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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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Clinical Oral Disorders in Adults Screening Protocol (CODA-SP) from the 2019 Vancouver IADR Consensus Symposium.
Michael I MacEntee1, Mario Brondani1, Limor Avivi-Arber2
1University of British Columbia, Vancouver, BC, Canada.
Gerodontology
|October 3, 2020
Summary
The Clinical Oral Disorder in Elders (CODE) index was revised into the Clinical Oral Disorders in Adults Screening Protocol (CODA-SP). This new tool assesses oral health in adults, reflecting changes in dental care needs.
Area of Science:
- Geriatric Dentistry
- Oral Health Assessment
Background:
- The Clinical Oral Disorder in Elders (CODE) index, established in 1999, assessed older adults with limited natural teeth.
- Current trends show more adults retaining natural teeth, presenting with oral disorders similar to younger populations.
- Evolving guidelines emphasize updated disease screening indicators and patient-centered oral health concerns.
Purpose of the Study:
- To revise the CODE index to address the changing landscape of oral health in aging populations.
- To develop a comprehensive screening tool reflecting current clinical evidence and patient needs.
Main Methods:
- A consensus-based revision process involving dental geriatrics experts.
- A satellite symposium in June 2019 facilitated expert discussions and evidence synthesis.
- A narrative review of current evidence, informed by expert input and literature searches, guided the revision.
Main Results:
- The expert consensus and evidence review resulted in the development of the Clinical Oral Disorders in Adults Screening Protocol (CODA-SP).
Conclusions:
- The CODA-SP integrates physical and subjective indicators with weighted scores for comprehensive oral health assessment.
- Further field testing is necessary to validate the CODA-SP's effectiveness and utility in clinical practice and healthcare systems.
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