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: 8071076
• 负责人: Dorota T. Kopycka-Kedzierawski
• 金额: $ 11.15万
• 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/8071076
• 关键词: Age; Age-Months; Caring; Child; Childhood; Clinical; Communication; Complex; Data; Dental; Dental Care; Dental Research; Dental caries; Dentists; Early Diagnosis; Early treatment; Electronics; Head and neck structure; Health; 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; burden of illness; cost; cost effective; 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(申请人提供)：本次K23奖项申请的目的是开发一个教学和研究计划，使Kopycka-Kedzierawski博士成为临床牙科研究的独立研究员。这位候选人对预防贫困儿童的口腔疾病，特别是龋齿有着浓厚的兴趣。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，可能会导致许多痛苦和痛苦。在拟议的研究项目中，候选人将探索远程牙科学，这是一种使用口腔内摄像头来为牙齿和牙齿表面成像的新方法。远程教育有可能提高早期诊断和获得护理的机会，并可能减轻口腔疾病的负担，尤其是学龄前儿童。在这项提案中，远程牙科被定义为使用通过电子通信从一个地点到另一个地点交换的牙科信息来改善口腔健康。为了确定远程教学是否有助于减轻市中心学龄前儿童的口腔疾病负担，将在选定的市中心托儿中心进行一项干预研究，这些中心参与了由候选人的共同导师、医学博士、公共卫生硕士肯尼斯·麦康诺奇进行的远程医疗项目Health-e-Access。我们的计划是招募520名12到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，由牙医进行翻译，并根据需要转介进行牙科护理。这项建议的具体目标是：1.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科保健利用模式；b)建立牙科保健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和接受程度。2.基于从干预研究中获得的经验数据，估计远程认知相对于传统视觉/触觉口试的成本-效果；b)建立一个假设的马尔可夫模型来估计远程认知相对于传统视觉/触觉口试的成本-效果。我们广泛的长期目标是探索全方位的远程医疗，以减轻口腔疾病的负担，并提高托儿中心和学校的牙科护理利用率，特别是在市中心和农村地区。我们乐观地认为，远程教育将大大提高我们在早期阶段识别患有牙病或牙病风险较高的儿童的能力。远程教育有可能成为一种重要的新资源，可用于加强儿童的早期诊断和转诊治疗，否则这些儿童可能得不到及时的护理。