Community dentistry and oral epidemiology最新文献

{"title":"Aboriginal and Torres Strait Islander Dental Program Evaluations: A Mixed-Methods Systematic Review.","authors":"Alexander Pham, Joanne Hedges, Emma Flanagan, Tiyanna Mastrosavas, Lisa Jamieson, Sonia Nath","doi":"10.1111/cdoe.70023","DOIUrl":"https://doi.org/10.1111/cdoe.70023","url":null,"abstract":"<p><strong>Objective: </strong>Over the last 20 years, the disparity in oral health between Aboriginal and Torres Strait Islander Australians and other Australians has continued to grow. This suggests that further programmes and programme improvements are needed to reach equitable oral health outcomes for Aboriginal and Torres Strait Islander Peoples. This mixed methods systematic review aims to assess Aboriginal and Torres Strait Islander Dental Programme Evaluations by measuring outcomes and cultural safety via the Lowitja Institute Evaluation Framework to Improve Aboriginal and Torres Strait Islander Health.</p><p><strong>Methods: </strong>Databases searched were PubMed, Embase, Dentistry & Oral Sciences Source, Public Health Database and Scopus. All years were included. The date of the last search was the 1 May 2025. Published articles researching dental health programmes with Aboriginal and Torres Strait Islander participants in Australia were identified. Quantitative, qualitative and mixed methods studies were included. The Joanna Briggs Institute approach to Mixed-Methods Systematic Reviews was followed, except for a deviation in critical appraisal, which utilised the Quality Assessment for Diverse Studies (QuADs) instead. This review protocol was registered in PROSPERO (CRD42025637868) a priori.</p><p><strong>Results: </strong>There were 54 studies included. New South Wales, South Australia, Queensland, Northern Territory and Western Australia were the states with the most data. The research designs included qualitative, quantitative and mixed-methods approaches. Most studies were of relatively high quality, as assessed by the QuADS criteria. Evaluations of dental programs for Aboriginal and Torres Strait Islander communities largely adhered to the Lowitja Framework, particularly in shared responsibility, partnerships and active engagement with Aboriginal and Torres Strait Islander peoples and their communities. Program effectiveness was primarily assessed through reductions in dental decay and participant feedback. Findings may be limited because the Lowitja Framework was developed via evaluation tenders, and the studies included were sourced from research articles.</p><p><strong>Conclusions: </strong>Strong partnerships between programs, evaluation teams and Aboriginal and Torres Strait Islander communities are critical for cultural safety. Effective study designs should be used, and culturally relevant and holistic outcome measures should be chosen. Lessons learnt from this systematic review can be used to improve the effectiveness of Aboriginal and Torres Strait Islander dental programme evaluations.</p>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144945606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of Prolonged Breastfeeding With Early Childhood Caries Using Propensity Score Matching in the French Longitudinal Study of Children (ELFE Cohort).","authors":"Untray Brown, Sylvie Azogui-Levy, Cathy Nabet, Marie-Noëlle Dufourg, Marie-Aline Charles, Joséphine Kerguen, Monique Kaminski, Laetitia Marchand-Martin, Alice Germa","doi":"10.1111/cdoe.70012","DOIUrl":"https://doi.org/10.1111/cdoe.70012","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to investigate the link between prolonged breastfeeding (≥ 12 months) and early childhood caries (ECC) using propensity score matching (PSM) to account for observed confounders, reduce bias, and provide a more reliable estimate of this relationship.</p><p><strong>Methods: </strong>This study utilised data from the French Longitudinal Study of Children (ELFE Cohort), comprising 11 718 participants. PSM was employed to pair children who were breastfed for 12 months or longer with those breastfed for less than 12 months or not at all, controlling for shared risk factors such as socioeconomic status and dietary habits. Logistic regression models were conducted to examine the association between ECC, reported by the parents at 3.5 years, and prolonged breastfeeding.</p><p><strong>Results: </strong>Infants (7.6%) who were breastfed for 12 months or more exhibited twice the odds of developing ECC at 3.5 years compared to those breastfed for less than 12 months or not at all (OR = 2.20, 95% CI: 1.39, 3.47).</p><p><strong>Conclusion: </strong>Children breastfed for 12 or more months are at increased risk of developing ECC. Further research is needed to investigate specific breastfeeding practices that may contribute to this increased risk, with the aim of promoting prolonged breastfeeding while ensuring optimal oral health.</p>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144945608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mediating Role of Health Insurance on Socioeconomic Inequalities in Dental Utilisation Patterns Among Indonesian Adults.","authors":"Safira Khairinisa, Yusuke Matsuyama, Sakura Kiuchi, Diah Ayu Maharani, Jun Aida","doi":"10.1111/cdoe.70013","DOIUrl":"https://doi.org/10.1111/cdoe.70013","url":null,"abstract":"<p><strong>Objectives: </strong>From the perspective of Universal Health Coverage (UHC) to reduce health inequalities, health insurance plays a crucial role. This study examined the mediating effect of health insurance on the economic and educational inequalities in dental utilisation patterns among Indonesian adults.</p><p><strong>Methods: </strong>This cross-sectional study analysed self-reported data from participants (n = 26 351) of the Indonesian Family Life Survey-5 (IFLS-5) conducted during the transition of Indonesia's health financing system in 2014-2015. Economic and educational inequalities in dental utilisation were measured and examined using the relative concentration index (RCI). A multinomial logistic regression, adjusted for confounders (sex, age, ethnicity, religion, marital status, household size and residency based on province and rural-urban), examined the association of economic status (quintiles of adjusted monthly household expenditure) and educational status (unschooled to higher education) with dental utilisation patterns (never/irregular/regular). The extent to which the association was explained by health insurance ownership (public and private insurance) was assessed using the Karlson-Holm-Breen mediation method.</p><p><strong>Results: </strong>Among participants, 12.9% of individuals utilise dental visits irregularly and 1.4% regularly, with the utilisation concentrated among those with higher economic status (RCI: 0.30, standard error [SE]: 0.01) and educational status (RCI: 0.34, SE: 0.01). Compared to those with the lowest economic quintile, the highest economic quintile showed higher odds of irregular utilisation (odds ratio [OR]: 2.16; 95% confidence interval [CI]: 1.89-2.48) and regular utilisation (OR: 4.28; 95% CI: 2.50-7.34). People with higher education were more likely to utilise dental care, with higher odds ratios of irregular utilisation (OR: 6.80; 95% CI: 5.04-9.18) and regular utilisation (OR: 7.34; 95% CI: 2.24-24.04) compared to unschooled individuals. Private insurance partly mediated the association with regular dental utilisation: stronger indirect effects were observed at the highest economic level (proportion mediated [PM]: 10.6%) and highest educational level (PM: 9.2%). In contrast, the mediation effects of public insurance were less remarkable.</p><p><strong>Conclusion: </strong>Education and economic status play a significant role in determining dental utilisation patterns, with limited mediating effects for public insurance on these associations. To ensure equitable access to quality dental utilisation across socioeconomic groups, it is crucial to strengthen public insurance programmes that effectively address the needs of disadvantaged populations.</p>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144945614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Total Fluoride Intake in Children: Reliability of Commonly Used Methods.","authors":"Fatemeh Vida Zohoori, Marilia Afonso Rabelo Buzalaf, Anne Maguire, Roy Sanderson, Rodrigo A Giacaman, Stefania Martignon, Edgar O Beltran, Fatemeh Eskandari, Jelena Kronic, Karla Gambetta-Tessini, Flavia Mauad Levy","doi":"10.1111/cdoe.70015","DOIUrl":"https://doi.org/10.1111/cdoe.70015","url":null,"abstract":"<p><strong>Objectives: </strong>Fluoride exposure in children is commonly estimated using questionnaires or urinary biomarkers. However, no study has yet compared these methods for classifying participants into five intake categories ranging from low to high. This study aimed to estimate the extent of agreement and classification consistency between questionnaire- and urinary-based methods for assessing total daily fluoride intake (TDFI) in children aged 4-7 years.</p><p><strong>Methods: </strong>A total of 104 healthy children across three countries (UK, Brazil, Chile) receiving one of three fluoridation modalities (non-fluoridated-water, fluoridated-water, or fluoridated-milk) provided a 24-h urine sample and completed validated dietary and oral hygiene questionnaires. TDFI was estimated from dietary sources and toothpaste ingestion, adjusted for body weight. Urinary fluoride concentration was measured and 24 h-UFE determined by multiplying urine volume by fluoride concentration. TDFI was predicted from 24 h-UFE using the WHO's recommended method. Method agreement was assessed using paired t-tests and Bland-Altman analysis to evaluate continuous fluoride intake estimates. Cohen's kappa was used to assess agreement between categorical intake classifications, while descriptive statistics reported the percentage of children in each intake group.</p><p><strong>Results: </strong>The questionnaire method estimated a higher mean TDFI (0.072 mg/kgbw/day) than the urine-based method (0.058 mg/kgbw/day, p = 0.01). Bland-Altman analysis showed good agreement for lower mean TDFI values (< 0.10 mg/kgbw/day) but increasing variability at higher fluoride intake levels. The questionnaire classified a larger proportion of children as high exposure (≥ 0.1 mg/kgbw/day) than the urine method (19.2% vs. 11.5%), with the greatest discrepancy observed in the fluoridated milk group (46.2% vs. 7.7%). Despite these classifications, Cohen's kappa revealed minimal agreement between methods (κ = 0.034, p = 0.508), suggesting that classification concordance was likely due to chance.</p><p><strong>Conclusion: </strong>This first study comparing questionnaire and urinary methods for assessing TDFI in children found significant discrepancies and minimal agreement, especially in higher exposure groups, highlighting the risk of misclassification and the need for research into combined assessment approaches.</p>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144945651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral and Oropharyngeal Cancer Mortality in Brazil: Estimates and Projections up to 2042.","authors":"Luiz Alexandre Chisini, Luana Carla Salvi, Francine Dos Santos Costa, Rodrigo Varella de Carvalho, Ana Carolina Uchoa Vasconcelos","doi":"10.1111/cdoe.70014","DOIUrl":"10.1111/cdoe.70014","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the effect of age-period-birth cohort on mortality rates related to lip/oral and oropharyngeal cancer (LOOPC) in Brazil from 1980 to 2019 and to estimate the future mortality rate for 2042.</p><p><strong>Materials and methods: </strong>Mortality rate per 100 000 inhabitants, and age-standardised mortality rate (ASR) per 100 000 inhabitants were estimated. The Prais-Winsten regression model was used to estimate the trends and the annual percent change (APC%). The age-period-cohort effects were calculated using the Poisson regression model. Lee-Carter model was employed to perform projections.</p><p><strong>Results: </strong>A total of 134 941 deaths were observed. Prais-Winsten regression model revealed a slight upward trend in lip and oral cancer mortality among men (p = 0.04) and women (p = 0.02), as well as in oropharyngeal cancer among men (p = 0.02). Significant age-period-cohort was observed for LOOPC in both sexes (p < 0.01). The risk ratio declined in recent cohorts for men (Both Cancers) but increased for women (Lip/Oral Cancer). Period analysis showed a risk increase for lip/oral cancer in recent periods in both sexes and a decrease for men and women for oropharyngeal cancer. In 2042, mortality projections decrease in lip/oral cancer for men aged between 40 and 60 years and oropharyngeal cancer in men between 35 and 60 years. For women, no significant changes are projected. The model projections mortality rate reveal varied outcomes across the diverse regions of Brazil.</p><p><strong>Conclusion: </strong>A significant age-period cohort was observed over the 40 years assessed. Projections for 2042 indicated a significant decrease in LOOPC mortality rates for men and no change for women.</p>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144882361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Oral Health in Children From Culturally and Linguistically Diverse Backgrounds Using Social Practice Theory Lens: A Scoping Review.","authors":"Rashmi Jamkar, Paul R Ward, Hanny Calache, Colleen Fisher, Virginia Dickson-Swift, Ivana Matic Girard, Linda Slack-Smith","doi":"10.1111/cdoe.70011","DOIUrl":"https://doi.org/10.1111/cdoe.70011","url":null,"abstract":"<p><strong>Objectives: </strong>There is evidence that children from culturally and linguistically diverse (CALD) backgrounds in high-income countries experience a higher burden of oral diseases compared to children from non-CALD backgrounds. Oral disease remains a significant health problem in high-income countries, and the success of current traditional approaches to manage oral diseases has been limited. Thus, it is time to examine other approaches that look beyond the individual and focus on the wide-ranging influences, including context. One such approach is the use of social practice theory (SPT) which examines the 'practice' (an everyday activity), how it happens, and what is required to engage with it. This review aimed to map out oral health-related practices across international literature through the three elements of the SPT framework (materials, meanings and competences) in children from CALD backgrounds in high-income countries.</p><p><strong>Methods: </strong>This scoping review followed Joanna Briggs Institute's Population, Concept and Context framework. MEDLINE database was initially searched via a librarian guided search strategy to retrieve relevant studies. The words from titles and abstracts from relevant studies and index terms were later used to develop a full search strategy, which was then used to search Scopus, EMBASE, MEDLINE, PsychINFO, CINAHL, Public Health Database and Dentistry and Oral Sciences Source. The reference lists from all retrieved studies were screened for any additional relevant studies. Peer-reviewed qualitative and quantitative, mixed-methods and systematic review studies published in English were included. Screening of eligible studies and data extraction was performed in Covidence. Data extracted from each study was analysed and interpreted using Shove's SPT framework.</p><p><strong>Results: </strong>Thirty-seven studies were included in the review. A number of key oral health-related social practices such as feeding children, sleeping, using a comforter, teeth cleaning and health and care oriented mobility were identified in children from CALD backgrounds along with their three elements: materials, meanings and competences.</p><p><strong>Conclusion: </strong>Using a SPT lens allowed a new way of exploring family, cultural and community factors and moving away from the restrictive focus on individual behaviour. Focusing future research on these dynamics of practices can provide insights into the impact of barriers and facilitators on their implementation of interventions and identify opportunities for leveraging positive change.</p>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144871826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-Determination in Action: A Scoping Review on Oral Health Training for Indigenous Health Workers Globally.","authors":"Madison Cachagee, Brianna Poirier, Fernanda Doak, Sneha Sethi, Joanne Hedges, Michael Larkin, Lisa Jamieson","doi":"10.1111/cdoe.70009","DOIUrl":"https://doi.org/10.1111/cdoe.70009","url":null,"abstract":"<p><p>Globally, the systemic marginalisation of Indigenous Peoples has led to significant health disparities rooted in the legacy of colonisation and ongoing settler colonialism.</p><p><strong>Objective: </strong>This scoping review aimed to collate oral health promotion training programmes tailored for Indigenous Health Workers (IHW), who play a pivotal role in improving health outcomes by bridging mainstream healthcare with Indigenous Communities, globally.</p><p><strong>Methods: </strong>A systematic, two-step search was conducted across five databases-PubMed, Scopus, Web of Science, EMBASE and ProQuest Central-without geographic restrictions. Two independent reviewers screened studies, and additional sources were identified from reference lists. A supplementary search of grey literature was performed in Google Scholar and relevant websites.</p><p><strong>Results: </strong>Of the 374 eligible articles, 11 programmes fulfilled the inclusion criteria. These programmes covered 10 topic areas, including: oral anatomy, early childhood oral health, and the influence of diet and chronic disease on oral health. Effective programmes were collaboratively developed with Indigenous Communities, aligning closely with Community needs and promoting self-determination. The findings emphasise the importance of involving IHW in oral health initiatives to tackle ongoing oral disease disparities and advance oral health equity for Indigenous populations.</p><p><strong>Conclusion: </strong>By prioritising Indigenous leadership and cultural knowledge, these programs exemplify avenues for strengthening equitable, culturally centred healthcare for Indigenous Communities globally. There remains a critical need for sustainable investment in IHW oral health training, enabling Indigenous-led initiatives to meaningfully address oral health disparities.</p>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144816021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers to and Facilitators for the Use of Research Evidence in Oral Health Policies and Guidelines: An International Qualitative Study.","authors":"Francisca Verdugo-Paiva, Matthias Wallach, Duniel Ortuño, Michael Glick, Alonso Carrasco-Labra","doi":"10.1111/cdoe.70007","DOIUrl":"https://doi.org/10.1111/cdoe.70007","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;To explore perceived barriers to and facilitators for using research evidence to inform guidelines and policies in oral health (OH) reported by guideline developers and policymakers.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;An abductive reasoning approach utilising in-depth semi-structured interviews was used. Interviewed individuals had a high-level understanding of the processes involved in developing OH evidence-informed guidelines and policy documents, including methodological steps and workflow. Purposive sampling was used to select participants with experience generating national or regional documents from different continents. Interviews were recorded and transcribed verbatim. After validation, data were analysed thematically using NVivo software. Transcriptions were coded and collated into themes and subthemes, with coding saturation achieved after coding all transcripts and confirming that no new codes emerged.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Participants worked in seven organisations across Europe, North America, and South America, including professional associations, scientific societies, governmental, and global organisations. Participants' perceptions were classified into seven main themes: research evidence (availability of evidence synthesis, direct and local evidence, certainty of the evidence and emerging research evidence), guidelines and policy documents (accessibility to guidelines, documents terminology, question scope and methodological rigour), organisational and system-level (costs, availability and accessibility to needed expertise, workload, health system characteristics, circumstances and events, and pressures), contact and collaboration (relationship with non-governmental organisations, research centers, governmental institutions and users), guidelines and policies users (evidence-informed decision-making (EIDM) expertise, attitudes toward EIDM, inclusion of patients' perspectives), guideline developers and policymakers (attitudes toward EIDM, autonomy, responsibility and expectations, and self-Interested behaviour), and others (OH in the context of overall health and use of technology). Several reported barriers were specific to the OH field, including dental professionals' resistance to changing practice (acquiring new dental materials), absence of patient advocacy organisations in OH, an overemphasis on personalised treatment planning, overvaluation of surrogated outcomes, challenges with dental device regulations, limitations in incorporating economic evaluation for decision-making at a population level, disconnect between evidence-based care and coverage, low priority given to OH by authorities and the public, and lack of communication between dental and non-dental professionals.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Understanding particular challenges hindering the integration of research evidence into guideline and policy document development processes is critical to improving their quality.","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144816020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Remote Caries Assessment With CariesCare International: Accuracy of Smartphone and Professional Camera Images.","authors":"N Abreu-Placeres, P Yunes Fragoso, A Rodriguez, S Martignon, K R Ekstrand, E O Beltrán, A Cortes, G V A Douglas, J T Newton, N B Pitts, C Deery, L E Garrido","doi":"10.1111/cdoe.70017","DOIUrl":"https://doi.org/10.1111/cdoe.70017","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the accuracy of remote caries lesion assessment using the CariesCare International (CCI) system applied to images captured with smartphones and professional cameras.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 30 children aged 5-10 years, who underwent clinical dental examinations and intraoral photography using both a digital single-lens reflex (DSLR) camera and a smartphone. Trained examiners, blinded to the imaging devices, assessed the photographs and in-person examinations, with the latter serving as the gold standard. Statistical analyses included weighted kappa ( <math> <semantics> <mrow><msub><mi>κ</mi> <mi>w</mi></msub> </mrow> <annotation>$$ {kappa}_w $$</annotation></semantics> </math> ) to evaluate inter-examiner reproducibility, along with sensitivity (Se), specificity (Sp), and area under the receiver operating characteristic curve (AUC) to determine detection accuracy.</p><p><strong>Results: </strong>Inter-examiner reproducibility was excellent across all methods ( <math> <semantics> <mrow><msub><mi>κ</mi> <mi>w</mi></msub> </mrow> <annotation>$$ {kappa}_w $$</annotation></semantics> </math> > 0.94). The professional camera demonstrated superior accuracy (Se = 0.87, Sp = 0.98; AUC = 0.92), with strong performance even for initial lesions (AUC = 0.88). Smartphone images showed good overall accuracy (Se = 0.73, Sp = 0.92, AUC = 0.83), performing particularly well for moderate and extensive lesions (AUC ≥ 0.87) and acceptably for initial lesions (AUC = 0.77). Both imaging methods achieved high specificity, reflecting accurate identification of sound surfaces.</p><p><strong>Conclusions: </strong>These findings support the use of both professional and smartphone photography as effective tools for remote caries lesion assessment using the CariesCare International (CCI) system. Smartphone-based assessments represent a cost-effective and accessible alternative, especially in settings with limited resources. Integrating standardised systems like CCI into remote diagnostic workflows enhances diagnostic accuracy and can broaden access to dental care, helping reduce global oral health disparities.</p>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144793677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developmental Defects of Enamel and Associated Factors in 2-Year-Old Children: A Birth Cohort Study.","authors":"Emanuella Pinheiro, Jenny Abanto, Elzir de Souza Costa, José Leopoldo Ferreira Antunes, Marly Augusto Cardoso, Marcelo Bönecker","doi":"10.1111/cdoe.70008","DOIUrl":"https://doi.org/10.1111/cdoe.70008","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the maternal and child factors associated with developmental defects of the enamel (DDE) in a cohort of 2-year-old children.</p><p><strong>Methods: </strong>This study analysed data from the MINA-Brazil birth cohort study. A total of 800 mother-child pairs were surveyed. Oral clinical examinations were conducted using the modified DDE Index. Associated factors in the pre-, peri- and post-natal periods were collected by standardised procedures. Crude and adjusted Poisson regression models with robust variance, following a hierarchical framework selection of covariates, were used to determine the relationships between maternal and child factors and DDE.</p><p><strong>Results: </strong>The prevalence of DDE was 29.5% (95% CI 26.3%-32.7%), and children's mean age was 23.8 ± 1.3 months. Maternal age below 21 years at the time of delivery (PR 1.51, 95% CI 1.16-1.98), pregnant women as the head of the family (PR 1.36, 95% CI 1.03-1.80), multiparity (PR 1.41, 95% CI 1.09-1.82), large for gestational age newborns (PR 1.47, 95% CI 1.13-1.91), otitis media in the first few months of life (PR 2.43, 95% CI 1.43-4.13) and stunting at 1 year (PR 2.21, 95% CI 1.38-3.54) were all associated with DDE.</p><p><strong>Conclusions: </strong>Several maternal sociodemographic and obstetric factors, as well as perinatal morbidity and nutritional factors, may be determinants of DDE in infants. This emphasises the importance of child development and sociodemographic factors for oral health. Future studies should consider both longitudinal and transdisciplinary approaches.</p>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144783609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}