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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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Developing a protocol for a preventive oral health exam for elderly people (EDePAM) using E-Delphi methodology
Alicia Morales1, Gonzalo Muñoz1, Camila Corral2
1Universidad de Chile, School of Dentistry, Department of Conservative Dentistry, Santiago, Chile.
Brazilian Oral Research
|January 26, 2022
Summary
A new Preventive Oral Health Exam for Elderly People (EDePAM) was developed using the e-Delphi technique. This comprehensive protocol aids in diagnosing oral health issues in individuals aged 65 and older.
Area of Science:
- Geriatric Dentistry
- Oral Health Diagnostics
- Public Health
Background:
- Oral health is critical for overall well-being in elderly individuals.
- Existing diagnostic tools may not adequately address the complex oral health needs of older adults.
- A standardized, comprehensive examination protocol is needed for geriatric populations.
Purpose of the Study:
- To develop a Preventive Oral Health Exam for Elderly People (EDePAM) tailored for individuals aged 65 and older.
- To establish a consensus-based examination protocol for diagnosing key oral health problems in the elderly.
- To integrate validated diagnostic criteria and risk assessment factors into a unified geriatric oral health examination.
Main Methods:
- Utilized the e-Delphi technique with a panel of experts to achieve consensus on an oral health examination protocol.
- Incorporated quantitative analysis across multiple rounds of the e-Delphi method and a final workshop.
- Selected and adapted established diagnostic systems like ICDAS, Nyvad criteria, Leake index, and AAP/EFP periodontal classification.
Main Results:
- Agreement was reached on a protocol for diagnosing dental caries, oral mucosa lesions, periodontal diseases, and masticatory function disorders.
- Recommended the International Caries Detection and Assessment System (ICDAS) with modified Nyvad criteria for caries assessment.
- Established criteria for assessing caries risk factors, oral mucosa lesions, masticatory function (Leake index, occluding teeth pairs), and periodontal status (AAP/EFP 2018 classification).
Conclusions:
- The developed EDePAM provides a comprehensive and functional oral health assessment for elderly individuals.
- The protocol integrates standardized diagnostic methods for major oral diseases prevalent in older adults.
- EDePAM is considered appropriate for improving the diagnosis and management of oral health conditions in the elderly population.
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