Comment on “‘Chronic traumatic ulcer of lateral tongue’ – An underestimated ‘oral potentially malignant disorder’?”

Lazos, Jerónimo; Pánico, René; Gilligan, Gerardo; Piemonte, Eduardo

doi:10.1016/j.oraloncology.2018.12.026

Cited by 6 publications

(5 citation statements)

References 4 publications

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“…Piemonte and Lazos, often co-workers, report the most complete definition available in the current literature (Lazos et al, 2017(Lazos et al, ,2019Piemonte et al, 2010Piemonte et al, ,2018. Nevertheless, it may imply an overestimation of exposure.…”

Section: Discussionmentioning

confidence: 99%

“…For this reason, we applied in the present review highly restrictive criteria to define exposure to chronic trauma aiming to collect the most reliable evidence. Piemonte and Lazos, often co‐workers, report the most complete definition available in the current literature (Lazos et al, 2017 , 2019 ; Piemonte et al, 2010 , 2018 ). Nevertheless, it may imply an overestimation of exposure.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, all sources of trauma were jointly included, without considering the different impact of dental/prosthetic trauma when compared to parafunctional habits. More recently, in order to achieve rigorous methodological standards, the same authors stated that 'a tooth/denture could be a chronic mechanical irritation agent if and only if it actually produces a lesion on the oral mucosa' (Lazos et al, 2019). It means that in the absence of lesion no CMI can be F I G U R E 1 PRISMA flow diagram observed: this creates a short circuit preventing to know which came first, lesion or trauma?…”

Section: Discussionmentioning

confidence: 99%

“…Our approach in selecting the studies to be included in the review, certainly more restrictive and rigorous, highlights that there is still no strong, high-quality evidence to support a causative role of chronic mucosal trauma in oral carcinogenesis. Similarly, there is no evidence to consider chronic ulcer or chronic mucosal irritation, as part of OPMDs as suggested by some authors (Lazos et al, 2019;Panta et al, 2018). Of course, the detection of chronic trauma should lead to its removal as a good clinical practice, but labelling conditions of dental or denture related trauma as OPMDs would leave pass to misconceptions in pathogenesis and potentially dangerous medicolegal issues.…”

Section: Discussionmentioning

confidence: 99%

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Chronic mechanical trauma/irritation and oral carcinoma: A systematic review showing low evidence to support an association

et al. 2021

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Oral squamous cell carcinoma (OSCC) is the most frequent malignant neoplasia of the oral cavity.Several risk factors have been associated with the development of OSCC; first of all, smoked or chewed tobacco (with or without betel/areca nut) as well as alcohol consumption are currently considered the two most important risk factors implicated in the aetiology of OSCC (Jemal et al., 2011).High risk oncogenic human papillomaviruses (HPV) are also associated with oropharyngeal squamous cell carcinoma, with increasing incidence in developed countries (Gillison et al., 2015).

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Chronic mechanical trauma/irritation and oral carcinoma: A systematic review showing low evidence to support an association

et al. 2021

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“…Most of the Chinese elderly people believed that they could use dentures to replace tooth loss [11,16]. In terms of denture care, the Chinese elderly people may not be aware of severe potential oral health consequences due to unfit dentures, such as oral cancer [29,30]. Due to their misunderstanding or overconfidence in ingrained misconceptions, elderly people may not be able to maintain their oral health properly.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Knowledge, Attitudes, and Practices Related to Oral Care Among the Elderly in Hong Kong Community

Wong

2020

IJERPH

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Background: The oral health of elderly populations is a significant concern, as it is closely linked to general health and health-related quality of life. Poor oral health exacerbates oral diseases, leading to an increased risk of non-communicable diseases and self-care dependence, particularly in the elderly, worldwide. Knowledge, attitudes, and practices (KAP) play influential roles in individual oral care. However, the evidence of KAP related to oral care among the elderly is still inadequate. Objective: This study aimed to examine KAP and their associated factors related to oral care among the elderly community. Methods: A cross-sectional descriptive design was used. The eligible subjects were recruited, using convenience sampling and snowball sampling. Results: A total of 385 elderly individuals were included, and 51.4% were women. The mean age was 71.66 (SD 6.28). Knowledge was reportedly poor, as more than 50% elderly answered several questions incorrectly. The mean attitude and practices scores were 44.94 (SD 6.33) and 68.90 (SD 10.44), respectively. There was a significant correlation among knowledge, attitudes, and practices (p < 0.001). Multivariable regression analysis revealed numerous factors had remarkably significant association with knowledge [R2 = 0.30, F (4,380) = 11.96, p < 0.001], attitudes [R2 = 0.28, F (6,378) = 9.27, p < 0.001], and practices [R2 = 0.31, F (5,379) = 12.34, p < 0.001], particularly education levels, full-time employment, and self-care independence. Conclusions: Based on the KAP theoretical model, KAP are closely interrelated. Identified factors associated with KAP are useful to understand at-risk groups. Elderly individuals at lower education levels, with poor family support and inadequate self-care independence, have poor KAP related to oral care. Therefore, this study improves insight for health promotion developers, suggesting that more attention should be paid to at-risk elderly groups’ oral health. To enhance participation in dental care and improve oral care performance in the elderly, educational program containing oral health knowledge should be offered to at-risk groups. Family support and involvement are also important for improving oral care among elderly individuals.

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Oral squamous cell carcinoma arising from chronic traumatic ulcers

et al. 2022

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Comment on “‘Chronic traumatic ulcer of lateral tongue’ – An underestimated ‘oral potentially malignant disorder’?”

Cited by 6 publications

References 4 publications

Chronic mechanical trauma/irritation and oral carcinoma: A systematic review showing low evidence to support an association

Chronic mechanical trauma/irritation and oral carcinoma: A systematic review showing low evidence to support an association

Factors Associated with Knowledge, Attitudes, and Practices Related to Oral Care Among the Elderly in Hong Kong Community

Oral squamous cell carcinoma arising from chronic traumatic ulcers

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