Jorge Júnior J, de Almeida O P, Bozzo L, Scully C, Graner E
Department of Oral Pathology, Faculty of Odontology of Piracicaba, Brazil.
Community Dent Oral Epidemiol. 1991 Jun;19(3):173-5. doi: 10.1111/j.1600-0528.1991.tb00136.x.
During the last decade, many studies in Europe and North America have evaluated oral conditions and dental needs in the elderly. Similar information does not exist in Brazil. The aim of this study was to determine the prevalence of oral health and disease in elderly persons living in an institution in the city of Piracicaba, State of São Paulo, Brazil. Of 350 elderly persons, 134 males and 136 females were interviewed and clinically examined. Less than one half had healthy mouths. 58.9% of the examined individuals showed one or more lesions in the oral mucosa, the most frequent being denture-induced stomatitis (20.0%). Fibrous hyperplasias (11.8%) and angular cheilitis (9.3%) were fairly common. Gender, use and degree of hygiene of the denture were factors statistically significantly contributing to prevalence of denture stomatitis. Precancerous lesions such as leukoplakia (3.0%), actinic cheilitis (2.6%) were uncommon but three cases of squamous carcinoma (1.1%) were revealed. This study emphasizes the need for regular oral examinations of the elderly by personnel trained in oral diagnosis.
在过去十年中，欧洲和北美的许多研究评估了老年人的口腔状况和牙齿需求。巴西则没有类似的信息。本研究的目的是确定居住在巴西圣保罗州皮拉西卡巴市一家机构中的老年人的口腔健康和疾病患病率。在350名老年人中，对134名男性和136名女性进行了访谈和临床检查。不到一半的人口腔健康。58.9%的受检者口腔黏膜有一处或多处病变，最常见的是义齿性口炎（20.0%）。纤维性增生（11.8%）和口角炎（9.3%）相当常见。性别、义齿的使用和卫生程度是在统计学上显著影响义齿性口炎患病率的因素。癌前病变如白斑（3.0%）、光化性唇炎（2.6%）并不常见，但发现了3例鳞状细胞癌（1.1%）。本研究强调需要由接受过口腔诊断培训的人员对老年人进行定期口腔检查。
