{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T05:55:45Z","timestamp":1790661345288,"version":"4.1.0"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T00:00:00Z","timestamp":1756771200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T00:00:00Z","timestamp":1756771200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Justus-Liebig-Universit\u00e4t Gie\u00dfen"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sci Rep"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Asynchronous transmission of health information via teledentistry offers the potential for remote diagnosis in pediatric dentistry. The aim of this study was to compare teledental findings obtained from intraoral scans (IOS) with those from conventional visual examinations (VIS) in children. Specifically, the study assessed the diagnostic accuracy of teledentistry using IOS in evaluating oral health and determining treatment needs focusing on comparisons between dentists and pediatricians.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Children (mean age 10.04\u2009\u00b1\u20092.90\u00a0years) underwent VIS during routine dental examinations. Two examiners performed the VIS, followed by digital IOS imaging of the oral cavity. Independent teledental evaluations based on the IOS data were then performed by a dentist (DEN) and a pediatrician (PED). Evaluation criteria included general dental status, presence of caries and molar incisor hypomineralization (MIH) (yes\/no), restorations (yes\/no; and type, if applicable), urgency of dental intervention, and treatment recommendations (no treatment, prophylaxis, follow-up, or immediate intervention). Agreement was analyzed using Gwet\u2019s AC1, Cohen\u2019s d, sensitivity, specificity, and area under the curve (AUC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Almost perfect agreement (AC1\u2009\u2265\u20090.81) was found for all test criteria, with two exceptions showing substantial agreement (AC1\u2009=\u20090.61\u20130.80). Agreement values of overall dental status were 0.953\/0.962 (primary dentition\/permanent dentition (pD\/PD)) for DEN and 0.908\/0.923 for PED. Caries detection (yes\/no) showed an agreement of 0.965\/0.995 for DEN vs. 0.930\/0.979 for PED, while restorations agreement was 0.988\/0.993 (DEN) vs. 0.950\/0.946 (PED). MIH assessment showed agreement of 0.996 (DEN) vs. 0.987 (PED). Cohen\u2019s d for the comparison between DEN and PED ranged from small for MIH (0.17), caries detection (0.23) and overall dental status (0.34\/0.35) to large for restoration type (0.89). The clinically most relevant item \u201curgency of dental intervention\u201d showed almost perfect agreement (0.903 for DEN vs. 0.878 for PED), and the final treatment recommendations showed an almost perfect to substantial agreement of 0.832 (DEN) vs. 0.775 (PED). Notably, both examiners showed similar accuracy in assessing the urgency of intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study demonstrates the potential of IOS-based teledentistry for pediatric dental assessments. The results indicate that pediatricians can effectively assess oral health and provide reliable treatment recommendations. This approach has the potential to increase access to dental care and to promote interdisciplinary collaboration in pediatric health care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1038\/s41598-025-17870-w","type":"journal-article","created":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T04:35:41Z","timestamp":1756787741000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Comparison of dental findings between dentists and pediatricians using intraoral scan-based teledentistry in children"],"prefix":"10.1038","volume":"15","author":[{"given":"Nelly","family":"Schulz-Weidner","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva May","family":"Schraml","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tina","family":"Frodermann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norbert","family":"Kr\u00e4mer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernd","family":"W\u00f6stmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maximiliane Amelie","family":"Schlenz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,9,2]]},"reference":[{"key":"17870_CR1","doi-asserted-by":"publisher","first-page":"669","DOI":"10.1177\/1357633X18800858","volume":"24","author":"B Senanayake","year":"2018","unstructured":"Senanayake, B. et al. Telemedicine in the correctional setting: A scoping review. J Telemed Telecare 24, 669\u2013675. https:\/\/doi.org\/10.1177\/1357633X18800858 (2018).","journal-title":"J Telemed Telecare"},{"key":"17870_CR2","doi-asserted-by":"publisher","first-page":"37","DOI":"10.4103\/2231-0762.97695","volume":"1","author":"ND Jampani","year":"2011","unstructured":"Jampani, N. D., Nutalapati, R., Dontula, B. S. & Boyapati, R. Applications of teledentistry: A literature review and update. J Int Soc Prev Community Dent 1, 37\u201344. https:\/\/doi.org\/10.4103\/2231-0762.97695 (2011).","journal-title":"J Int Soc Prev Community Dent"},{"key":"17870_CR3","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1177\/1357633X18793","volume":"26","author":"MS AlShaya","year":"2020","unstructured":"AlShaya, M. S., Assery, M. K. & Pani, S. C. Reliability of mobile phone teledentistry in dental diagnosis and treatment planning in mixed dentition. J Telemed Telecare 26, 45\u201352. https:\/\/doi.org\/10.1177\/1357633X18793 (2020).","journal-title":"J Telemed Telecare"},{"key":"17870_CR4","doi-asserted-by":"publisher","first-page":"319","DOI":"10.1177\/1357633X15604554","volume":"22","author":"M Estai","year":"2016","unstructured":"Estai, M. et al. A proof-of-concept evaluation of a cloud-based store-and-forward telemedicine app for screening for oral diseases. J Telemed Telecare 22, 319\u2013325. https:\/\/doi.org\/10.1177\/1357633X15604554 (2016).","journal-title":"J Telemed Telecare"},{"key":"17870_CR5","doi-asserted-by":"publisher","first-page":"509","DOI":"10.1177\/1357633X19894111","volume":"27","author":"C Inquimbert","year":"2021","unstructured":"Inquimbert, C. et al. Concordance study between regular face-to-face dental diagnosis and dental telediagnosis using fluorescence. J Telemed Telecare 27, 509\u2013517. https:\/\/doi.org\/10.1177\/1357633X19894111 (2021).","journal-title":"J Telemed Telecare"},{"key":"17870_CR6","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2021-056035","author":"A Curfman","year":"2022","unstructured":"Curfman, A. et al. Telehealth: Opportunities to improve access, quality, and cost in pediatric care. Pediatrics https:\/\/doi.org\/10.1542\/peds.2021-056035 (2022).","journal-title":"Pediatrics"},{"key":"17870_CR7","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017-2334","author":"CA Olson","year":"2018","unstructured":"Olson, C. A., McSwain, S. D., Curfman, A. L. & Chuo, J. The current pediatric telehealth landscape. Pediatrics https:\/\/doi.org\/10.1542\/peds.2017-2334 (2018).","journal-title":"Pediatrics"},{"key":"17870_CR8","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1186\/s12903-019-0992-1","volume":"20","author":"M Estai","year":"2020","unstructured":"Estai, M. et al. 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Sci."}],"container-title":["Scientific Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/s41598-025-17870-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-025-17870-w","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-025-17870-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T04:16:01Z","timestamp":1757477761000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/s41598-025-17870-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,2]]},"references-count":25,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["17870"],"URL":"https:\/\/doi.org\/10.1038\/s41598-025-17870-w","relation":{},"ISSN":["2045-2322"],"issn-type":[{"value":"2045-2322","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,2]]},"assertion":[{"value":"11 June 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 August 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 September 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they have no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"The local ethics committee of the Justus Liebig University Giessen approved this study (Ref. no. 46\/20). All methods were carried out in accordance with relevant guidelines and regulations. Data collection was anonymous. No images are presented in this article.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}}],"article-number":"32287"}}