2020
DOI: 10.3390/ijerph17031065
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Prevalence of Oral Mucosal Lesions and Relation to Serum Cotinine Levels—Findings from a Cross-Sectional Study in South Africa

Abstract: Oral mucosal lesions (OML) can decrease oral health-related quality of life and some have the potential to become malignant. The aim of the present study was to report the prevalence of OML in relation to age, sex, and serum cotinine levels in a population with mixed ancestry from South Africa. This study is part of the Cape Town Vascular and Metabolic Health (VHM) study, conducted between 2014–2016. Trained dental examiners assessed the oral mucosa for the presence of OML according to WHO criteria. In total, … Show more

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Cited by 9 publications
(8 citation statements)
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References 35 publications
(40 reference statements)
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“…To date, some studies have examined the epidemiology of OMD, but the prevalence rates are inconsistent in older adults across studies. The prevalence of OMD in older adults aged 60 and above is relatively high, ranging from 29.0% in Iran, over 33.3% in Australia, 41.2% in the USA, to 53% in Chile [35][36][37][38][39]. The pooled prevalence of OMD in this meta-analysis is significantly lower than the corresponding figures (29%-53%) reported from most of the Western countries, but not all (2%-3% in South Africa) [37].…”
Section: Discussioncontrasting
confidence: 65%
See 1 more Smart Citation
“…To date, some studies have examined the epidemiology of OMD, but the prevalence rates are inconsistent in older adults across studies. The prevalence of OMD in older adults aged 60 and above is relatively high, ranging from 29.0% in Iran, over 33.3% in Australia, 41.2% in the USA, to 53% in Chile [35][36][37][38][39]. The pooled prevalence of OMD in this meta-analysis is significantly lower than the corresponding figures (29%-53%) reported from most of the Western countries, but not all (2%-3% in South Africa) [37].…”
Section: Discussioncontrasting
confidence: 65%
“…The prevalence of OMD in older adults aged 60 and above is relatively high, ranging from 29.0% in Iran, over 33.3% in Australia, 41.2% in the USA, to 53% in Chile [35][36][37][38][39]. The pooled prevalence of OMD in this meta-analysis is significantly lower than the corresponding figures (29%-53%) reported from most of the Western countries, but not all (2%-3% in South Africa) [37]. The discrepancy of the OMD rate between Chinese and Western studies in older adults could be due to several reasons.…”
Section: Discussionmentioning
confidence: 99%
“…Each year, tobacco use is responsible for approximately 8 million deaths worldwide, including 7 million deaths among persons who use tobacco and 1.2 million deaths among nonsmokers exposed to secondhand smoke (SHS) 19 . In addition to being associated with a number of cancers and coronary conditions, tobacco plays a role in the etiology of a number of oral conditions; tobacco exposes the oral cavity to toxic carcinogens that have a role in initiation and promotion of cancer 20 as well as leukoplakia, periodontitis, and delayed wound healing 21 . The dental practice setting thus provides a unique opportunity to assist tobacco users in achieving tobacco abstinence 17 .…”
Section: Discussionmentioning
confidence: 99%
“…However, nicotine has a short half-life, making it difficult to be used as a marker of exposure to cigarette smoke. On the other hand, cotinine, a metabolite of nicotine, has a long half-life of approximately 10-20 hours (22,23) and has been used in several studies to assess smoking status (24,25). Therefore, serum cotinine levels were used as an objective index in the present study.…”
Section: Introductionmentioning
confidence: 99%