TABLE 1.

The variables and the ratings of the nine items in ROAG‐J in Senior Alert

Grade	Voice	Lips	Mucous membranes
0	Not applicable to judge	–	–
1	Normal	Smooth, bright red, moist	Bright red, moist
2	Dry, hoarse, smacking	Dry, cracked, sore corners of the mouth	Red, dry, or areas of discoloration, coating
3	Difficulty speaking	Ulcerated, bleeding	Wounds with or without bleeding, blisters

	Tongue	Gums	Teeth
0	–	No gums, only oral mucosa	No natural teeth
1	Pink, moist with papillae	Light red and solid	Clean, no visible coating or food debris
2	No papillae, red, dry, coating	Swollen, reddened	Coating or food debris locally
3	Ulcers with or without bleeding, blistering	Spontaneous bleeding	Coating or food debris generally, broken teeth

	Dentures	Saliva	Swallowing
0	No prosthetics	–	Not applicable to judge
1	Clean, functioning	Runs freely	Unimpeded swallowing
2	Coating or food debris	Runs sluggishly	Minor swallowing problems
3	Not used or malfunctioning	Does not run at all	Pronounced swallowing problems

Grades 0 = not relevant to assess , 1 = healthy or normal condition, 2 = Moderate changes or divergence, 3 = Severe changes or divergence.