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A novel prosthesis presentation test to screen for cognitive and functional decline.

Murali Srinivasan1,2, Stephan Duong2, Veronique Trombert3

  • 1Clinic of General, Special Care and Geriatric Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland.

Gerodontology
|August 16, 2023
PubMed
Summary
This summary is machine-generated.

A new test, the prosthesis presentation test (PPT), can help identify functional decline in older adults with complete removable dental prostheses. This simple oral screening tool shows promise in detecting difficulties related to denture management and cognitive function.

Keywords:
cognitive declinedementiageriatric dentistrygerodontologymild cognitive impairmentremovable prosthesis

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Area of Science:

  • Gerontology
  • Dental Prosthetics
  • Cognitive Assessment

Background:

  • Older adults with complete removable dental prostheses (CRDPs) may experience cognitive and functional decline.
  • Early detection of these declines is crucial for maintaining independence and quality of life.

Purpose of the Study:

  • To validate a novel screening test for cognitive and functional decline in older patients rehabilitated with CRDPs.
  • To assess the utility of the prosthesis presentation test (PPT) in identifying functional difficulties.

Main Methods:

  • Edentate in-patients rehabilitated with CRDPs were included.
  • Participants were asked to correctly orient and insert their removed prostheses.
  • The test results were statistically associated with the mini-mental state examination (MMSE), functional independence measure (FIM), age, and sex.

Main Results:

  • 24.4% of participants failed the prosthesis presentation test (PPT).
  • The PPT was significantly associated with the FIM, particularly its cognitive sub-domains (memory, problem-solving, social interaction).
  • The PPT showed an association with age but not with sex or the MMSE score.

Conclusions:

  • The PPT is a novel, simple, and rapid screening tool for detecting functional difficulties in older adults with CRDPs.
  • It can be easily administered during routine oral examinations.
  • Further research is warranted to explore its role in assessing executive function and denture management ability.