Mini dental assessment: a simple screening test for non-dental staff
Objective The objective of this study was to develop a simple tool for the assessment of possible dental treatment needs (DTN) for non-dental professionals (Mini Dental Assessment, MDA). To keep the assessment universal, we aimed to base it on the patient’s history and a simple chewing efficiency te...
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| Veröffentlicht in: | Clinical oral investigations 2017-06, Vol.21 (5), p.1457-1464 |
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| creator | Wöstmann, B. Seelbach, M. Seelbach, P. Podhorsky, A. Kolb, G. F. Bretzel, R. G. Rehmann, P. |
| description | Objective
The objective of this study was to develop a simple tool for the assessment of possible dental treatment needs (DTN) for non-dental professionals (Mini Dental Assessment, MDA). To keep the assessment universal, we aimed to base it on the patient’s history and a simple chewing efficiency test (CET) as the dental status is a known determinant for chewing efficiency.
Materials & methods
The assessment was developed using data from 169 patients from two sites (University Hospital Giessen, St. Bonifatius Hospital Lingen, both Germany). In all patients, a dental examination was performed, the denture status was evaluated (based on the California Dental Association criteria; CDA criteria), and the DTN was determined. In addition, the time since the patient’s last visit to a dentist (TLVD) and denture age (DA) were assessed. Furthermore, a CET was carried out and the comminution score was determined (CETS).
Results
In total, 108 patients required dental treatment. The mean value (±SD) was 2.9 ± 0.9 score points for the DTN, 2.5 ± 3.8 years for the TLVD, and 10.8 ± 8.9 years for the DA. There was a significant correlation (Spearman,
P
|
| doi_str_mv | 10.1007/s00784-016-1906-0 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1826717518</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1826717518</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-54b36fdce9b7accd904b1e81688d404348a146ee1d35703ec9892186d47722223</originalsourceid><addsrcrecordid>eNp1kEtLxDAUhYMozvj4AW6k4MZNNLfJJKk7GZ-guNF1yLS3UmnTMbdd-O_NOKOIYBbJDfnOyeEwdgTiDIQw55Q2q7gAzaEQmostNgUlNZfGwPbXnHNdWJiwPaI3IUBpI3fZJDdKAFiYsqvHJjRZhWHwbeaJkKhLl4vMZ9R0yxYzKiNiaMJrNiANWd3HLPSBbyQ0-Lo-YDu1bwkPN-c-e7m5fp7f8Yen2_v55QMvpckHPlMLqeuqxGJhfFlWhVALQAva2koJJZX1KSAiVHJmhMSysEUOVlfKmDwtuc9O177L2L-PKY3rGiqxbX3AfiQHNtcGzAxsQk_-oG_9GENK51JVoHIQckXBmipjTxSxdsvYdD5-OBBuVbFbV-xSxSuddiJpjjfO46LD6kfx3WkC8jVA6Sm8Yvz19b-unw2XhBM</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1901421038</pqid></control><display><type>article</type><title>Mini dental assessment: a simple screening test for non-dental staff</title><source>MEDLINE</source><source>SpringerLink (Online service)</source><creator>Wöstmann, B. ; Seelbach, M. ; Seelbach, P. ; Podhorsky, A. ; Kolb, G. F. ; Bretzel, R. G. ; Rehmann, P.</creator><creatorcontrib>Wöstmann, B. ; Seelbach, M. ; Seelbach, P. ; Podhorsky, A. ; Kolb, G. F. ; Bretzel, R. G. ; Rehmann, P.</creatorcontrib><description>Objective
The objective of this study was to develop a simple tool for the assessment of possible dental treatment needs (DTN) for non-dental professionals (Mini Dental Assessment, MDA). To keep the assessment universal, we aimed to base it on the patient’s history and a simple chewing efficiency test (CET) as the dental status is a known determinant for chewing efficiency.
Materials & methods
The assessment was developed using data from 169 patients from two sites (University Hospital Giessen, St. Bonifatius Hospital Lingen, both Germany). In all patients, a dental examination was performed, the denture status was evaluated (based on the California Dental Association criteria; CDA criteria), and the DTN was determined. In addition, the time since the patient’s last visit to a dentist (TLVD) and denture age (DA) were assessed. Furthermore, a CET was carried out and the comminution score was determined (CETS).
Results
In total, 108 patients required dental treatment. The mean value (±SD) was 2.9 ± 0.9 score points for the DTN, 2.5 ± 3.8 years for the TLVD, and 10.8 ± 8.9 years for the DA. There was a significant correlation (Spearman,
P
< .05) between the DTN and degree of comminution (3.4 ± 1.8). Based on the results of the statistical analysis, the intended assessment tool was developed using the variables CETS, TLVD, and DA weighed by their respective regression coefficients (10:3:1). Subsequently, the resulting MDA score (51.32 ± 28.14) was calculated. A sensitivity/specificity analysis was conducted and a receiver operating characteristic curve was calculated (SPSS 17.0, area under curve 0.805; 95 % CI 0.738–0.873).
Conclusion
It can be concluded that the dental status of elderly patients is reflected in the outcome of the MDA. However, ongoing validation is needed.
Trial registration
DRKS00003219.</description><identifier>ISSN: 1432-6981</identifier><identifier>EISSN: 1436-3771</identifier><identifier>DOI: 10.1007/s00784-016-1906-0</identifier><identifier>PMID: 27401181</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Chewing ; Dental Care ; Dentistry ; Female ; Geriatric Assessment ; Geriatrics ; Germany ; Health Services Needs and Demand ; Humans ; Male ; Mastication - physiology ; Medicine ; Middle Aged ; Original Article ; Patients ; Sensitivity and Specificity ; Statistical analysis</subject><ispartof>Clinical oral investigations, 2017-06, Vol.21 (5), p.1457-1464</ispartof><rights>Springer-Verlag Berlin Heidelberg 2016</rights><rights>Clinical Oral Investigations is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-54b36fdce9b7accd904b1e81688d404348a146ee1d35703ec9892186d47722223</citedby><cites>FETCH-LOGICAL-c372t-54b36fdce9b7accd904b1e81688d404348a146ee1d35703ec9892186d47722223</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00784-016-1906-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00784-016-1906-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27401181$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wöstmann, B.</creatorcontrib><creatorcontrib>Seelbach, M.</creatorcontrib><creatorcontrib>Seelbach, P.</creatorcontrib><creatorcontrib>Podhorsky, A.</creatorcontrib><creatorcontrib>Kolb, G. F.</creatorcontrib><creatorcontrib>Bretzel, R. G.</creatorcontrib><creatorcontrib>Rehmann, P.</creatorcontrib><title>Mini dental assessment: a simple screening test for non-dental staff</title><title>Clinical oral investigations</title><addtitle>Clin Oral Invest</addtitle><addtitle>Clin Oral Investig</addtitle><description>Objective
The objective of this study was to develop a simple tool for the assessment of possible dental treatment needs (DTN) for non-dental professionals (Mini Dental Assessment, MDA). To keep the assessment universal, we aimed to base it on the patient’s history and a simple chewing efficiency test (CET) as the dental status is a known determinant for chewing efficiency.
Materials & methods
The assessment was developed using data from 169 patients from two sites (University Hospital Giessen, St. Bonifatius Hospital Lingen, both Germany). In all patients, a dental examination was performed, the denture status was evaluated (based on the California Dental Association criteria; CDA criteria), and the DTN was determined. In addition, the time since the patient’s last visit to a dentist (TLVD) and denture age (DA) were assessed. Furthermore, a CET was carried out and the comminution score was determined (CETS).
Results
In total, 108 patients required dental treatment. The mean value (±SD) was 2.9 ± 0.9 score points for the DTN, 2.5 ± 3.8 years for the TLVD, and 10.8 ± 8.9 years for the DA. There was a significant correlation (Spearman,
P
< .05) between the DTN and degree of comminution (3.4 ± 1.8). Based on the results of the statistical analysis, the intended assessment tool was developed using the variables CETS, TLVD, and DA weighed by their respective regression coefficients (10:3:1). Subsequently, the resulting MDA score (51.32 ± 28.14) was calculated. A sensitivity/specificity analysis was conducted and a receiver operating characteristic curve was calculated (SPSS 17.0, area under curve 0.805; 95 % CI 0.738–0.873).
Conclusion
It can be concluded that the dental status of elderly patients is reflected in the outcome of the MDA. However, ongoing validation is needed.
Trial registration
DRKS00003219.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Chewing</subject><subject>Dental Care</subject><subject>Dentistry</subject><subject>Female</subject><subject>Geriatric Assessment</subject><subject>Geriatrics</subject><subject>Germany</subject><subject>Health Services Needs and Demand</subject><subject>Humans</subject><subject>Male</subject><subject>Mastication - physiology</subject><subject>Medicine</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Patients</subject><subject>Sensitivity and Specificity</subject><subject>Statistical analysis</subject><issn>1432-6981</issn><issn>1436-3771</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kEtLxDAUhYMozvj4AW6k4MZNNLfJJKk7GZ-guNF1yLS3UmnTMbdd-O_NOKOIYBbJDfnOyeEwdgTiDIQw55Q2q7gAzaEQmostNgUlNZfGwPbXnHNdWJiwPaI3IUBpI3fZJDdKAFiYsqvHJjRZhWHwbeaJkKhLl4vMZ9R0yxYzKiNiaMJrNiANWd3HLPSBbyQ0-Lo-YDu1bwkPN-c-e7m5fp7f8Yen2_v55QMvpckHPlMLqeuqxGJhfFlWhVALQAva2koJJZX1KSAiVHJmhMSysEUOVlfKmDwtuc9O177L2L-PKY3rGiqxbX3AfiQHNtcGzAxsQk_-oG_9GENK51JVoHIQckXBmipjTxSxdsvYdD5-OBBuVbFbV-xSxSuddiJpjjfO46LD6kfx3WkC8jVA6Sm8Yvz19b-unw2XhBM</recordid><startdate>20170601</startdate><enddate>20170601</enddate><creator>Wöstmann, B.</creator><creator>Seelbach, M.</creator><creator>Seelbach, P.</creator><creator>Podhorsky, A.</creator><creator>Kolb, G. F.</creator><creator>Bretzel, R. G.</creator><creator>Rehmann, P.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20170601</creationdate><title>Mini dental assessment: a simple screening test for non-dental staff</title><author>Wöstmann, B. ; Seelbach, M. ; Seelbach, P. ; Podhorsky, A. ; Kolb, G. F. ; Bretzel, R. G. ; Rehmann, P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-54b36fdce9b7accd904b1e81688d404348a146ee1d35703ec9892186d47722223</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Chewing</topic><topic>Dental Care</topic><topic>Dentistry</topic><topic>Female</topic><topic>Geriatric Assessment</topic><topic>Geriatrics</topic><topic>Germany</topic><topic>Health Services Needs and Demand</topic><topic>Humans</topic><topic>Male</topic><topic>Mastication - physiology</topic><topic>Medicine</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Patients</topic><topic>Sensitivity and Specificity</topic><topic>Statistical analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wöstmann, B.</creatorcontrib><creatorcontrib>Seelbach, M.</creatorcontrib><creatorcontrib>Seelbach, P.</creatorcontrib><creatorcontrib>Podhorsky, A.</creatorcontrib><creatorcontrib>Kolb, G. F.</creatorcontrib><creatorcontrib>Bretzel, R. G.</creatorcontrib><creatorcontrib>Rehmann, P.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biological Sciences</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical oral investigations</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wöstmann, B.</au><au>Seelbach, M.</au><au>Seelbach, P.</au><au>Podhorsky, A.</au><au>Kolb, G. F.</au><au>Bretzel, R. G.</au><au>Rehmann, P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mini dental assessment: a simple screening test for non-dental staff</atitle><jtitle>Clinical oral investigations</jtitle><stitle>Clin Oral Invest</stitle><addtitle>Clin Oral Investig</addtitle><date>2017-06-01</date><risdate>2017</risdate><volume>21</volume><issue>5</issue><spage>1457</spage><epage>1464</epage><pages>1457-1464</pages><issn>1432-6981</issn><eissn>1436-3771</eissn><abstract>Objective
The objective of this study was to develop a simple tool for the assessment of possible dental treatment needs (DTN) for non-dental professionals (Mini Dental Assessment, MDA). To keep the assessment universal, we aimed to base it on the patient’s history and a simple chewing efficiency test (CET) as the dental status is a known determinant for chewing efficiency.
Materials & methods
The assessment was developed using data from 169 patients from two sites (University Hospital Giessen, St. Bonifatius Hospital Lingen, both Germany). In all patients, a dental examination was performed, the denture status was evaluated (based on the California Dental Association criteria; CDA criteria), and the DTN was determined. In addition, the time since the patient’s last visit to a dentist (TLVD) and denture age (DA) were assessed. Furthermore, a CET was carried out and the comminution score was determined (CETS).
Results
In total, 108 patients required dental treatment. The mean value (±SD) was 2.9 ± 0.9 score points for the DTN, 2.5 ± 3.8 years for the TLVD, and 10.8 ± 8.9 years for the DA. There was a significant correlation (Spearman,
P
< .05) between the DTN and degree of comminution (3.4 ± 1.8). Based on the results of the statistical analysis, the intended assessment tool was developed using the variables CETS, TLVD, and DA weighed by their respective regression coefficients (10:3:1). Subsequently, the resulting MDA score (51.32 ± 28.14) was calculated. A sensitivity/specificity analysis was conducted and a receiver operating characteristic curve was calculated (SPSS 17.0, area under curve 0.805; 95 % CI 0.738–0.873).
Conclusion
It can be concluded that the dental status of elderly patients is reflected in the outcome of the MDA. However, ongoing validation is needed.
Trial registration
DRKS00003219.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>27401181</pmid><doi>10.1007/s00784-016-1906-0</doi><tpages>8</tpages></addata></record> |
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| identifier | ISSN: 1432-6981 |
| ispartof | Clinical oral investigations, 2017-06, Vol.21 (5), p.1457-1464 |
| issn | 1432-6981 1436-3771 |
| language | eng |
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| source | MEDLINE; SpringerLink (Online service) |
| subjects | Adult Aged Aged, 80 and over Chewing Dental Care Dentistry Female Geriatric Assessment Geriatrics Germany Health Services Needs and Demand Humans Male Mastication - physiology Medicine Middle Aged Original Article Patients Sensitivity and Specificity Statistical analysis |
| title | Mini dental assessment: a simple screening test for non-dental staff |
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