{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T13:21:06Z","timestamp":1781788866915,"version":"3.54.5"},"reference-count":34,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,2,13]],"date-time":"2023-02-13T00:00:00Z","timestamp":1676246400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100006065","name":"Department of Health, Government of Western Australia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006065","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Paed Dentistry"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Tele\u2010dentistry can be useful to facilitate screening of children, especially those living in rural and remote communities, and during the COVID\u201019 pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>This study evaluated the feasibility of tele\u2010dental screening for the identification of early childhood caries (ECC) in preschoolers using an app operated by their parents with remote review by oral\u2010health therapists.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>This cross\u2010sectional study was a sub\u2010project nested in ORIGINS Project, a longitudinal birth cohort study in Western Australia. Initially, children were visually examined by a paediatric dentist (gold standard). Subsequently, dental photographs were taken by parents using a smartphone camera. Two trained oral health professionals asynchronously evaluated dental photographs. The presence of dental caries was recorded as per the International Caries Detection and Assessment System\u2010II classification. The diagnostic accuracy and reliability of the tele\u2010dental screening and the gold standard dental examinations were then compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010two children aged &lt;4\u2009years were enrolled in the study. Twenty\u2010five per cent of examined children had dental caries (mean dmfs\u00a0=\u00a00.7). A total of 370 dental photographs were obtained. Parents were able to take good\u2010quality photographs, with 90% of photographs rated as good to fair quality. Tele\u2010dental screening demonstrated high specificity (&gt;=95.5%) for both reviewers compared to the gold standard dental examination. However, the sensitivity scores for the two reviewers varied, ranging from 44% to 88.4%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Tele\u2010dental screening for ECC was shown to be a feasible approach following a brief training for primary caregivers. This approach can offer a potential low\u2010cost and sustainable alternative for visual dental examinations for young children, particularly in times of COVID\u201019\u2010related restrictions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ipd.13054","type":"journal-article","created":{"date-parts":[[2023,1,31]],"date-time":"2023-01-31T07:29:36Z","timestamp":1675150176000},"page":"234-245","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["The feasibility of a digital health approach to facilitate remote dental screening among preschool children during COVID\u201019 and social restrictions"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1124-3783","authenticated-orcid":false,"given":"Somayyeh","family":"Azimi","sequence":"first","affiliation":[{"name":"School of Human Sciences University of Western Australia  Crawley Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7109-0267","authenticated-orcid":false,"given":"Mohamed","family":"Estai","sequence":"additional","affiliation":[{"name":"School of Human Sciences University of Western Australia  Crawley Western Australia Australia"},{"name":"The Australian e\u2010Health Research Centre CSIRO  Kensington Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8698-4965","authenticated-orcid":false,"given":"Jilen","family":"Patel","sequence":"additional","affiliation":[{"name":"Dental School University of Western Australia  Nedlands Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Desiree","family":"Silva","sequence":"additional","affiliation":[{"name":"Telethon Kids Institute University of Western Australia  Nedlands Western Australia Australia"},{"name":"Joondalup Health Campus  Joondalup Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,2,13]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-7325.1999.tb03268.x"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/ipd.12783"},{"key":"e_1_2_12_4_1","unstructured":"Australian Institute of Health and Welfare (AIHW).Oral health and dental care in Australia AIHW Australian Government.2022. Cat. No. DEN 231. Accessed July 7 2022.https:\/\/wwwaihwgovau\/reports\/dental\u2010oral\u2010health\/oral\u2010health\u2010and\u2010dental\u2010care\u2010in\u2010australia\/contents\/healthy\u2010teeth"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.20851\/ncohs-05"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1159\/000345534"},{"issue":"7","key":"e_1_2_12_7_1","first-page":"403","article-title":"Is caries associated with negative impact on oral health\u2010related quality of life of pre\u2010school children? A systematic review and meta\u2010analysis","volume":"40","author":"Nora AD","year":"2018","journal-title":"Pediatr Dent"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1834-7819.2006.tb00434.x"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-263X.2012.01260.x"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-021-01887-4"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.2196\/32921"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cden.2012.07.011"},{"key":"e_1_2_12_13_1","volume-title":"Child Dental Health Survey Australia 2007: 30\u2010Year Trends in Child Oral Health","author":"Mejia GC","year":"2012"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.2196\/32345"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1071\/AH16119"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2011.10208.x"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X15610721"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2015.05.020"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajr.12874"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12049"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-018-2700-y"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/jphd.12443"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-019-0992-1"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12232"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6831-13-6"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1515\/reveh-2020-0057"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.17096\/jiufd.38691"},{"key":"e_1_2_12_28_1","volume-title":"Oral Health Surveys: Basic Methods","author":"World Health Organization","year":"2013"},{"key":"e_1_2_12_29_1","volume-title":"Information Paper: An Introduction to Socio\u2010Economic Indexes for Areas (SEIFA)","author":"Australian Bureau of Statistics","year":"2006"},{"issue":"6","key":"e_1_2_12_30_1","first-page":"463","article-title":"Teledentistry implementation in a private pediatric dental practice during the COVID\u201019 pandemic","volume":"43","author":"Brecher EA","year":"2021","journal-title":"Pediatr Dent"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/jphd.12195"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.5455\/aim.2021.29.51-58"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.7821"},{"issue":"3","key":"e_1_2_12_34_1","first-page":"209","article-title":"Dental screening of preschool children using teledentistry: a feasibility study","volume":"29","author":"Kopycka\u2010Kedzierawski DT","year":"2007","journal-title":"Pediatr Dent"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.3109\/17538157.2015.1075541"}],"container-title":["International Journal of Paediatric Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ipd.13054","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ipd.13054","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ipd.13054","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,20]],"date-time":"2023-08-20T14:58:56Z","timestamp":1692543536000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ipd.13054"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,13]]},"references-count":34,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,5]]}},"alternative-id":["10.1111\/ipd.13054"],"URL":"https:\/\/doi.org\/10.1111\/ipd.13054","archive":["Portico"],"relation":{},"ISSN":["0960-7439","1365-263X"],"issn-type":[{"value":"0960-7439","type":"print"},{"value":"1365-263X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,13]]},"assertion":[{"value":"2022-09-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-01-21","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-02-13","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}