Developing a protocol for a preventive oral health exam for elderly people (EDePAM) using E-Delphi methodology
Autor(a) principal: | |
---|---|
Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Oral Research |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242022000100209 |
Resumo: | Abstract The aim of this study was to develop a Preventive Oral Health Exam for Elderly People (EDePAM), using the e-Delphi technique, to diagnose oral health problems in people 65 or older. The e-Delphi technique was used with experts in multiple stages, and in a final workshop, where an agreement on an examination protocol was reached for diagnosing dental caries, oral mucosa lesions, periodontal diseases, and masticatory function disorders. Quantitative analyses of all the rounds of the e-Delphi method were conducted. It was agreed that the International Caries Detection and Assessment System (ICDAS) should be used together with a modified version of the Nyvad criteria to detect and assess caries lesions. It was also agreed that an assessment was needed of the different factors involved in determining caries risk, namely socioeconomic level, access to fluoride, level of dependence/functionality, salivary flow, history of head and neck cancer treatment, use of medications that decrease salivary flow, diet, use of removable dental prostheses, exposure of root surfaces, and caries history. Furthermore, patients would be required to undergo an examination of the oral mucosa, where any existing lesion should be described in terms of its clinical appearance, location, and risk potential. It was also agreed that an assessment of masticatory function should be performed using the Leake index, together with chewing-gum combined with a color scale to categorize masticatory performance. The number of pairs of occluding antagonist teeth was considered as the best predictor of masticatory function. The 2018 classification by the American Academy of Periodontology (AAP) / European Federation of Periodontology (EFP) was accepted as the standard to assess periodontal status, and it was agreed that this assessment should include an evaluation of clinical attachment loss and bleeding on probing. The novel EDePAM was considered as appropriate for conducting a functional assessment of oral health by providing a comprehensive diagnosis of oral diseases. |
id |
SBPQO-1_154efab880e222b20f3abac675d0f231 |
---|---|
oai_identifier_str |
oai:scielo:S1806-83242022000100209 |
network_acronym_str |
SBPQO-1 |
network_name_str |
Brazilian Oral Research |
repository_id_str |
|
spelling |
Developing a protocol for a preventive oral health exam for elderly people (EDePAM) using E-Delphi methodologyDental CariesPeriodontal DiseasesDiagnosisAgedAbstract The aim of this study was to develop a Preventive Oral Health Exam for Elderly People (EDePAM), using the e-Delphi technique, to diagnose oral health problems in people 65 or older. The e-Delphi technique was used with experts in multiple stages, and in a final workshop, where an agreement on an examination protocol was reached for diagnosing dental caries, oral mucosa lesions, periodontal diseases, and masticatory function disorders. Quantitative analyses of all the rounds of the e-Delphi method were conducted. It was agreed that the International Caries Detection and Assessment System (ICDAS) should be used together with a modified version of the Nyvad criteria to detect and assess caries lesions. It was also agreed that an assessment was needed of the different factors involved in determining caries risk, namely socioeconomic level, access to fluoride, level of dependence/functionality, salivary flow, history of head and neck cancer treatment, use of medications that decrease salivary flow, diet, use of removable dental prostheses, exposure of root surfaces, and caries history. Furthermore, patients would be required to undergo an examination of the oral mucosa, where any existing lesion should be described in terms of its clinical appearance, location, and risk potential. It was also agreed that an assessment of masticatory function should be performed using the Leake index, together with chewing-gum combined with a color scale to categorize masticatory performance. The number of pairs of occluding antagonist teeth was considered as the best predictor of masticatory function. The 2018 classification by the American Academy of Periodontology (AAP) / European Federation of Periodontology (EFP) was accepted as the standard to assess periodontal status, and it was agreed that this assessment should include an evaluation of clinical attachment loss and bleeding on probing. The novel EDePAM was considered as appropriate for conducting a functional assessment of oral health by providing a comprehensive diagnosis of oral diseases.Sociedade Brasileira de Pesquisa Odontológica - SBPqO2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242022000100209Brazilian Oral Research v.36 2022reponame:Brazilian Oral Researchinstname:Sociedade Brasileira de Pesquisa Odontológica (SBPqO)instacron:SBPQO10.1590/1807-3107bor-2022.vol36.0013info:eu-repo/semantics/openAccessMORALES,AliciaMUÑOZ,GonzaloCORRAL,CamilaESPINOZA,IrisFUENTES,Aler DanielCAVALLA,FrancoBAEZA,MauricioJARA,GiselaGIACAMAN,Rodrigo AndrésSUAZO,ClaudioBEVENSEE,IngeborgGAMONAL,Jorgeeng2022-01-13T00:00:00Zoai:scielo:S1806-83242022000100209Revistahttps://www.scielo.br/j/bor/https://old.scielo.br/oai/scielo-oai.phppob@edu.usp.br||bor@sbpqo.org.br1807-31071806-8324opendoar:2022-01-13T00:00Brazilian Oral Research - Sociedade Brasileira de Pesquisa Odontológica (SBPqO)false |
dc.title.none.fl_str_mv |
Developing a protocol for a preventive oral health exam for elderly people (EDePAM) using E-Delphi methodology |
title |
Developing a protocol for a preventive oral health exam for elderly people (EDePAM) using E-Delphi methodology |
spellingShingle |
Developing a protocol for a preventive oral health exam for elderly people (EDePAM) using E-Delphi methodology MORALES,Alicia Dental Caries Periodontal Diseases Diagnosis Aged |
title_short |
Developing a protocol for a preventive oral health exam for elderly people (EDePAM) using E-Delphi methodology |
title_full |
Developing a protocol for a preventive oral health exam for elderly people (EDePAM) using E-Delphi methodology |
title_fullStr |
Developing a protocol for a preventive oral health exam for elderly people (EDePAM) using E-Delphi methodology |
title_full_unstemmed |
Developing a protocol for a preventive oral health exam for elderly people (EDePAM) using E-Delphi methodology |
title_sort |
Developing a protocol for a preventive oral health exam for elderly people (EDePAM) using E-Delphi methodology |
author |
MORALES,Alicia |
author_facet |
MORALES,Alicia MUÑOZ,Gonzalo CORRAL,Camila ESPINOZA,Iris FUENTES,Aler Daniel CAVALLA,Franco BAEZA,Mauricio JARA,Gisela GIACAMAN,Rodrigo Andrés SUAZO,Claudio BEVENSEE,Ingeborg GAMONAL,Jorge |
author_role |
author |
author2 |
MUÑOZ,Gonzalo CORRAL,Camila ESPINOZA,Iris FUENTES,Aler Daniel CAVALLA,Franco BAEZA,Mauricio JARA,Gisela GIACAMAN,Rodrigo Andrés SUAZO,Claudio BEVENSEE,Ingeborg GAMONAL,Jorge |
author2_role |
author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
MORALES,Alicia MUÑOZ,Gonzalo CORRAL,Camila ESPINOZA,Iris FUENTES,Aler Daniel CAVALLA,Franco BAEZA,Mauricio JARA,Gisela GIACAMAN,Rodrigo Andrés SUAZO,Claudio BEVENSEE,Ingeborg GAMONAL,Jorge |
dc.subject.por.fl_str_mv |
Dental Caries Periodontal Diseases Diagnosis Aged |
topic |
Dental Caries Periodontal Diseases Diagnosis Aged |
description |
Abstract The aim of this study was to develop a Preventive Oral Health Exam for Elderly People (EDePAM), using the e-Delphi technique, to diagnose oral health problems in people 65 or older. The e-Delphi technique was used with experts in multiple stages, and in a final workshop, where an agreement on an examination protocol was reached for diagnosing dental caries, oral mucosa lesions, periodontal diseases, and masticatory function disorders. Quantitative analyses of all the rounds of the e-Delphi method were conducted. It was agreed that the International Caries Detection and Assessment System (ICDAS) should be used together with a modified version of the Nyvad criteria to detect and assess caries lesions. It was also agreed that an assessment was needed of the different factors involved in determining caries risk, namely socioeconomic level, access to fluoride, level of dependence/functionality, salivary flow, history of head and neck cancer treatment, use of medications that decrease salivary flow, diet, use of removable dental prostheses, exposure of root surfaces, and caries history. Furthermore, patients would be required to undergo an examination of the oral mucosa, where any existing lesion should be described in terms of its clinical appearance, location, and risk potential. It was also agreed that an assessment of masticatory function should be performed using the Leake index, together with chewing-gum combined with a color scale to categorize masticatory performance. The number of pairs of occluding antagonist teeth was considered as the best predictor of masticatory function. The 2018 classification by the American Academy of Periodontology (AAP) / European Federation of Periodontology (EFP) was accepted as the standard to assess periodontal status, and it was agreed that this assessment should include an evaluation of clinical attachment loss and bleeding on probing. The novel EDePAM was considered as appropriate for conducting a functional assessment of oral health by providing a comprehensive diagnosis of oral diseases. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242022000100209 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242022000100209 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1807-3107bor-2022.vol36.0013 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Pesquisa Odontológica - SBPqO |
publisher.none.fl_str_mv |
Sociedade Brasileira de Pesquisa Odontológica - SBPqO |
dc.source.none.fl_str_mv |
Brazilian Oral Research v.36 2022 reponame:Brazilian Oral Research instname:Sociedade Brasileira de Pesquisa Odontológica (SBPqO) instacron:SBPQO |
instname_str |
Sociedade Brasileira de Pesquisa Odontológica (SBPqO) |
instacron_str |
SBPQO |
institution |
SBPQO |
reponame_str |
Brazilian Oral Research |
collection |
Brazilian Oral Research |
repository.name.fl_str_mv |
Brazilian Oral Research - Sociedade Brasileira de Pesquisa Odontológica (SBPqO) |
repository.mail.fl_str_mv |
pob@edu.usp.br||bor@sbpqo.org.br |
_version_ |
1750318328110383104 |