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Updated: Dec 14, 2025

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Teamwork and Oral Health in Diabetes Care.
Julia A Kordsmeier1, Christopher Ty Williams2, Angelina Anthamatten2
1School of Nursing, University of North Carolina, Chapel Hill, North Carolina kordsmja@email.unc.edu.
Medical assistants (MAs) improved oral health knowledge and screening practices for diabetes mellitus (DM) patients after an education program. The team-based approach successfully integrated oral health into primary care.
Area of Science:
- Primary care integration
- Oral health education
- Diabetes mellitus management
Background:
- Oral health is critically linked to systemic diseases like diabetes mellitus (DM).
- Integration of oral health into primary care settings remains a significant challenge.
- Medical assistants (MAs) are key personnel in primary care delivery.
Purpose of the Study:
- To develop, implement, and evaluate an oral health education program for MAs.
- To enhance MAs' oral health knowledge and screening practices for DM patients.
- To assess the feasibility and barriers of implementing oral health screenings in primary care.
Main Methods:
- A nurse practitioner-led oral health program was implemented.
- Medical assistants (MAs) underwent pre- and post-testing for knowledge assessment.
- Surveys evaluated MAs' likelihood of performing oral health screenings and identified barriers.
Main Results:
- Significant increase in correct answers on post-tests (mean score 81% to 95%).
- Increased likelihood among MAs to ask standardized oral health screening questions.
- Low reported barriers (62.5% reported none) to implementation after one week.
Conclusions:
- The oral health education program effectively improved MAs' knowledge and confidence.
- Team-based training equips MAs to integrate oral health screenings into primary care.
- This approach offers a practical strategy for enhancing oral health in patients with DM.
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