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

Acta Odontol Scand. 2024 Dec 16:83:672-681. doi: 10.2340/aos.v83.42487.

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.

Publication types

  • Validation Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Dental Care for Aged
  • Female
  • Geriatric Assessment / methods
  • Humans
  • Male
  • Oral Health
  • Referral and Consultation*

Grants and funding

Funding statement Our research project ‘Sûne Mûle’ was granted with financial support for 3 years by NGO ‘De Friesland’. This NGO was not involved in data collection or analysis.