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

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

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

Conditions
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Oral Screening for Elderly in Aged Care Homes

Intervention / Treatment
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* Diagnostic Test: Teledentistry


Participation Criteria
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Eligibility Criteria
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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.
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Diagnostic Test: Teledentistry|Teledentistry using mobile photographs|

What is the study measuring?
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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 |