Validation of a simplified oral indicator for home care nurses to refer older people to dental care professionals.

IF 1.4 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Acta Odontologica Scandinavica Pub Date : 2024-12-16 DOI:10.2340/aos.v83.42487

Lina F Weening-Verbree, Annemarie A Schuller, Wim P Krijnen, Cees P Van der Schans, Sytse U Zuidema, Johannes S M Hobbelen

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Abstract

Objectives: This study aims to explore the identification of older people in need of dental consultation, with a Simplified Oral Indicator (SOI) used by home care nurses (HCNs) and with the Geriatric Oral Health Assessment Index (GOHAI-NL) completed by older people themselves, compared with the Oral Health Assessment Tool (OHAT-NL), performed by dental hygienists.

Methods: The HCNs completed SOI based on their professional view, knowledge and experience; scores red/orange/green were given to older people for oral health and oral hygiene. Older people completed the GOHAI-NL and dental hygienists completed the OHAT-NL.

Results: Data from 141 older people were analysed. Sensitivity and specificity of SOI -OHAT-NL were low (0.45 and 0.64, respectively); SOI scored only few older people as 'red', while only 11 older people did not need a dental referral according to the OHAT-NL. OHAT-NL and GOHAI-NL correlation was significant, but low (r = -0.226, p = 0.012).

Conclusion: Simplified Oral Indicator is currently not sensitive enough to identify older people in need of dental consultation. Additional education to HCNs and/or adjusting SOI may be needed. The GOHAI-NL seems not useful in dental triage.

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