A Tele-detection and Referral Pathways Model for Early Childhood Caries Control: The TRACE Study
Background
Early childhood caries (ECC) is a common disease affecting children under 6 years old. It can be reversed in early stages, but often goes undetected. New methods are needed to detect oral diseases early for better control.
Methods
A randomized factorial trial will compare two tele-dentistry detection methods for ECC (intraoral camera and smartphone camera) and two referral pathways (user fee removal vs. conventional care) in marginalized communities in Alexandria, Egypt. The primary outcome is the percentage of teeth receiving indicated care, with secondary outcomes including oral health-related quality of life, acceptance of teledentistry by dentists, procedure time, and child cooperation. Analysis will assess the effect of the two factors on outcomes after 6 and 12 months.
Discussion
The study’s findings may inform clinical practice and oral healthcare policies for ECC management. Successful tele-detection and referral pathways could be integrated into oral healthcare systems, leading to improved oral health outcomes for children.
Trial Registration
The trial has been registered on ClinicalTrials.gov (ID: NCT06019884).
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