Department of Dentistry, European University of Valencia, Paseo de La Alameda 7, 46010, Valencia, Spain.
Department of Surgical Sciences, University of Cagliari, Gagliari, Italy.
Eur Arch Paediatr Dent. 2024 Oct;25(5):731-766. doi: 10.1007/s40368-024-00936-0. Epub 2024 Sep 2.
The purpose of the present scoping review is to map the literature reporting on the application of digital workflows and digital technologies in the diagnosis, treatment, or management of dental conditions in paediatric patients. Furthermore, the review focuses on identifying possible knowledge gaps in the area and developing specific recommendations for future investigations.
An electronic search was performed on 3 databases up to July 2023. After the authors independently screened the retrieved articles, they extracted the data and assessed the risk of bias using the JBI (The Joanna Briggs Institute) critical appraisal tools and the Cochrane Risk of Bias 1 tool, depending on the study design assessed.
After full-text assessment, 58 studies were identified that met the inclusion and exclusion criteria. The results were divided into two groups according to the study design: 36 were research articles, and 22 were case reports; only the research articles were included in the qualitative synthesis. The most common topic was Scanners/3 d digital model analysis (11 articles), followed by Digital Imaging (8 articles). Digital applications were also a popular topic, and tele-dentistry and artificial intelligence were also present in the included studies.
Studies investigating the use of digital workflows and digital technologies in the diagnosis, treatment or management of dental conditions in paediatric dentistry are lacking. In general, future investigations should be based on higher quality studies; furthermore, the lack of studies on the clinical validation of digitally fabricated orthodontic devices and restorations in paediatric patients provides insights for future research.
本范围综述的目的是绘制文献，报告数字工作流程和数字技术在儿科患者口腔状况的诊断、治疗或管理中的应用。此外，本综述还侧重于确定该领域的可能知识空白，并为未来的研究制定具体建议。
截至 2023 年 7 月，对 3 个数据库进行了电子检索。作者独立筛选检索到的文章后，使用 JBI（ Joanna Briggs Institute ）评价工具和 Cochrane 偏倚风险 1 工具评估研究设计，提取数据并评估偏倚风险。
经过全文评估，确定了 58 篇符合纳入和排除标准的研究。结果根据研究设计分为两组：36 篇为研究文章，22 篇为病例报告；仅纳入研究文章进行定性综合分析。最常见的主题是扫描仪/3D 数字模型分析（11 篇文章），其次是数字成像（8 篇文章）。数字应用也是一个热门话题，远程牙科和人工智能也包含在纳入的研究中。
缺乏关于数字工作流程和数字技术在儿科牙科口腔状况诊断、治疗或管理中应用的研究。一般来说，未来的研究应基于更高质量的研究；此外，缺乏关于数字化制作的正畸器械和修复体在儿科患者中的临床验证的研究为未来的研究提供了思路。
