Oral mucosal lesions in a Chilean elderly population: A retrospective study with a systematic review from thirteen countries

Abstract

BackgroundThe oral examination is an essential part of the multidisciplinary medical care in elderly people. Oral mucosal lesions and normal variations of oral anatomy (OMLs) are very common in this people, but few studies have examined the frequency and prevalence of these conditions worldwide and less in Chile. The aim of this research was to evaluate the frequency of OMLs in a Chilean elderly population.Material and MethodsIt was conducted a retrospective study (Talca, Chile). Two hundred seventy-seven OMLs were classified in groups and anatomical sites. In order to contextualize our numbers, we made a systematic review using Publish or Perish software, Google Scholar and InteractiVenn.ResultsThe most prevalent OMLs groups were soft tissue tumors, epithelial pathology, facial pain and neuromuscular diseases, and dermatologic diseases. The most frequent OMLs included irritation fibroma (30 patients, 10.8%), hemangioma (20, 7.2%), burning mouth syndrome (20 cases, 7.2%), oral lichen planus (12, 4.3%) and epulis fissuratum (12, 4.3%). In the systematic review, 75 OMLs were relevant and the more studied pathologies were traumatic ulcerations (11 of 15 articles), oral lichen planus (10/15), irritation fibroma, melanotic pigmentations, and recurrent aphthous stomatitis (9/10, respectively). Considering all included articles, most frequent OMLs in elderly people included denture-related stomatitis (13.3%), irritation fibroma (8.7%) and fissured tongue (6.3%).ConclusionsThe results reflect the frequency of OMLs diagnosed in a specialized service in south of Chile and many countries around the world. These numbers will allow the establishment of preventive politics and adequacy of the clinical services. Key words:Oral mucosal lesions, elderly people, Chilean population, frequency, systematic review.

Medical Conditions and Oral Diseases in Elderly Thai Dental Patients in Lower Northern Thailand Patients in Lower Northern Thailan

“…The prevalence of oral mucosal lesions in older adults are varied among studies. 9,26 This finding may possibly be due to the different groups of patients. In this study, temporomandibular disorder and orofacial pain (trigeminal neuralgia and burning mouth syndrome) were found predominantly in female and in 1.6% of the patients.…”

Prevalence of oral mucosal lesions in young seniors in the Wrocław region

“…In many studies, the incidence of oral mucosal lesions is not assessed in random samples in cross-sectional or cohort studies, but is referred to people seeking treatment in a specialist center. 5,7,[22][23][24] In contrast to an epidemiological assessment, in a short observational study, the possibility of conducting additional tests significantly broadens the diagnostic possibilities. The morbidity of all deviations from the physiological state of the oral mucosa (including congenital abnormalities and disorders not requiring treatment) may then be very high, especially in the elderly, and reach even more than 90% in the age group over 70 years.…”

“…22 In turn, the most frequent pathologies requiring treatment in such observations were as follows: in Wrocław (Poland) -oral candidiasis in 25% of the examined patients, 7 in Bangkok (Thailand) -traumatic ulceration in 15.6% of the respondents 22 and in Talca (Chile) -fibroma in 10.8% of people aged over 60 years. 24 Even among the elderly who seek treatment, benign soft tissue tumors (fibroma, hemangioma and pyogenic granuloma epulis) may be the most common group of diseases, reaching up to 29% of diagnoses. 24 Of course, the exact verification of the diagnoses is possible only after a histopathological examination.…”

“…24 Even among the elderly who seek treatment, benign soft tissue tumors (fibroma, hemangioma and pyogenic granuloma epulis) may be the most common group of diseases, reaching up to 29% of diagnoses. 24 Of course, the exact verification of the diagnoses is possible only after a histopathological examination. A certain limitation in studying the incidence of oral mucosa diseases in random samples is the necessity of making only clinical diagnoses, which may be subject to error in some situations, for instance, in the differentiation of fibroma and papilloma, or leukoplakia and lichen planus located on the tongue.…”

Granuloma fissuratum in a user of removable prosthetic restorations - a case report. Medical and rehabilitation procedures.

“…Ziarniniak szczelinowaty jest zmianą o charakterze łagodnym, jednak w każdym przypadku powinien być diagnozowany w kierunku wykluczenia rozrostu nowotworowego. [1][2][3][4][5][6][7][8][9] Podstawową zasadą rehabilitacji protetycznej jest zapobieganie urazom podłoża protetycznego. 1 W profilaktyce powstania ziarniniaka szczelinowatego kluczowym elementem postępowania jest prawidłowe zaprojektowanie i wykonanie protez, a szczególnie czynnościowe ukształtowanie obrzeża ruchomych uzupełnień protetycznych.…”