Entwicklung und Validierung des „Mini Dental Assessment“

Mausbach, Katharina; Velten, Johan; Rehmann, Peter; Kolb, Gerald; Wöstmann, Bernd

doi:10.1007/s00391-018-1449-x

Cited by 3 publications

(3 citation statements)

References 21 publications

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“…To promote oral health in acute geriatric patients, it is necessary for physicians to realise the importance of oral health in the context of general medical conditions [2,8,27,29]. The available data also confirm that the use of validated assessment tools by physicians, such as the mini dental assessment (MDA) [16,31] as part of the comprehensive geriatric assessment (CGA) [5,12] would be useful. The MDA, for example, assesses chewing efficiency with the carrot-based chewing function test.…”

Section: Discussionmentioning

confidence: 99%

“…Restrictions in chewing efficiency due to defects in the dentures (Table 5 ) are masked by changes in food selection. An assessment of masticatory efficacy can be arranged by the dental or medical staff in the hospital [ 16 , 30 , 31 ]. Denture-related oral mucosal changes and defects in dentures have also been confirmed by other studies [ 14 , 26 ].…”

Section: Discussionmentioning

confidence: 99%

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Denture-related problems of patients in acute geriatric care

et al. 2021

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Background With increasing frailty and complaint-oriented utilization of dental care, the prevalence of oral diseases also increases. Aim To clarify whether there is a need for dental prosthodontic treatment during residential acute geriatric rehabilitation. Methods Within 3 weeks in a hospital for acute geriatric patients, 79 out of 157 newly admitted patients were interviewed as study participants (age: median 79.0 years, range 66–96 years, female 51.9%), dental findings were recorded, treatment needs were determined but X‑rays were not taken. Results Of the participants 31.1% had not seen a dentist for more than 1 year and 18.2% were edentulous. The median number of teeth in dentate participants was 16 (range 1–28 teeth); based on all participants, there was a median of 12.0 teeth (range 0–28 teeth). Of the 52 denture wearers (45 upper jaw and 43 lower jaw), 5 each of the maxillary and mandibular dentures could not be assessed because they were not available at the hospital. Moderate denture deficiencies were present in 62.5% of participants wearing upper dentures (mandibular 55.3%). Conclusion Dental treatment is needed in this vulnerable patient group. Therefore, the oral cavity should be assessed as part of the geriatric assessment. The available data confirm that the use of validated assessment instruments, such as the mini dental assessment as part of the comprehensive geriatric assessment would be useful. In addition to an oral examination, simple dental treatment should be provided to reduce infections and improve chewing ability. The geriatrician should be informed of the urgency of treatment. The overall rehabilitative approach of acute geriatric treatment would be complete if oral health would not be excluded.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Denture-related problems of patients in acute geriatric care

et al. 2021

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“…11 , Mini-DENTAL12 . Observa-se, porém, que o instrumento mais citado foi o OHAT, presente em 6 dos 10 artigos.…”

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Instrumentos de triagem odontológica para idosos institucionalizados: uma revisão de escopo

Pereira Rodrigues da Silva,

Perrone,

Schmitt da Cruz

et al. 2023

RFS

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Introdução: O envelhecimento populacional é uma realidade e a institucionalização de idosos é uma prática comum. A condição de saúde bucal dos idosos institucionalizados é precária por inúmeros motivos, com muitas necessidades de tratamento e dificuldade de acesso. A grande demanda e a reduzida capacidade de atendimento justificam o uso de instrumentos de triagem odontológica para classificação de risco. Objetivo: Identificar os instrumentos de triagem odontológica utilizados para priorizar o atendimento odontológico de idosos institucionalizados presentes na literatura. Metodologia: Revisão de escopo conduzida, utilizando a extensão do checklist PRISMA-ScR, nas seguintes bases de dados: MEDLINE via Pubmed, Scopus, Embase, Web of Science. Incluíram-se estudos que responderam à pergunta de pesquisa publicados nos últimos 20 anos. Excluíram-se artigos que apresentaram instrumentos de avaliação sem triagem e revisões de literatura. Resultados: Após a remoção das duplicatas, exclusão por títulos, resumos e leitura de textos completos, restaram 10 artigos. Os textos analisados, publicados entre os anos de 2005 e 2023, são provenientes de 9 países e apresentaram um total de 6 instrumentos de triagem para uso em idosos institucionalizados, tendo o Oral Health Assessment Tool (OHAT) presente em 6 dos 10 artigos. Conclusão: Após análise da literatura, pode-se observar que o OHAT é o instrumento mais adequado para triagem odontológica de idosos institucionalizado, principalmente por não depender da função cognitiva e cooperação do paciente, ser simples e aplicável por cuidadores ou outros profissionais da saúde.

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Development of a New Application-Based Chewing Efficiency Test (Mini Dental Assessment) and Its Evaluation by Nursing Staff in Geriatric Care: A Pilot Study

Schmidt

Schlenz

Gäbler

et al. 2021

IJERPH

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The increasing average life expectancy worldwide results in an elderly population with significant health care needs. However, dental care is often not a focus of care. It is well known that oral and overall health are directly related. Therefore, the Mini Dental Assessment (MDA) was developed to provide a simple analysis of oral health status, although it is currently only available in paper form, with all associated drawbacks, from illegible writing to the inability to quickly search the collected forms. This study aimed to develop a digital application (app) for mobile devices that can overcome the problems associated with paper forms. After the digital MDA was developed, its usability was evaluated by nurses, a questionnaire was answered, and it was compared to the analog MDA with patients in a pilot study. The usability of the app (System Usability Scale) was 95.18 ± 4.26, representing a very high usability. Furthermore, this app showed good clinical applicability. The results also showed that the digital MDA was accepted by nurses in their daily routine and was preferred to the analog MDA. A follow-up study with a higher number of subjects is highly recommended.

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Entwicklung und Validierung des „Mini Dental Assessment“

Cited by 3 publications

References 21 publications

Denture-related problems of patients in acute geriatric care

Denture-related problems of patients in acute geriatric care

Instrumentos de triagem odontológica para idosos institucionalizados: uma revisão de escopo

Development of a New Application-Based Chewing Efficiency Test (Mini Dental Assessment) and Its Evaluation by Nursing Staff in Geriatric Care: A Pilot Study

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