Wöstmann B, Seelbach M, Seelbach P, Podhorsky A, Kolb G F, Bretzel R G, Rehmann P
Department of Prosthodontics, Justus-Liebig-University, Giessen, Germany.
Poliklinik für Zahnärztliche Prothetik, Justus-Liebig-Universität, Schlangenzahl 14 D-35392, Gießen, Germany.
Clin Oral Investig. 2017 Jun;21(5):1457-1464. doi: 10.1007/s00784-016-1906-0. Epub 2016 Jul 11.
The objective of this study was to develop a simple tool for the assessment of possible dental treatment needs (DTN) for non-dental professionals (Mini Dental Assessment, MDA). To keep the assessment universal, we aimed to base it on the patient's history and a simple chewing efficiency test (CET) as the dental status is a known determinant for chewing efficiency.
MATERIALS & METHODS: The assessment was developed using data from 169 patients from two sites (University Hospital Giessen, St. Bonifatius Hospital Lingen, both Germany). In all patients, a dental examination was performed, the denture status was evaluated (based on the California Dental Association criteria; CDA criteria), and the DTN was determined. In addition, the time since the patient's last visit to a dentist (TLVD) and denture age (DA) were assessed. Furthermore, a CET was carried out and the comminution score was determined (CETS).
In total, 108 patients required dental treatment. The mean value (±SD) was 2.9 ± 0.9 score points for the DTN, 2.5 ± 3.8 years for the TLVD, and 10.8 ± 8.9 years for the DA. There was a significant correlation (Spearman, P < .05) between the DTN and degree of comminution (3.4 ± 1.8). Based on the results of the statistical analysis, the intended assessment tool was developed using the variables CETS, TLVD, and DA weighed by their respective regression coefficients (10:3:1). Subsequently, the resulting MDA score (51.32 ± 28.14) was calculated. A sensitivity/specificity analysis was conducted and a receiver operating characteristic curve was calculated (SPSS 17.0, area under curve 0.805; 95 % CI 0.738-0.873).
It can be concluded that the dental status of elderly patients is reflected in the outcome of the MDA. However, ongoing validation is needed.
DRKS00003219.
本研究的目的是为非牙科专业人员开发一种简单的工具，用于评估可能的牙科治疗需求（DTN）（迷你牙科评估，MDA）。为使评估具有通用性，鉴于牙齿状况是咀嚼效率的已知决定因素，我们旨在基于患者病史和简单的咀嚼效率测试（CET）进行评估。
该评估采用来自德国吉森大学医院和林根圣博尼法提乌斯医院两个地点的169名患者的数据进行开发。对所有患者进行了牙科检查，评估了义齿状况（基于加利福尼亚牙科协会标准；CDA标准），并确定了DTN。此外，评估了患者上次看牙医的时间（TLVD）和义齿使用年限（DA）。此外，进行了CET并确定了粉碎评分（CETS）。
总共108名患者需要牙科治疗。DTN的平均值（±标准差）为2.9±0.9分，TLVD为2.5±3.8年，DA为10.8±8.9年。DTN与粉碎程度（3.4±1.8）之间存在显著相关性（Spearman，P<.05）。根据统计分析结果，使用变量CETS、TLVD和DA及其各自的回归系数（10:3:1）加权开发了预期的评估工具。随后，计算得出MDA评分（51.32±28.14）。进行了敏感性/特异性分析并计算了受试者工作特征曲线（SPSS 17.0，曲线下面积0.805；95%CI 0.738 - 0.873）。
可以得出结论，老年患者的牙齿状况反映在MDA的结果中。然而，仍需要进行持续验证。
DRKS00003219。
