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Developing a protocol for a preventive oral health exam for elderly people (EDePAM) using E-Delphi methodology
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.
  • MORALES, Alicia; Universidad de Chile. School of Dentistry. Department of Conservative Dentistry. Santiago. CL
  • MUÑOZ, Gonzalo; Universidad de Chile. School of Dentistry. Department of Conservative Dentistry. Santiago. CL
  • CORRAL, Camila; Universidad de Chile. School of Dentistry. Center for Surveillance and Epidemiology of Oral Diseases. Santiago. CL
  • ESPINOZA, Iris; Universidad de Chile. School of Dentistry. Center for Surveillance and Epidemiology of Oral Diseases. Santiago. CL
  • FUENTES, Aler Daniel; Universidad de Chile. School of Dentistry. Institute for Research in Dental Sciences. Santiago. CL
  • CAVALLA, Franco; Universidad de Chile. School of Dentistry. Department of Conservative Dentistry. Santiago. CL
  • BAEZA, Mauricio; Universidad de Chile. School of Dentistry. Department of Conservative Dentistry. Santiago. CL
  • JARA, Gisela; Universidad de Chile. School of Dentistry. Center for Surveillance and Epidemiology of Oral Diseases. Santiago. CL
  • GIACAMAN, Rodrigo Andrés; Universidad de Talca. School of Health Sciences. Department of Oral Rehabilitation. Talca. CL
  • SUAZO, Claudio; Family Health Center Dr. Steeger. Cerro Navia. CL
  • BEVENSEE, Ingeborg; Universidad de Chile. School of Dentistry. Department of Oral Rehabilitation. Santiago. CL
  • GAMONAL, Jorge; Universidad de Chile. School of Dentistry. Department of Conservative Dentistry. Santiago. CL
Braz. oral res. (Online) ; 36: e013, 2022. tab, graf
Article in English | LILACS-Express | LILACS, BBO | ID: biblio-1355936
ABSTRACT
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.


Full text: Available Index: LILACS (Americas) Type of study: Practice guideline / Prognostic study Language: English Journal: Braz. oral res. (Online) Journal subject: Dentistry Year: 2022 Type: Article / Project document Affiliation country: Chile Institution/Affiliation country: Family Health Center Dr. Steeger/CL / Universidad de Chile/CL / Universidad de Talca/CL

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Full text: Available Index: LILACS (Americas) Type of study: Practice guideline / Prognostic study Language: English Journal: Braz. oral res. (Online) Journal subject: Dentistry Year: 2022 Type: Article / Project document Affiliation country: Chile Institution/Affiliation country: Family Health Center Dr. Steeger/CL / Universidad de Chile/CL / Universidad de Talca/CL