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Updated: Jul 22, 2025

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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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"Diagnostic ability in oral pathology among different population clusters"
Luca Sbricoli1, Riccardo Zago1, Francesco Cavallin2
1Department of Neurosciences, School of Dentistry, University of Padua, Padua, Italy.
Oral Diseases
|July 24, 2023
Summary
The study found that dentists and non-healthcare individuals have a low ability to detect suspected malignant oral lesions. Improved teaching methods are needed to enhance oral lesion identification skills.
Area of Science:
- Oral pathology
- Diagnostic accuracy
- Public health
Background:
- Early detection of oral lesions is crucial for effective treatment.
- Visual assessment is a primary method for initial oral lesion screening.
Purpose of the Study:
- To evaluate the diagnostic accuracy of various groups in identifying oral lesions.
- To determine factors influencing the detection of benign versus suspected malignant oral lesions.
Main Methods:
- 30 oral lesion images were classified as "benign" or "suspected malignant" by participants.
- Diagnostic accuracy was measured using sensitivity and specificity, stratified by population and lesion characteristics (color, shape, size).
Main Results:
- Overall sensitivity was 57% and specificity was 64%.
- Experienced dentists had lower sensitivity (52%) but higher specificity (71%).
- Red, flat, and large lesions showed reduced sensitivity but higher specificity.
Conclusions:
- There is a concerningly low ability to detect suspected malignant oral lesions across healthcare and non-healthcare groups.
- Lesion characteristics significantly impact recognition accuracy.
- Enhanced educational strategies are recommended to improve oral lesion identification.
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