Accuracy of Teledentistry Versus Direct Oral Examination for Elderly in Aged-Care Homes: A Pilot Cross-Sectional Study

Diagnostic Accuracy of Teledentistry Versus Direct Oral Examination of Elderly in Aged-Care Homes: A Pilot Cross-Sectional Study

The residents will receive oral health education, then three examiners ( licensed dentists ) will perform the direct oral examination of the participants. During the same visit, a dental student will take the intraoral photographs in the aged care home.

Later, three different blinded examiners (licensed dentists) will assess the intraoral photographs of the same group of participants. The participant's dentition will be examined using the scores developed by the World Health Organization (WHO) for oral health surveys. Also, the examiners will perform a visual inspection of the oral mucosa for any signs of oral potentially malignant disorders (OPMD), as the mortality of high-risk populations is proven to be reduced by visual oral cancer screening.

Finally, the residents who require treatment will be referred to Kasr EL Ainy dental hospital to receive dental treatments.

Study Overview

• Status: Recruiting
• Conditions: Oral Screening for Elderly in Aged Care Homes
• Intervention / Treatment: Diagnostic test: Teledentistry

Detailed Description

The residents will receive oral health education, by three examiners ( licensed dentists ) with a t least 5 years experience. Then the same examiner will perform the direct oral examination of the participants. They will fill the dentition status, denture status, oral lesions and intervention urgency section of the World Health Organization (WHO) form 2013 version.

During the same visit, a dental student will take the intraoral photographs in the aged care home. The photographs will include 5 views (upper occlusal, lower occlusal , frontal, right lateral and left lateral).

The photographs will be uploaded on one drive and later, three different blinded examiners (licensed dentists) will assess the intraoral photographs of the same group of participants. The participant's dentition will be examined using the scores developed by the World Health Organization (WHO) for oral health surveys. Also, the examiners will perform a visual inspection of the oral mucosa for any signs of oral potentially malignant disorders (OPMD), as the mortality of high-risk populations is proven to be reduced by visual oral cancer screening.

Finally, the residents who require treatment will be referred to Kasr EL Ainy dental hospital to receive dental treatments.

• Study Type: Observational
• Enrollment (Estimated): 30

Contacts and Locations

• Study Contact: Name: Mennatollah N. Sharkawy; Phone Number: +201278228778; Email: MenaAllah.Nagy@dentistry.cu.edu.eg

Study Locations

• Egypt
  • Giza, Egypt
    • Completed
    • Dar El Sahwa Elderly Home
  • Giza, Egypt
    • Recruiting
    • Khadmat El Mogtamaa Elderly Home
    • Contact: Dalia

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

The participants are elderly living in aged care homes in Egypt who must be able to communicate with the examiner and must be able to give consent to participate in the study.

Description

Inclusion Criteria:

• Elderly living in aged care homes in Egypt
• Have the ability to communicate with the examiner
• Have the ability to give consent to participate in the study.

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Dentition status	Feasibility of tele dentistry mobile photographic method to assess the dentition status of the elderly living in elderly homes will be measured by comparing the tele dentistry method with the direct oral examination .The scores of the World Health Organization (WHO) assessment forms of oral health will be used with the crowns. Also, the dentures section will be used to record the presence or absence of partial or complete dentures in both jaws.	January- December 2023

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Oral Mucosal lesions	Signs for Oral potentially malignant disorders OPMD visible in the photographic views and direct examination will be recorded in the section of the oral mucosal lesions in the assessment form .This will be performed by the direct examiners and the tele dentistry examiners to compare both methods of examination.	January- December 2023

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Intervention Urgency	The intervention urgency section in the World Health Organization (WHO) form will be used for the assessment of the triaging of the elderly.	January- December 2023

Collaborators and Investigators

• Sponsor: Cairo University

Study record dates

Study Major Dates

• Study Start (Actual): January 31, 2023
• Primary Completion (Estimated): December 1, 2023
• Study Completion (Estimated): December 1, 2023

Study Registration Dates

• First Submitted: October 29, 2021
• First Submitted That Met QC Criteria: October 29, 2021
• First Posted (Actual): November 1, 2021

Study Record Updates

• Last Update Posted (Actual): September 14, 2023
• Last Update Submitted That Met QC Criteria: September 12, 2023
• Last Verified: September 1, 2023

More Information

Terms related to this study

• Other Study ID Numbers: Teledentistry for Elderly

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No