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巴西亚马逊中部印第安社区口腔黏膜状况的横断面研究。

Cross-sectional study of oral mucosal conditions among a central Amazonian Indian community, Brazil.

作者信息

dos Santos Paulo José Benevides, Bessa Carolina Ferreira Navarro, de Aguiar Maria Cássia Ferreira, do Carmo Maria Auxiliadora Vieira

机构信息

FCECON, Fundação Centro de Controle de Oncologia (Cancer Hospital), Manaus, AM, Brazil.

出版信息

J Oral Pathol Med. 2004 Jan;33(1):7-12. doi: 10.1111/j.1600-0714.2004.00003.x.

Abstract

BACKGROUND

A cross-sectional study on the oral mucosal conditions among the Waimiri Atroari Indians from central Amazonia, Brazil, has been conducted. These Indians keep their traditional way of life and are free from habits such as smoking, alcohol drinking, and use of pacifiers.

METHODS

Clinical examinations of a representative, randomly selected sample of patients during routine dental treatment, following ethical procedures recommended by Brazilian laws were made.

RESULTS

Out of 922 individuals, 587 were examined, among which 52.57% of the children up to 12 years old and 73.44% of patients aged 13 years or older presented at least one oral mucosal condition. The conditions more frequently observed were, in decreasing order of prevalence: fissured tongue, focal epithelial hyperplasia (FEH), lesions of traumatic origin, geographic tongue, Fordyce's spots, and candidiasis. Only one case of leukoplakia was identified.

CONCLUSIONS

Conditions observed among theses Indians were essentially the same that have been described in other populations around the world, except for FEH, which, as a characteristic lesion of Indians, had high prevalence (20.95%). The lesions observed were related to the way of life of this specific population.

摘要

背景

对来自巴西亚马逊中部的瓦米里·阿特罗阿里印第安人的口腔黏膜状况进行了一项横断面研究。这些印第安人保持着传统的生活方式,没有吸烟、饮酒和使用安抚奶嘴等习惯。

方法

按照巴西法律推荐的伦理程序,在常规牙科治疗期间对具有代表性的随机选择的患者样本进行了临床检查。

结果

在922名个体中,检查了587人,其中12岁及以下儿童中有52.57%,13岁及以上患者中有73.44%至少存在一种口腔黏膜状况。观察到的状况按患病率从高到低依次为:沟纹舌、局灶性上皮增生(FEH)、创伤性病变、地图舌、福代斯斑和念珠菌病。仅发现1例白斑病例。

结论

除FEH外,这些印第安人观察到的状况与世界其他人群中描述的基本相同,FEH作为印第安人的特征性病变,患病率很高(20.95%)。观察到的病变与这一特定人群的生活方式有关。

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