Nourhan M Aly, Mona K El Kashlan, Nicolas Giraudeau, Maha El Tantawi
{"title":"Children's Acceptance of Intraoral Cameras and Smartphones for Caries Detection: A Randomized Controlled Clinical Trial.","authors":"Nourhan M Aly, Mona K El Kashlan, Nicolas Giraudeau, Maha El Tantawi","doi":"10.1111/ipd.13291","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Teledentistry can improve access to care, but children's acceptance of different imaging techniques is underexplored.</p><p><strong>Aim: </strong>The aim of this study was to assess children's acceptance of intraoral cameras and smartphones for caries detection.</p><p><strong>Design: </strong>A randomized controlled trial was conducted in rural Egyptian nurseries, with children aged ≤ 6 years randomized into intraoral camera or smartphone groups. Behavior during imaging was assessed using four indicators: fear, mouth-opening difficulty, opposition, and cooperation, with a total score calculated from their sum. Imaging time was recorded, and mood was assessed using the Positive and Negative Affect Scale. Linear regression assessed associations between behavior and time with technique and mood, adjusting for confounders.</p><p><strong>Results: </strong>The study included 508 children, mean (SD) = age 4.54 [1.04] years. Children in the intraoral group showed higher fear and difficulty keeping their mouths open, with lower overall behavior scores (mean [SD] = 16.64 [2.95] vs. 17.18 [3.06], B = -1.05, p < 0.001). The intraoral camera required less time (mean [SD] = 3.62 [1.49] vs. 5.33 [2.82] minutes, B = -1.56, p < 0.001). Positive mood improved behavior (B = 0.25, p < 0.001), while negative mood increased time (B = 0.30, p < 0.001) and worsened behavior (B = -0.64, p < 0.001).</p><p><strong>Conclusion: </strong>Smartphones improved behavior, while intraoral cameras were more time-efficient. Device choice should balance efficiency with child comfort.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov identifier: NCT06019884.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International journal of paediatric dentistry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/ipd.13291","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Teledentistry can improve access to care, but children's acceptance of different imaging techniques is underexplored.
Aim: The aim of this study was to assess children's acceptance of intraoral cameras and smartphones for caries detection.
Design: A randomized controlled trial was conducted in rural Egyptian nurseries, with children aged ≤ 6 years randomized into intraoral camera or smartphone groups. Behavior during imaging was assessed using four indicators: fear, mouth-opening difficulty, opposition, and cooperation, with a total score calculated from their sum. Imaging time was recorded, and mood was assessed using the Positive and Negative Affect Scale. Linear regression assessed associations between behavior and time with technique and mood, adjusting for confounders.
Results: The study included 508 children, mean (SD) = age 4.54 [1.04] years. Children in the intraoral group showed higher fear and difficulty keeping their mouths open, with lower overall behavior scores (mean [SD] = 16.64 [2.95] vs. 17.18 [3.06], B = -1.05, p < 0.001). The intraoral camera required less time (mean [SD] = 3.62 [1.49] vs. 5.33 [2.82] minutes, B = -1.56, p < 0.001). Positive mood improved behavior (B = 0.25, p < 0.001), while negative mood increased time (B = 0.30, p < 0.001) and worsened behavior (B = -0.64, p < 0.001).
Conclusion: Smartphones improved behavior, while intraoral cameras were more time-efficient. Device choice should balance efficiency with child comfort.
期刊介绍：
The International Journal of Paediatric Dentistry was formed in 1991 by the merger of the Journals of the International Association of Paediatric Dentistry and the British Society of Paediatric Dentistry and is published bi-monthly. It has true international scope and aims to promote the highest standard of education, practice and research in paediatric dentistry world-wide.
International Journal of Paediatric Dentistry publishes papers on all aspects of paediatric dentistry including: growth and development, behaviour management, diagnosis, prevention, restorative treatment and issue relating to medically compromised children or those with disabilities. This peer-reviewed journal features scientific articles, reviews, case reports, clinical techniques, short communications and abstracts of current paediatric dental research. Analytical studies with a scientific novelty value are preferred to descriptive studies. Case reports illustrating unusual conditions and clinically relevant observations are acceptable but must be of sufficiently high quality to be considered for publication; particularly the illustrative material must be of the highest quality.
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