Ako Kazuki, Suzuki Hiroyuki, Watanabe Masataka, Suzuki Hosei, Namikawa Kae, Hirayama Mana, Yamane Kunihito, Mukai Tomoko, Hatanaka Yukiko, Furuya Junichi
Department of Oral Function Management, Graduate School of Dentistry, Showa University, 2-1-1 Kitasenzoku, Ota-ku, Tokyo 145-8515, Japan.
Division of Oral Function Management, Department of Oral Health Management, School of Dentistry, Showa University, 2-1-1 Kitasenzoku, Ota-ku, Tokyo 145-8515, Japan.
Geriatrics (Basel). 2024 Oct 17;9(5):135. doi: 10.3390/geriatrics9050135.
BACKGROUND/OBJECTIVES: Many older adults who require long-term care need oral health management. However, access to dental care is limited, and connecting older patients with dental professionals is a future challenge. Therefore, the development of a remote oral health assessment system is required. This study aimed to investigate the usefulness of video-based oral health assessments in older adults residing in facilities.
This study comprised 60 older adults residing in facilities who consented to dental home visit treatment by the Department of Oral Function Management at Showa University Dental Hospital between July 2021 and December 2022. The Oral Health Assessment Tool (OHAT) was used to evaluate the oral health status at the facilities by one dentist. The concordance of the oral health assessments conducted by this dentist at the facilities (OHAT-B) was compared with those conducted by the same dentist (OHAT-V1) and two other dentists (OHAT-V2 and V3) using approximately 1 min video recordings of the oral cavity taken with a mobile electronic device.
On the OHAT total score, the intraclass correlation coefficient (ICC [1.1]) for OHAT-B and V1 was 0.931; the ICC (2.1) was 0.889 when compared with V2 and 0.788 when compared with V3. Moreover, the comparison between V2 and V3 showed high agreement, with an ICC (2.1) of 0.750.
This study revealed that the oral health assessment of older adults residing in facilities using video recordings of the oral cavity taken with a mobile electronic device may be possible, suggesting the possibility of remote oral health assessment.
背景/目的：许多需要长期护理的老年人需要口腔健康管理。然而，获得牙科护理的机会有限，将老年患者与牙科专业人员联系起来是未来的一项挑战。因此，需要开发一种远程口腔健康评估系统。本研究旨在调查基于视频的口腔健康评估对居住在机构中的老年人的有用性。
本研究纳入了60名居住在机构中的老年人，他们在2021年7月至2022年12月期间同意接受昭和大学牙科医院口腔功能管理部的上门牙科治疗。由一名牙医使用口腔健康评估工具（OHAT）在机构中评估口腔健康状况。将该牙医在机构中进行的口腔健康评估（OHAT-B）与使用移动电子设备拍摄的约1分钟口腔视频由同一名牙医（OHAT-V1）以及另外两名牙医（OHAT-V2和V3）进行的评估进行比较。
在OHAT总分方面，OHAT-B和V1的组内相关系数（ICC[1.1]）为0.931；与V2比较时ICC（2.1）为0.889，与V3比较时为0.788。此外，V2和V3之间的比较显示一致性较高，ICC（2.1）为0.750。
本研究表明，使用移动电子设备拍摄的口腔视频对居住在机构中的老年人进行口腔健康评估是可行的，这表明远程口腔健康评估具有可能性。
