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儿童最常见口腔黏膜疾病的流行病学

Epidemiology of the most common oral mucosal diseases in children.

作者信息

Rioboo-Crespo Maria del Rosario, Planells-del Pozo Paloma, Rioboo-García Rafael

机构信息

Departamento IV de Odontología, Universidad Complutense de Madrid, Madrid.

出版信息

Med Oral Patol Oral Cir Bucal. 2005 Nov-Dec;10(5):376-87.

PMID:16264385
Abstract

Dentists who treat children must be alert to the possibility of finding diseases of the oral mucosa, especially in younger children. The present study aimed to review the most updated information and the experience of our group in order to yield epidemiological data that assist diagnosis of the most common diseases of the oral mucosa in children. Recent epidemiologic studies have shown a wide variability in the prevalence of oral mucosal lesions in different regions of the world and have led researchers to draw disparate conclusions. Moreover, studies have not been designed using standard criteria, further explaining the wide variability in the percentage of different groups of children with oral lesions, which ranges from 4.1 to 52.6%. The lesions most frequently considered by authors and that most often appear in the different studies are: recurrent aphthous stomatitis (0.9-10.8%), labial herpes (0.78-5.2%), fissured tongue (1.49-23%), geographic tongue (0.60-9.8%), oral candidiasis (0.01-37%) and traumatic injury (0.09%-22.15%). Dentists must be able to detect any of the numerous possible disorders and perform the correct differential diagnosis, key to the treatment plan. The aim of this paper, based on a review of the different national and international studies, is to contribute data on the most important oral mucosal diseases in the paediatric population in terms of prevalence and differential diagnosis.

摘要

治疗儿童的牙医必须警惕发现口腔黏膜疾病的可能性,尤其是年幼儿童。本研究旨在回顾最新信息以及我们团队的经验,以获取有助于诊断儿童最常见口腔黏膜疾病的流行病学数据。近期的流行病学研究表明,世界不同地区口腔黏膜病变的患病率差异很大,这导致研究人员得出了不同的结论。此外,研究并非按照标准标准设计,这进一步解释了不同儿童口腔病变组百分比的广泛差异,该差异范围为4.1%至52.6%。作者最常考虑且在不同研究中最常出现的病变有:复发性阿弗他口炎(0.9 - 10.8%)、唇疱疹(0.78 - 5.2%)、沟纹舌(1.49 - 23%)、地图舌(0.60 - 9.8%)、口腔念珠菌病(0.01 - 37%)和创伤性损伤(0.09% - 22.15%)。牙医必须能够检测出众多可能的病症中的任何一种,并进行正确的鉴别诊断,这是治疗方案的关键。基于对不同国家和国际研究的回顾,本文的目的是提供有关儿科人群中最重要的口腔黏膜疾病在患病率和鉴别诊断方面的数据。

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