Oral Screening for Elderly in Aged Care Homes
Conditions
Brief summary
The residents will receive oral health education, then three examiners ( licensed dentists ) will perform the direct oral examination of the participants. During the same visit, a dental student will take the intraoral photographs in the aged care home. Later, three different blinded examiners (licensed dentists) will assess the intraoral photographs of the same group of participants. The participant's dentition will be examined using the scores developed by the World Health Organization (WHO) for oral health surveys. Also, the examiners will perform a visual inspection of the oral mucosa for any signs of oral potentially malignant disorders (OPMD), as the mortality of high-risk populations is proven to be reduced by visual oral cancer screening. Finally, the residents who require treatment will be referred to Kasr EL Ainy dental hospital to receive dental treatments.
Detailed description
The residents will receive oral health education, by three examiners ( licensed dentists ) with a t least 5 years experience. Then the same examiner will perform the direct oral examination of the participants. They will fill the dentition status, denture status, oral lesions and intervention urgency section of the World Health Organization (WHO) form 2013 version. During the same visit, a dental student will take the intraoral photographs in the aged care home. The photographs will include 5 views (upper occlusal, lower occlusal , frontal, right lateral and left lateral). The photographs will be uploaded on one drive and later, three different blinded examiners (licensed dentists) will assess the intraoral photographs of the same group of participants. The participant's dentition will be examined using the scores developed by the World Health Organization (WHO) for oral health surveys. Also, the examiners will perform a visual inspection of the oral mucosa for any signs of oral potentially malignant disorders (OPMD), as the mortality of high-risk populations is proven to be reduced by visual oral cancer screening. Finally, the residents who require treatment will be referred to Kasr EL Ainy dental hospital to receive dental treatments.
Interventions
DIAGNOSTIC_TESTTeledentistry
Teledentistry using mobile photographs
Sponsors
Cairo University
Study design
Observational model
OTHER
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Elderly living in aged care homes in Egypt * Have the ability to communicate with the examiner * Have the ability to give consent to participate in the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Dentition status | January- December 2023 | Feasibility of tele dentistry mobile photographic method to assess the dentition status of the elderly living in elderly homes will be measured by comparing the tele dentistry method with the direct oral examination .The scores of the World Health Organization (WHO) assessment forms of oral health will be used with the crowns. Also, the dentures section will be used to record the presence or absence of partial or complete dentures in both jaws. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Oral Mucosal lesions | January- December 2023 | Signs for Oral potentially malignant disorders OPMD visible in the photographic views and direct examination will be recorded in the section of the oral mucosal lesions in the assessment form .This will be performed by the direct examiners and the tele dentistry examiners to compare both methods of examination. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Intervention Urgency | January- December 2023 | The intervention urgency section in the World Health Organization (WHO) form will be used for the assessment of the triaging of the elderly. |
Countries
Egypt
Contacts
Primary ContactMennatollah N. Sharkawy
Outcome results
None listed