Utility of Teledentistry to Reduce Oral Disease Burden in Preschool Children

利用远程牙科减轻学龄前儿童口腔疾病负担

• 批准号: 7851035
• 负责人: Dorota T. Kopycka-Kedzierawski
• 金额: $ 10.91万
• 依托单位: UNIVERSITY OF ROCHESTER
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-07-15 至 2012-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7851035
• 关键词: Age; Age-Months; Caring; Child; Childhood; Clinical; Communication; Complex; Data; Dental; Dental Care; Dental Research; Dental caries; Dentists; Early Diagnosis; Electronics; Head and neck structure; Health Services Accessibility; Image; Intervention Studies; Lead; Location; Mentored Patient-Oriented Research Career Development Award; Mentors; Minority; Modeling; Mouth Diseases; Nursery Schools; Oral Examination; Oral health; Pain; Parents; Pattern; Preschool Child; Prevention; Prognostic Factor; Public Health; Randomized; Recruitment Activity; Research; Research Personnel; Research Project Grants; Resources; Schools; Site; Staging; System; Tactile; Telemedicine; Tooth Diseases; Tooth structure; Visual; aged; base; cost; cost effectiveness; digital imaging; follow-up; high risk; improved; inner city; interest; markov model; novel strategies; orofacial; programs; rural area; satisfaction; soft tissue; teledentistry; tooth surface

DESCRIPTION (provided by applicant): The purpose of this K23 Award application is to develop a didactic and research program that will enable Dr. Kopycka-Kedzierawski to become an independent investigator in clinical dental research. The Candidate has a strong interest in the prevention of oral disease, especially dental caries, in underprivileged children. Although an increasing proportion of children are caries free, dental caries remains a significant national public health problem. The impact of oral disease on children is substantial and can lead to much pain and suffering. In the proposed research project, the Candidate will explore Teledentistry, a novel approach that uses an intraoral camera to image teeth and tooth surfaces. Teledentistry has the potential to enhance early diagnosis, access to care and may reduce oral disease burdens, especially in preschool children. In this proposal, Teledentistry is defined as the use of dental information exchanged from one site to another via electronic communications to improve oral health. To determine if Teledentistry is useful in reducing oral disease burden in preschool inner city children, an intervention study will be conducted in selected inner city childcare centers that are participating in Health-e-Access, a Telemedicine project conducted by the candidate's co-mentor, Kenneth McConnochie, MD, MPH. Our plan is to recruit 520 children, 12 to 48 months of age. Eligible children will be randomized into two groups: group one will receive a traditional visual/tactile oral examination and group two will receive a Teledentistry examination. Teledentistry data will be transmitted to a remote site for interpretation by a dentist and referral for dental care, as needed. The specific aims of this proposal are: 1. a) To assess dental care utilization patterns among children receiving an examination by means of Teledentistry compared to children receiving a traditional visual/tactile oral examination; b) To build a prognostic factor model for utilization of dental care, c) To determine the level of satisfaction and acceptance of Teledentistry examinations among parents of children examined by means of Teledentistry. 2. a) Based on empirical data obtained from the intervention study, estimate the cost-effectiveness of Teledentistry compared to a traditional visual/tactile oral examination; b) Develop a hypothetical Markov model to estimate the cost-effectiveness of Teledentistry compared to a traditional visual/tactile oral examination. Our broad long-term objective is to explore the full range of Teledentistry to reduce oral disease burden and to enhance dental care utilization in childcare centers and schools, especially in inner city and rural areas. We are optimistic that Teledentistry will greatly enhance our ability to identify children with dental disease or who are at high risk of dental disease, at an earlier stage. Teledentistry has the potential to be a significant new resource for enhancing early diagnosis and referral for treatment of children who otherwise might not receive care in a timely manner.

描述（由申请人提供）：本次K23奖申请的目的是开发一个教学和研究计划，使Kopycka-Kedzierawski博士能够成为临床牙科研究的独立研究者。候选人对预防贫困儿童的口腔疾病，特别是龋齿有浓厚的兴趣。虽然越来越多的儿童没有龋齿，但龋齿仍然是一个重大的国家公共卫生问题。口腔疾病对儿童的影响是巨大的，可能导致许多疼痛和痛苦。在拟议的研究项目中，候选人将探索Teledentistry，这是一种使用口内相机对牙齿和牙齿表面进行成像的新方法。远程牙科有可能提高早期诊断，获得护理，并可能减少口腔疾病负担，特别是在学龄前儿童中。在该提案中，远程牙科被定义为使用通过电子通信从一个站点交换到另一个站点的牙科信息来改善口腔健康。为了确定远程牙科是否有助于减少学龄前内城儿童的口腔疾病负担，将在参与健康电子访问的选定内城儿童保育中心进行干预研究，这是由候选人的共同导师Kenneth McConnochie，MD，MPH进行的远程医疗项目。我们的计划是招募520名12至48个月大的儿童。符合条件的儿童将被随机分为两组：第一组将接受传统的视觉/触觉口腔检查，第二组将接受远程牙科检查。远程牙科数据将被传输到远程站点，由牙医进行解释，并根据需要转诊进行牙科护理。该提案的具体目标是：1. a）评估接受远程牙科检查的儿童与接受传统视觉/触觉口腔检查的儿童之间的牙齿护理利用模式; B）构建牙齿护理利用的预后因素模型; c）确定接受远程牙科检查的儿童的父母对远程牙科检查的满意度和接受程度。2. a）基于从干预研究中获得的经验数据，估计远程牙科与传统视觉/触觉口腔检查相比的成本效益; B）开发一个假设的马尔可夫模型来估计远程牙科与传统视觉/触觉口腔检查相比的成本效益。我们广泛的长期目标是探索全方位的远程牙科，以减少口腔疾病的负担，并提高儿童保育中心和学校，特别是在内城和农村地区的牙科保健利用率。我们乐观地认为，远程牙科将大大提高我们在早期阶段识别患有牙科疾病或患有牙科疾病高风险儿童的能力。远程牙科有可能成为一个重要的新资源，以加强早期诊断和转诊治疗的儿童，否则可能无法及时得到照顾。