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

Article Article scientifique Article A novel prosthesis presentation test to screen for cognitive and functional decline eng 2023-08-16 2023-08-16 author Srinivasan Murali 0000-0003-3365-576X Clinic of General, Special Care and Geriatric Dentistry, Center of Dental Medicine University of Zurich Zurich Switzerland 742760 author Duong Stephan Division of Gerodontology and Removable Prosthodontics University Clinics of Dental Medicine, University of Geneva Geneva Switzerland 753619 author Trombert Véronique Florence Division of Internal Medicine for the aged, Department of Rehabilitation and Geriatrics Geneva University Hospitals Thônex Switzerland 34823 dept de réadaptation et gériatrie (MIGRG) author Kalberer Nicole Division of Gerodontology and Removable Prosthodontics University Clinics of Dental Medicine, University of Geneva Geneva Switzerland 783593 author Zekry Berger Dina Selma Division of Internal Medicine for the aged, Department of Rehabilitation and Geriatrics Geneva University Hospitals Thônex Switzerland 134897 dept de réadaptation et gériatrie (MIGRG) author Herrmann François 0000-0003-1312-1517 Division of Geriatrics and Rehabilitation, Department of Rehabilitation and Geriatrics Geneva University Hospitals Thônex Switzerland 70980 dept de réadaptation et gériatrie (MIGRG) author Delavy Joris Division of Gerodontology and Removable Prosthodontics University Clinics of Dental Medicine, University of Geneva Geneva Switzerland 802840 author Gold Gabriel Department of Rehabilitation and Geriatrics University of Geneva Geneva Switzerland 135308 Décanat et administration de la faculté de médecine (ADMED) author Muller Frauke 0000-0003-3981-0134 Division of Gerodontology and Removable Prosthodontics University Clinics of Dental Medicine, University of Geneva Geneva Switzerland 135177 CUMD - Division de gérodontologie et prothèse adjointe - communs (DGPA) ger.12708 10.1111/ger.12708 37584635 0734-0664 https://onlinelibrary.wiley.com/doi/10.1111/ger.12708 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. Cognitive decline Dementia Geriatric dentistry Gerodontology Mild cognitive impairment Removable prosthesis Dewey 617.6 Dewey 618.97 65 Département de réadaptation et gériatrie 22B 212 Division de gérodontologie et prothèse adjointe 24Q3 false 467 Groupe de recherche Frauke Müller 797 312 Démence du sujet âgé, troubles cognitifs, la symptomatologie cognitive 577 Gerodontology a2d5f874-075e-4fd7-b317-cdb937a367c9 Article (Published version) Public 2023-Srinivasan-Gerodontology.pdf 1226109 application/pdf CC BY-NC-ND-4.0 e4986f3255df6b67ac2a0872657c7f5dd5f1668d7c672a2326c63ad359045322 eab82e56-f800-4e91-8c42-9baf5808fd1d Supplemental data Public ger12708-sup-0001-appendixs1.doc 120832 application/msword f747c5e1eb0acc27825395c351e8bc7034d41a434b13e49d9fafeab7f3792f52 openAccess Faculté de médecine / Section de médecine clinique / Département de réadaptation et gériatrie Faculté de médecine / Section de médecine dentaire / Département de réhabilitation oro-faciale / Division de gérodontologie et prothèse adjointe

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