###### Abstract  
A structural and organizational redesign of the dental care system is necessary today due to current trends in the demographic process and the accompanying changes in the population's healthcare needs. The purpose of this article is to review the literature, analyzing those trends that today represent useful tools for the oral health of pediatric patients, with particular reference to teledentistry and all the supports it uses to reach remote territories or patients who, for various reasons, cannot have access to dental care. An independent literature search was conducted in three electronic databases: PubMed/MEDLINE, Google Scholar, and the COCHRANE library. Thirty-one articles were considered. Reported findings highlight that teledentistry has been used in pediatrics to educate and promote oral health and to provide remote diagnosis and monitoring through mobile health applications, smartphone cameras and apps, intraoral cameras, websites and search engines, and telephonic communications. Specifically, teledentistry has been beneficial in providing dental care in remote locations with difficult access to pediatric dentits, conducting remote diagnostic and screening programs, monitoring patients between appointments, promoting children's oral health through dental education, and providing behavioral counseling prior to office visits. Future research should further investigate the long-term use, additional applications, and cost-effectiveness of teledentistry in children. Keywords:dental; telemedicine; teledentistry; remote consultation; remote screening; telecconsultation; teled diagnosis; pediatric dentistry; pedodontics; orthodontics +
Footnote †: journal: Medical-Surgical and Odontostomatological Specialties, University of Campania \"[PERSON]\", 80138 Naples, Italy; [EMAIL_ADDRESS] (D.M. );[EMAIL_ADDRESS] (R.S.) Footnote †: journal: Medical-Surgical and Odostomatological Specialties, University of Campania \"[PERSON]\", 80138 Naples, Italy; [EMAIL_ADDRESS] (D.M. );[EMAIL_ADDRESS] (R.S.) Footnote †: journal: Medical-Surgical and Odostomatological Special Specialtiesexchanging clinical information and images over remote distances for dental consultation and treatment planning [6]. The United States Army introduced the teledentistry concept in 1994 as part of the Total Dental Access project [7]. Since then, several authors have conducted studies that have led to the worldwide dissemination of these methods. The most used methods are classified as synchronous (real-time) and asynchronous (store-and-forward). The synchronous mode provides for real-time interaction between the user, the patient, the dental assistant, or the doctor through technological support that guarantees audiovisual communication. In asynchronous support, health information is collected at a specific time and later shared with the doctor. This practice allows for the exchange of information and materials collected with other specialists [8]. In addition, the advancement of modern technologies has led to the development of mobile health applications (m-Health app) supported by mobile devices, such as mobile phones, personal digital assistants (PDAs), or wireless devices for remote monitoring, with the ability to interact directly with the patient using telecommunication technologies, such as 4G and 5G or the Global Positioning System (GPS) [9]. The recent pandemic of COVID-19 and the resulting need for social distancing has encouraged the use of technology to provide dental care to patients. TD has allowed specialists to perform remote monitoring, minimizing face-to-face contact [10].