{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T20:40:23Z","timestamp":1790455223015,"version":"4.1.0"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,1,9]],"date-time":"2024-01-09T00:00:00Z","timestamp":1704758400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Paed Dentistry"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Tele\u2010dentistry can be useful for dental caries screening of children, especially in lower\u2010middle\u2010income countries (LMICs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate the diagnostic accuracy of mobile phone photographs taken by a community health worker (CHW) for caries detection in Iran.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Children aged 6\u201312\u2009years were visually examined by a paediatric dentist. Following dental examinations, intraoral photographs were taken by a trained CHW. Two remote dentists assessed intraoral photographs for dental caries. Diagnostic accuracy of tele\u2010dentistry for caries detection was evaluated. In addition, the questionnaire about oral health and parents' views towards tele\u2010dentistry was prepared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred thirty\u2010one children aged 8.74\u2009\u00b1\u20091.62\u2009years participated. The caries prevalence was 30% for the whole dentition. Tele\u2010dentistry demonstrated high accuracy, with a sensitivity exceeding 80% and specificity exceeding 90%. The inter\u2010rater reliability for remote dentists' assessments to the gold standard dental examination ranged from substantial to almost perfect (kappa: 75%\u201393%). Additionally, 80% of parents whose children participated in this study had positive views towards tele\u2010dentistry.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Tele\u2010dentistry was shown to be an alternative approach to clinical examinations for caries detection among school children. Employing non\u2010dental care professionals in tele\u2010dentistry has been emerged as a reliable and cost\u2010effective approach, especially in LMICs.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ipd.13157","type":"journal-article","created":{"date-parts":[[2024,1,10]],"date-time":"2024-01-10T04:15:15Z","timestamp":1704860115000},"page":"567-575","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Diagnostic accuracy of tele\u2010dentistry in screening children for dental caries by community health workers in a lower\u2010middle\u2010income country"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9735-8268","authenticated-orcid":false,"given":"Gelareh Haghi","family":"Ashtiani","sequence":"first","affiliation":[{"name":"Institute of Dentistry, Barts and The London School of Medicine and Dentistry Queen Mary University of London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1075-9227","authenticated-orcid":false,"given":"Sedigheh","family":"Sabbagh","sequence":"additional","affiliation":[{"name":"Dental Materials Research Center Mashhad University of Medical Sciences  Mashhad Iran"},{"name":"Dental Research Center, Research Institute of Dental Sciences Shahid Beheshti University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2615-0029","authenticated-orcid":false,"given":"Sara","family":"Moradi","sequence":"additional","affiliation":[{"name":"Department of Health Research Methods McMaster University  Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1124-3783","authenticated-orcid":false,"given":"Somayyeh","family":"Azimi","sequence":"additional","affiliation":[{"name":"School of Human Sciences University of Western Australia  Crawley Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3056-3704","authenticated-orcid":false,"given":"Vahid","family":"Ravaghi","sequence":"additional","affiliation":[{"name":"School of Dentistry University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,1,9]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"World Health Organization.Global oral health status report towards universal health coverage for oral health by 2030. 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