IADR Abstract Archives
Developing an Elderly People Preventive Dental Exam (EDePAM), using e-Delphi
Objectives: To develop the Preventive Oral Health Exam for Elderly People (EDePAM), using the e-Delphi technique.
Methods: The e-Delphi technique was used with experts in multiple stages and a final workshop, reaching an agreement on the examination protocol to diagnose dental caries, lesions of the oral mucosa, periodontal diseases and masticatory function.
An advisory group was created. Then, 51 experts from different areas were invited to participate. There were performed two or three rounds of e-Delphi. Google Forms were used.
Quantitative analyses of all the phases of the e-Delphi method were conducted. For all questions, a consensus was considered as “reached” when ≥60% of the experts selected the same response. Finally, a consensus workshop was held.
Results: Forty-five experts participated (periodontology, n=15; cariology, n=11, oral pathology, n=11, masticatory function, n=8). Twenty-six experts participated in consensus workshop.
It was agreed to use ICDAS with modified Nyvad criteria to detect and assess caries lesions. In addition, it was considered necessary to assess different factors to determine caries risk. All the patients should have an examination of the oral mucosa describing clinically the lesion by reporting its clinical appearance, location, and its risk potential. The assessment of chewing ability and masticatory performance was agreed using the Leake index and a colour-changeable chewing-gum with a colour scale, respectively. The number of antagonist occlusal pairs of teeth was considered as the best predictor of masticatory function. The 2018 AAP/EFP classification was accepted as the standard to assess periodontal status.
Conclusions: The creation of an EDePAM, using the e-Delphi methodology, enables the functional assessment of the oral health by diagnosing oral diseases.
Methods: The e-Delphi technique was used with experts in multiple stages and a final workshop, reaching an agreement on the examination protocol to diagnose dental caries, lesions of the oral mucosa, periodontal diseases and masticatory function.
An advisory group was created. Then, 51 experts from different areas were invited to participate. There were performed two or three rounds of e-Delphi. Google Forms were used.
Quantitative analyses of all the phases of the e-Delphi method were conducted. For all questions, a consensus was considered as “reached” when ≥60% of the experts selected the same response. Finally, a consensus workshop was held.
Results: Forty-five experts participated (periodontology, n=15; cariology, n=11, oral pathology, n=11, masticatory function, n=8). Twenty-six experts participated in consensus workshop.
It was agreed to use ICDAS with modified Nyvad criteria to detect and assess caries lesions. In addition, it was considered necessary to assess different factors to determine caries risk. All the patients should have an examination of the oral mucosa describing clinically the lesion by reporting its clinical appearance, location, and its risk potential. The assessment of chewing ability and masticatory performance was agreed using the Leake index and a colour-changeable chewing-gum with a colour scale, respectively. The number of antagonist occlusal pairs of teeth was considered as the best predictor of masticatory function. The 2018 AAP/EFP classification was accepted as the standard to assess periodontal status.
Conclusions: The creation of an EDePAM, using the e-Delphi methodology, enables the functional assessment of the oral health by diagnosing oral diseases.