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Randomized Controlled Trial
. 2023 Dec 29:12:1610.
doi: 10.12688/f1000research.126388.1. eCollection 2023.

A novel questionnaire to perform teletriage of dental emergencies in children: A before-and-after study nested within a randomized clinical trial

Ana Paula Dornellas  1 , João Vitor Marques  1 , Isabelle Aníbal Oliveira Dos Santos  1 , Marcelo Ramos  1 , Júlia Mulder  1 , Ana Estela Haddad  1
Affiliations
Randomized Controlled Trial

A novel questionnaire to perform teletriage of dental emergencies in children: A before-and-after study nested within a randomized clinical trial

Ana Paula Dornellas et al. F1000Res. .

Abstract

Background: This will be a before-and-after study nested within a randomized clinical trial. Its objective will be to analyze the effectiveness of a teleconsultation and validate a questionnaire for performing teletriage in dental urgency/emergency situations in children aged 3 to 13, whose parents will have signed a free and informed consent form, and who have had full access to the internet. Methods: The Questionnaire for Teletriage of Emergencies and Urgencies in Pediatric Dentistry (QuesT-Odontoped)-will be validated by applying it to 140 randomized child parents/guardians. After validation, another 260 children seeking emergency dental care in the municipality of Carangola, Minas Gerais, Brazil, will receive a remote consultation, be randomized, and then allocated into two groups: G1, teleconsultation, and G2, teleconsultation and face-to-face consultation (immediately after the former) with a blinded evaluator, involving anamnesis and conventional clinical examination. The G2 sample will be used in the before-after study. Both groups will be followed-up for 7 and 14 days using pain and quality-of-life scales, applied at baseline and after each follow-up period. Clinical follow-up will be carried out after 12 and 24 months to assess the outcome of the tooth that had been indicated for treatment in the teletriage. The Mann-Whitney test will be used to assess pain; Student's t test or the Mann-Whitney test will be used to assess quality of life and the number of missing teeth after 24 months; and Poisson's regression analysis will be used to assess the influence of other variables. The significance level will be set at 5%. Conclusions: In conclusion, this study expects to confirm the hypothesis that remote urgency consultation (teletriage), through a validated questionnaire, will be able to define the planning of the clinical situation, reducing the chance of displacements and progression of infection, helping to eliminate patient pain and discomfort.

Keywords: Emergencies; Pediatric dentistry; Primary teeth; Remote consultations; Teledentistry; Teletriage; Urgencies.

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Conflict of interest statement

No competing interests were disclosed.

Figures

Figure 1.
Figure 1.. Application of the FICF (free and informed consent form) to parents/guardians and FIAF (free and informed agreement form) that will be provided to the children.
G1, teleconsultation; G2, teleconsultation plus face-to-face consultation.
Figure 2.
Figure 2.. Validation of the questionnaire applied in the study.
Figure 3.
Figure 3.. Inclusion of patients in the randomized control trial (before and after).
G1, teleconsultation; G2, teleconsultation plus face-to-face consultation.
Figure 4.
Figure 4.. The clinical criteria used to determine treatment success during patient follow-up.
G1, teleconsultation; G2, teleconsultation plus face-to-face consultation.
See this image and copyright information in PMC

References

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