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Odovtos - International Journal of Dental Sciences

2024, Number 2

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Odovtos-Int J Dent Sc 2024; 26 (2)

Prevalence of Lesions and Oral Mucosal Normal Variations in an Elderly Population in Costa Rica

Fernández-Chaves JM, Boza-Oreamuno YV, Masís-Monestel C, Lau-Sánchez N

Language: English
References: 51
Page: 113-127
PDF size: 460.21 Kb.


ABSTRACT

To establish the prevalence of oral mucosal lesions and normal variations in a population of older adults. This observational study was conducted from 2015 to 2016 and involved 156 participants from Los Guido (San José, Costa Rica). The participants’ sociodemographic information, risk factors, comorbidity, and clinical examination were evaluated and analyzed descriptively and qualitatively. Findings in oral mucosa were found to preferentially affect women (n=111; 71%) and individuals between the ages of 60 and 69 years (n=65; 42%), having smoking as a risk factor (n=67; 43%), and suffering from arterial hypertension (n=101; 65%). Intraoral findings were mainly presented together with variations from normal and pathology (n=71; 46%), predominantly one variation from normal (n=67; 33%) and one pathology (n=51; 43%). The most prevalent normal variations were the saburral tongue, lingual varicose veins, and cryptic tonsils. Infectious diseases (n=33; 21%), potentially malignant disorders (n=30; 19%), and physical and chemical injuries (n=18; 12%) were the most prevalent groups. The four most predominant lesions were prosthetic stomatitis, actinic cheilitis, frictional keratosis, and atrophic glossitis. The differences in pathological groups were not statistically significant (p=0.392) when comparing the frequency ratio by sex. Variations of the normal anatomy are the predominant ones, the saburral tongue being the most prevalent individually; among the pathologies, the most remarkable group was the infectious diseases, and prosthetic stomatitis was the most frequent. The information about this subject in Costa Rica is limited. So it is important to conduct more studies that contribute to the oral health of the elderly population in this area.


REFERENCES

  1. Zhavoronkov A., Li R., Ma C., MamoshinaP. Deep biomarkers of aging and longevity:from research to applications. Aging (AlbanyNY). 2019 Nov 11; 11 (22): 10771.

  2. United Nations. World Population Prospects:The 2022 Revision. Methodology of theUnited Nations Population Estimates andProjections. Econ Soc Aff. 2022; 6 (July2022): 54.

  3. Demográficamente, población costarricensese encuentra en proceso de envejecimiento |Ministerio de Planificación Nacional y PolíticaEconómica [Internet]. [cited 2022 Oct 16].Available from: https://www.mideplan.go.cr/demograficamente-poblacion-costarricensese-encuentra-en-proceso-de-envejecimiento

  4. Radwan-Oczko M., Bandosz K., Rojek Z.,Owczarek-Drabińska J.E. Clinical Study ofOral Mucosal Lesions in the Elderly-Prevalenceand Distribution. Int J Environ ResPublic Health. 2022 Mar 1; 19 (5): 1-10.

  5. Marcia Hortensia Corona Carpio D., DraRuth Ramón Jimenez I., Wiljer UrgellésMatos I. Lesiones de la mucosa bucal enadultos mayores con prótesis dentales totales.Medisan. 2017; 21 (7): 813-8.

  6. Maturana-Ramírez A., Adorno-Farías D.,Reyes-Rojas M., Farías-Vergara M., Aitken-Saavedra J. A retrospective analysis of reactivehyperplastic lesions of the oral cavity: studyof 1149 cases diagnosed between 2000 and2011, Chile. Acta Odontol Latinoam. 2015;28 (2): 103-7.

  7. Boza Oreamuno Y., López Soto A. Análisisretrospectivo de las lesiones de la mucosa oralentre 2008-2015 en el internado clínico deodontología de la Universidad de Costa Rica.Poblac Salud Mesoam. 2019; 16 (2): 1-18.

  8. Bagan J., Sarrion G., Jimenez Y. Oral cancer:clinical features. Oral Oncol. 2010 Jun; 46(6): 414-7.

  9. Shulman J.D., Beach M.M., Rivera-HidalgoF. The prevalence of oral mucosal lesionsin U.S. adults: data from the Third NationalHealth and Nutrition Examination Survey,1988-1994. J Am Dent Assoc. 2004 Sep; 135(9): 1279-86.

  10. Castellanos J.L., Diaz-Guzman L. Lesions ofthe oral mucosa: an epidemiological study of23785 Mexican patients. Oral Surg Oral MedOral Pathol Oral Radiol Endod. 2008 Jan;105 (1): 79-85.

  11. Barboza I., Camacho A., Gutiérrez G., TacsanL. Epidemiología del cáncer bucal en CostaRica en el período de 1981-1994. Seminario degraduación. Costa Rica: Facultad de Odontología,Universidad de Costa Rica; 1997.

  12. Lao Gallardo W., Sobalvarro Mojica K.Egresos hospitalarios debidos a enfermedadesde las glándulas salivales, CCSS, CostaRica, 1997 al 2015. Odontología Vital. 2018;28: 41-50.

  13. Lao Gallardo W., Melendez Bolaños R.,Herrera Jiménez A. Estudio descriptivo decáncer bucal en los egresos hospitalarios dela Caja Costararricense de Seguro Social enlos años 2001 a 2008. Rev Cient Odontol.2010; 6 (2): 52-8.

  14. Boza Oreamuno Y.V., López Soto A. Correlationof Clinical and HistopathologicalDiagnosis of Oral Mucosa Lesions at theUniversity of Costa Rica Between 2008 and2015. Odovtos - International Journal ofDental Sciences. 2020; 23 (3): 407-415.

  15. Allen C.M. Examination of the oral cavityand identification of normal variants. DermatolTher. 2002; 15 (3): 174-8.

  16. Hernández Carazo D., Solano Romero K.,Torres Guevara E., Trejos Cisneros J.J.,Fernández Chaves J.M. Determinación dela simbología más utilizada en expedientesodontológicos en Costa Rica en el año 2019con fines de identificación de seres humanos.Med leg Costa Rica. 2020; 37 (1): 179-91.

  17. Fernández Chaves J.M. Utilidad de expedientesodontológicos disponibles en Costa Ricaen el año 2018 para la identificación devíctimas de desastres según el protocolo deINTERPOL. Medicina Legal de Costa Rica.2019; 36 (1): 32-42.

  18. Neville B.W., Damm D.D., Allen C.M., ChiA.C. Oral and Maxillofacial Pathology. 4thed. Saunders; 2015. 928 p.

  19. Thompson L.A., Chen H. Physiologyof Aging of Older Adults Systemic andOral Health Considerations. Clin GeriatrMed [Internet]. 2023 [cited 2023 Jul 23];39: 225-34. Available from: https://doi.org/10.1016/j.cger.2023.01.009

  20. Carvalho M. de V., Iglesias D.P.P., do NascimentoG.J.F., Sobral A.P.V. Epidemiologicalstudy of 534 biopsies of oral mucosal lesionsin elderly Brazilian patients. Gerodontology.2011 Jun; 28 (2): 111-5.

  21. Corrêa L., Frigerio M.L.M.A., SousaS.C.O.M., Novelli M.D. Oral lesions inelderly population: a biopsy survey using 2250histopathological records. Gerodontology[Internet]. 2006 Mar 1 [cited 2022 Nov 2]; 23(1): 48-54. Available from: https://onlinelibrary-wiley-com.ezproxy.sibdi.ucr.ac.cr/doi/full/10.1111/j.1741-2358.2006.00090.x

  22. Guedes M.M., Albuquerque R., Monteiro M.,Lopes C.A., do Amaral J.B., Pacheco J.J., etal. Oral soft tissue biopsies in Oporto, Portugal:An eight year retrospective analysis. JClin Exp Dent. 2015 Dec; 7 (5): e640-8.

  23. Sixto-Requeijo R., Diniz-Freitas M., Torreira-Lorenzo J.C., García-García A., Gándara-Rey J.M. An analysis of oral biopsies extractedfrom 1995 to 2009, in an oral medicineand surgery unit in Galicia (Spain). MedOral Patol Oral Cir Bucal. 2012 Jan; 17 (1):e16-22.

  24. Zanin A.A., Herrera L.M., Melani R.F.H.Civil liability: characterization of the demandfor lawsuits against dentists. Braz Oral Res[Internet]. 2016 Aug 18 [cited 2021 Sep 1];30 (1). Available from: http://www.scielo.br/j/bor/a/8njjNnScdJP6hmQmyZ8Qq5g/?lang=en

  25. De Lima Saintrain M.V., Holanda T.G.,Bezerra T.M.M., De Almeida P.C. Prevalenceof soft tissue oral lesion in elderly andits relations with deleterious habits. Gerodontology.2012; 29 (2): 130-4.

  26. Silva L.P., Leite R.B., Sobral A.P.V., ArrudaJ.A., Oliveira L.V., Noronha M.S., et al.Oral and Maxillofacial Lesions Diagnosedin Older People of a Brazilian Population: AMulticentric Study. J Am Geriatr Soc [Internet].2017 Jul 1 [cited 2022 Nov 2]; 65 (7):1586-90. Available from: https://onlinelibrary-wiley-com.ezproxy.sibdi.ucr.ac.cr/doi/full/10.1111/jgs.14815

  27. Vega M.J., Bedregal G.P., Jadue H.L.,Delgado B.I. Equidad de género en el accesoa la atención de salud en Chile. Rev MedChil. 2003 Jun; 131 (6): 669-78.

  28. González Barrón S., Jiménez Corona M.E.,Triana Estrada J., Ureña Ciret J.L., GarcíaHernández J., Carrillo Rocha J. de D., et al.Recomendaciones para mejorar la prácticaodontológica. Revista CONAMED, ISSN-e1405-6704, Vol 8, No 1 (Enero-Marzo),2003, págs 29-38.

  29. Pinchi V., Varvara G., Pradella F., Focardi M.,Donati M., Norelli G. Analysis of ProfessionalMalpractice Claims in Implant Dentistryin Italy from Insurance Company TechnicalReports, 2006 to 2010. Int J Oral MaxillofacImplants. 2014 Sep; 29 (5): 1177-84.

  30. Consejo Dentistas de España. La saludbucodental en España. 2015. 1-97 p.

  31. Mur G. La Lengua en el Examen Físico. LaHomeopatia De México. 2016; 85 (704):35-9.

  32. Chiliquinga Betún E.R., Naula Vicuña C.R.Alteraciones linguales más comunes enadultos mayores. Revisión de literature Mostcommon lingual alterations in older adults.Review of literature. Research, Society andDevelopment. 2023; 12 (7): 1-8.

  33. Silva L.P., Leite R.B., Sobral A.P.V., ArrudaJ.A., Oliveira L.V., Noronha M.S., et al.Oral and Maxillofacial Lesions Diagnosedin Older People of a Brazilian Population: AMulticentric Study. J Am Geriatr Soc. 2017Jul 1; 65 (7): 1586-90.

  34. Rivera C., Droguett D., Arenas-Márquez M.J.Oral mucosal lesions in a Chilean elderlypopulation: A retrospective study with asystematic review from thirteen countries. JClin Exp Dent [Internet]. 2017 [cited 2022Oct 15]; 9 (2): e276. Available from: /pmc/articles/PMC5303331/

  35. Ribeiro De Castro M.C., Ramos-E-Silva M.Physiologic alterations of oral mucosa due toaging: A review. Acta DermatovenerologicaCroatica. 2005; 13 (3): 184-8.

  36. De Lima Saintrain M.V., Holanda T.G.,Bezerra T.M.M., De Almeida P.C. Prevalenceof soft tissue oral lesion in elderly and itsrelations with deleterious habits. Gerodontology[Internet]. 2012 Jun 1 [cited 2022 Nov 2];29 (2): 130-4. Available from: https://onlinelibrary-wiley-com.ezproxy.sibdi.ucr.ac.cr/doi/full/10.1111/j.1741-2358.2011.00618.x

  37. Carvalho M. de V., Iglesias D.P.P., do NascimentoG.J.F., Sobral A.P.V. Epidemiologicalstudy of 534 biopsies of oral mucosal lesionsin elderly Brazilian patients. Gerodontology.2011 Jun; 28 (2): 111-5.

  38. Lei F., Chen J.Y., Wang W.C., Lin L.M.,Huang H.C., Ho K.Y., et al. Retrospectivestudy of oral and maxillofacial lesions inolder Taiwanese patients. Gerodontology.[Internet]. 2015 [cited 2022 Nov 2]; 32 (4):281-7. Available from: https://onlinelibrary.wiley.com/doi/10.1111/ger.12118

  39. Silva L.V. de O., de Arruda J.A.A., AbreuL.G., Ferreira R.C., da Silva L.P., PelissariC., et al. Demographic and ClinicopathologicFeatures of Actinic Cheilitis and LipSquamous Cell Carcinoma: a Brazilian MulticentreStudy. Head Neck Pathol. 2020;14 (4):899-908.

  40. Rodríguez-Blanco I., Flórez Á., Paredes-Suárez C., Rodríguez-Lojo R., González-Vilas D., Ramírez-Santos A., et al. Actiniccheilitis prevalence and risk factors: A crosssectional,multicentre study in a populationaged 45 years and over in north-west Spain.Acta Derm Venereol. 2018; 98 (10): 970-4.

  41. Cueto A., Martínez R., Niklander S., DeichlerJ., Barra.za A., Esguep A. Prevalence of oralmucosal lesions in an elderly population inthe city of Valparaiso, Chile. Gerodontology.2013; 30 (3): 201-6.

  42. De Lima Saintrain M.V., Holanda T.G.,Bezerra T.M.M., De Almeida P.C. Prevalenceof soft tissue oral lesion in elderly andits relations with deleterious habits. Gerodontology.2012; 29 (2): 130-4.

  43. Chi A.C., Neville B.W., Krayer J.W., GonsalvesW.C. Oral Manifestations of SystemicDisease. American Family Physician. 2010;82 (11):1381-1388

  44. Hassona Y., Scully C., Abu Ghosh M.,Khoury Z., Jarrar S., Sawair F. Mouth cancerawareness and beliefs among dental patients.Int Dent J. 2015; 65 (1): 15-21.

  45. Nagao T., Warnakulasuriya S. Screening fororal cancer: Future prospects, research andpolicy development for Asia. Oral Oncol.2020; 105 (March): 104632.

  46. Howard Mora M., Castillo Rivas J. Cáncerbucal : conocimiento básico de la población en.ODOVTOS-Int J Dent Sc. 2004; (6): 94-102.

  47. Kademani D. Oral cancer. Mayo Clin Proc.2007; 82 (7): 878-87.

  48. British Columbia Oral Cancer PreventionProgram BCAC of DS of BColumbia. Guidelinefor the early detection of oral cancer inBritish Columbia 2008. J Can Dent Assoc.2008; 74 (3): 245.

  49. Epstein J.B., Scully C. Assessing the patientat risk for oral squamous cell carcinoma.Spec Care Dentist. 1997; 17 (4): 120-8.

  50. World Health Organization. IARC Handbooksof Cancer Prevention Volume 19: Oral Cancer.2020 [cited 2022 Dec 4]. IARC_Handbooks_vol_19_zoom.jpg (1500×2131). Availablefrom: https://www.iarc.who.int/wp-content/uploads/2022/10/IARC_Handbooks_vol_19_zoom.jpg

  51. Chávez E.M., Kossioni A., Fukai K. PoliciesSupporting Oral Health in Ageing PopulationsAre Needed Worldwide. Int Dent J.2022; 72 (4): S27-38.




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