, Iran. Mothers received online training and conducted visual and smartphone\u2010based caries assessments. Two blinded pediatric dentists remotely reviewed images, with findings compared to in\u2010person dental examinations. Sensitivity, specificity, and intraclass correlation coefficients (ICCs) were calculated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean child age was 4.8\u2009\u00b1\u20090.9\u2009years with 56.1% boys and 43.9% girls. Mothers had a mean age of 33.2\u2009\u00b1\u20095.6\u2009years with 55% having a high school diploma or higher. Maternal assessments identified caries in 49\/58 cases (84.5%), while pediatric dentists detected 51\/58 cases (87.9%). Maternal assessments showed 100% sensitivity and specificity, with strong agreement with professional evaluations (ICC\u2009=\u20090.909\u20130.988, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001). The three methods demonstrated near\u2010perfect concordance (ICC\u2009=\u20090.978, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Maternal\u2010assisted tele\u2010dentistry is a reliable, accessible screening method for ECC, improving early intervention, especially in low resources settings and underserved communities.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cre2.70231","type":"journal-article","created":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T08:06:27Z","timestamp":1759478787000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Evaluating Maternal Accuracy in Smartphone\u2010Based Tele\u2010Dentistry for Early Childhood Caries Detection"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7071-2124","authenticated-orcid":false,"given":"Parastoo","family":"Iranparvar","sequence":"first","affiliation":[{"name":"Department of Pediatric Dentistry, Shahid Beheshti University of Medical Sciences School of Dentistry Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zahra","family":"Ghorbani","sequence":"additional","affiliation":[{"name":"Department of Community Oral Health, Shahid Beheshti University of Medical Sciences School of Dentistry Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sajjad","family":"Zandieh","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry, Shahid Beheshti University of Medical Sciences School of Dentistry Tehran Iran"},{"name":"Department of Community Oral Health, Shahid Beheshti University of Medical Sciences School of Dentistry Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serlie","family":"Hartoonian","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry, Shahid Beheshti University of Medical Sciences School of Dentistry Tehran Iran"},{"name":"Department of Community Oral Health, Shahid Beheshti University of Medical Sciences School of Dentistry Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohsen","family":"Shirazi","sequence":"additional","affiliation":[{"name":"The Iranian Academy of Medical Sciences Tehran Iran"},{"name":"Department of Orthodontics, School of Dentistry Tehran University of Medical Sciences Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,3]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pgph.0001228"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X18793767"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/ipd.13157"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/ipd.13054"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/edt.12347"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-021-01482-7"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-019-0992-1"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jphd.12443"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dsx.2020.06.029"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.26719\/2017.23.12.802"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2014.0001"},{"key":"e_1_2_9_13_1","volume-title":"IBM SPSS Statistics for Windows, Version 27.0","author":"IBM Corp","year":"2024"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0293428"},{"issue":"12","key":"e_1_2_9_15_1","first-page":"718","article-title":"Teledentistry, Do\u2010It\u2010Yourself Orthodontics, and Remote Treatment Monitoring","volume":"50","author":"Kravitz N. 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