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A novel prosthesis presentation test to screen for cognitive and functional decline


Srinivasan, Murali; Duong, Stephan; Trombert, Veronique; Kalberer, Nicole; Zekry, Dina; Herrmann, François R; Delavy, Joris; Gold, Gabriel; Müller, Frauke (2023). A novel prosthesis presentation test to screen for cognitive and functional decline. Gerodontology:Epub ahead of print.

Abstract

Objectives and background
To validate a novel screening test for cognitive and functional decline in older patients rehabilitated with complete removable dental prostheses (CRDPs).

Materials and methods
Edentate old in‐patients rehabilitated with CRDPs were included in this study. Participants were requested to remove their prostheses before their intraoral examinations. The prostheses were then presented in an inverted orientation. Participants had to correct the orientation of the prostheses and insert them in the appropriate jaws. The test was repeated after the intraoral exam. Appropriate statistical models were used (⍺ = .05) to associate the test results with the participants' mini‐mental state examination (MMSE) score, functional independence measure (FIM), age and sex.

Results
Among the 86 participants (mean‐age: 85.4 ± 6.4 years; mean MMSE: 19.8 ± 5.5; mean FIM: 77.9 ± 20.8), 21 (24.4%) failed to correctly insert the prosthesis. The prosthesis presentation test (PPT) was associated with the FIM but not the MMSE. Regression models further confirmed an association with age (P = .043), but not sex. Additional analyses revealed the PPT test is associated with the FIM's cognitive sub‐sets of memory, problem solving and social interaction.

Conclusion
The PPT is a novel, simple and quick screening tool that can help detect functional difficulties in older people. It can easily be performed during an oral examination. Future studies are needed to determine whether the PPT can be used to detect deficits in executive function, as a complement to the MMSE and also as a first assessment of a patient's ability to manage dentures independently.

Abstract

Objectives and background
To validate a novel screening test for cognitive and functional decline in older patients rehabilitated with complete removable dental prostheses (CRDPs).

Materials and methods
Edentate old in‐patients rehabilitated with CRDPs were included in this study. Participants were requested to remove their prostheses before their intraoral examinations. The prostheses were then presented in an inverted orientation. Participants had to correct the orientation of the prostheses and insert them in the appropriate jaws. The test was repeated after the intraoral exam. Appropriate statistical models were used (⍺ = .05) to associate the test results with the participants' mini‐mental state examination (MMSE) score, functional independence measure (FIM), age and sex.

Results
Among the 86 participants (mean‐age: 85.4 ± 6.4 years; mean MMSE: 19.8 ± 5.5; mean FIM: 77.9 ± 20.8), 21 (24.4%) failed to correctly insert the prosthesis. The prosthesis presentation test (PPT) was associated with the FIM but not the MMSE. Regression models further confirmed an association with age (P = .043), but not sex. Additional analyses revealed the PPT test is associated with the FIM's cognitive sub‐sets of memory, problem solving and social interaction.

Conclusion
The PPT is a novel, simple and quick screening tool that can help detect functional difficulties in older people. It can easily be performed during an oral examination. Future studies are needed to determine whether the PPT can be used to detect deficits in executive function, as a complement to the MMSE and also as a first assessment of a patient's ability to manage dentures independently.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Center for Dental Medicine > Klinik für Allgemein-, Behinderten- und Seniorenzahnmedizin
Dewey Decimal Classification:610 Medicine & health
Scopus Subject Areas:Health Sciences > General Dentistry
Health Sciences > Geriatrics and Gerontology
Uncontrolled Keywords:Geriatrics and Gerontology, General Dentistry
Language:English
Date:16 August 2023
Deposited On:10 Jan 2024 15:49
Last Modified:30 Apr 2024 01:46
Publisher:Wiley-Blackwell Publishing, Inc.
ISSN:0734-0664
Additional Information:This is the peer reviewed version of the following article: Srinivasan, Murali; Duong, Stephan; Trombert, Veronique; Kalberer, Nicole; Zekry, Dina; Herrmann, François R; Delavy, Joris; Gold, Gabriel; Müller, Frauke (2023). A novel prosthesis presentation test to screen for cognitive and functional decline. Gerodontology:1-6, which has been published in final form at https://doi.org/ 10.1111/ger.12708. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. (http://www.wileyauthors.com/self-archiving)
OA Status:Hybrid
Free access at:Publisher DOI. An embargo period may apply.
Publisher DOI:https://doi.org/10.1111/ger.12708
PubMed ID:37584635
  • Content: Published Version
  • Language: English
  • Licence: Creative Commons: Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)