Presence of oral lesions in a group of patients with psychological disorders attending a health institution

Martha Rebolledo Cobos; Marlon Reyna Batista; Alejandra Herrera Herrera; Daniela Ruz Severiche; Miguel Alberto Montañez Romero; Camila Molina Gallardo

2019, Number 4

<< Back Next >>

Rev Cubana Invest Bioméd 2019; 38 (4)

Presence of oral lesions in a group of patients with psychological disorders attending a health institution

Rebolledo CM, Reyna BM, Herrera HA, Ruz SD, Montañez RMA, Molina GC

Full text

How to cite this article

Language: Spanish
References: 23
Page: 1-14
PDF size: 447.63 Kb.

ABSTRACT

Introduction: Oral lichen planus, recurrent aphthous stomatitis and burning mouth syndrome are oral conditions related to psychological disorders.
Objective: Describe the presence of oral lichen planus, recurrent aphthous stomatitis and burning mouth syndrome in patients with psychological disorders attending a health institution.
Methods: A descriptive cross-sectional study was conducted of a population of 35 patients, of whom 26 were selected by criterion nonprobability sampling and referred from the psychology service (based on a psychological diagnosis test) to the dental care service due to the presence of the aforementioned oral lesions. Upon granting their informed consent, the patients were treated and followed up for 16 months. Ethical provisions from Resolution 008430 of 1993, the Helsinki Declaration, were complied with.
Results: In terms of frequency, the most common oral lesion was recurrent aphthous stomatitis with 65.3%. Major aphthas represented 38.4% and aphthas of a minor type 26.9%; other lesions had a lower frequency. The psychological diagnoses achieved were stress, depression and anxiety to various degrees, and the most common lesion for these psychological disorders was recurrent aphthous stomatitis. No statistical association was found between oral and psychological variables, for they showed values of p >0.005.
Conclusions: The presence of oral lichen planus, recurrent aphthous stomatitis and burning mouth syndrome was determined in psychological disorders such as stress, anxiety and depression. Of these oral lesions, recurrent aphthous stomatitis was the most common.

REFERENCES

Soto M, Rojas G, Esguep A. Asociación entre alteraciones psicológicas y la presencia de Liquen plano oral, Síndrome boca urente y Estomatitis aftosa recidivante. Med oral patol oral cir bucal. 2004;9(1):1-7.
Troya E, Martínez J, Padilla E, Iglesias N, Ramos A. La estomatitis aftosa recurrente y las situaciones de estrés como factor de riesgo. Rev Med Electrón. 2014;36(6):1-14.
Pereda M, González Y, Torres L. Actualización sobre liquen plano bucal Ccm. 2016;20(3):539-55.
Chimenos E, Arcos C, Marques M. Síndrome de boca ardiente: claves diagnósticas y terapéuticas. MED CLIN. 2014;30(3):117-20.
Organización Panamericana de la Salud. La brecha de tratamiento en las Américas. Documento técnico. Washington, D.C.: OPS; 2013.
Vigo D, Thornicroft G, Atun R. Estimating the true global burden of mental illness. The Lancet Psychiatry. 2016;3(2):171-8.
Organización Mundial de la Salud, OMS, Ministerio de Salud y Protección Social y Colciencias. Encuesta Nacional de Salud Mental. 2015;3(1):1-348.
Muscio L, Oviedo J. Condiciones bucales y su relación con el estrés. Revisión actualizada. Acta Odontológica Venezolana. 2016;54(2):1-9.
Vargas S, Jiménez J. Manifestaciones orales asociadas al estrés en alumnos de clínica estomatológica de la Universidad Alas Peruanas. Revista científica Alas Peruanas. 2013;2(2):1-11.
Charles H, Elliott L. Ansiedad para Dummies. Grupo Planeta Spain. 2016;1:1-19.
Jerlang B. Burning mouth syndrome (BMS) and the concept of alexithymia- a preliminary study. J Oral Pathol. 1997;26:249-53.
Goldberg D. The Detection of Psychiatric Illness by Questionnaire. Oxford University Press; 1972.
Cattell R, Cattell A. Cuestionario Factorial de Personalidad. TEA ediciones. 1995;16:5.
Abiodun O. A validity study of the Hospital Anxiety and Depression Scale in general hospital units and a community sample in Nigeria. British Journal of Psychiatry. 1994;165(1): 669-72.
Hamilton M. A rating scale for depression. J Neurol Neurosurg Psychiatry.1960;23: 56-62.
Goldberg D. The Detection of Psychiatric Illness by Questionnaire. Oxford University Press; 1972.
Mota A, Silvestre F, Simó J. Oral biopsy in dental practice. Med Oral Patol Oral Cir Bucal. 2007;12(7):504-10.
Ilisástigui A, Ilisástigui T, Pérez A. Características de la estomatitis aftosa recurrente en pacientes de la Clínica Estomatológica Docente Hermanos Gómez. Municipio 10 de octubre. Rev haban cienc méd. 2009;8(4):1-13.
Arnáiz M, Arnáiz A, Alonso D, García A, Campillo R, Arnáiz J, et al. Glosodinia o síndrome de boca ardiente. Med Gen Fam. 2017;6(4):172-5.
Lopez‐Jornet P, Lucero‐Berdugo M, Castillo‐Felipe C, Zamora Lavella C, Ferrandez‐Pujante A, Pons‐Fuster A, et al. Assessment of self‐reported sleep disturbance and psychological status in patients with burning mouth syndrome. Journal of the European Academy of Dermatology and Venereology. 2015;29(7):1285-90.
Cepero A, Millo S, López A. Síndrome de boca ardiente: Actualización. Rev. Ciencias Médicas de Pinar del Río. 2016;20(4):530-42.
Castelnaux M, Jiménez A, Navarro J, González Y, Rodríguez Z. Estomatitis aftosa recurrente según factores locales y generales. MEDISAN. 2013;17:5028–35.
Crespo B, Samper H, García O, Crespo L, Echevarría R, Herrera Y, et al. Factores asociados al síndrome de boca ardiente. Medicentro Electrónica. 2017;21(3)9:209-17.