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<p><b>Background</b> The Bangkok Declaration and the Developmental Origins of Health and Disease (DOHaD) concept can guide paediatric dentists in promoting oral health during the first 1,000 days of life. Teledentistry can help translate these guidelines into practice, facilitating education for parents.</p><p><b>Aim</b> To evaluate the impact of a teledentistry service as an innovative approach to adopting healthy habits to prevent early childhood caries (ECC).</p><p><b>Design</b> In total, 64 parents of children aged 0–5 received teleconsultations from 118 supervised undergraduate students. The students, working in pairs under a lecturer's supervision, collected caries risk information and educated parents. Fisher's exact test and Wilcoxon rank-sum test assessed associations, while multivariate analysis identified factors influencing habit changes.</p><p><b>Results</b> The parents of 55 children (86%) participated in at least two teleconsultations, with the majority of children (78.2%) aged up to three years. Positive changes in habits were noted, particularly among children with employed and more educated mothers (<i>p</i> = 0.007 and <i>p</i> = 0.019, respectively). Significant improvements included increased use of fluoride toothpaste (<i>p</i> = 0.02), higher brushing frequency (<i>p</i> = 0.0004), and reduced sugar consumption frequency (<i>p</i> = 0.025).</p><p><b>Conclusion</b> Teledentistry can be an important tool for implementing healthy habits in the first years of life, increasing oral hygiene and reducing sugar consumption, thus preventing ECC and chronic non-communicable diseases.</p>

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The Bangkok Declaration, DOHaD concepts and early childhood caries: the use of teledentistry for prevention

  • 期刊论文

  • 发表日期：

    2025年12月12日

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  • Gabriela Sá,
  • Marcelo Bönecker,
  • Deise Garrido,
  • Kim Ekstrand,
  • Júlia Mulder,
  • Adriana Mallet,
  • Ana Estela Haddad

摘要

Background The Bangkok Declaration and the Developmental Origins of Health and Disease (DOHaD) concept can guide paediatric dentists in promoting oral health during the first 1,000 days of life. Teledentistry can help translate these guidelines into practice, facilitating education for parents.

Aim To evaluate the impact of a teledentistry service as an innovative approach to adopting healthy habits to prevent early childhood caries (ECC).

Design In total, 64 parents of children aged 0–5 received teleconsultations from 118 supervised undergraduate students. The students, working in pairs under a lecturer's supervision, collected caries risk information and educated parents. Fisher's exact test and Wilcoxon rank-sum test assessed associations, while multivariate analysis identified factors influencing habit changes.

Results The parents of 55 children (86%) participated in at least two teleconsultations, with the majority of children (78.2%) aged up to three years. Positive changes in habits were noted, particularly among children with employed and more educated mothers (p = 0.007 and p = 0.019, respectively). Significant improvements included increased use of fluoride toothpaste (p = 0.02), higher brushing frequency (p = 0.0004), and reduced sugar consumption frequency (p = 0.025).

Conclusion Teledentistry can be an important tool for implementing healthy habits in the first years of life, increasing oral hygiene and reducing sugar consumption, thus preventing ECC and chronic non-communicable diseases.