伊朗东南部一所牙科学院健康受试者中与义齿性口炎相关的危险因素。
Risk factors associated with denture stomatitis in healthy subjects attending a dental school in southeast iran.
作者信息
Navabi Nader, Gholamhoseinian Ahmad, Baghaei Badri, Hashemipour Maryam A
机构信息
Department of Oral Medicine, Oral & Dental Diseases Research Center, Kerman University of Medical Sciences, Kerman, Iran;
出版信息
Sultan Qaboos Univ Med J. 2013 Nov;13(4):574-80. doi: 10.12816/0003318. Epub 2013 Nov 8.
OBJECTIVES
There is scant information regarding the multifactorial aetiology of denture stomatitis (DS) in the world and, despite its frequency, associated factors are not completely understood. The aim of this study was to investigate the risk factors that may be associated with this lesion.
METHODS
A total of 70 edentulous patients, all wearing removable dentures, were divided into two groups. The test group comprised 43 patients with DS and the control group comprised 27 subjects with clinically healthy palatal mucosa. A thorough history-taking and physical examination were carried out; the subjects also answered a questionnaire. The serum level of vitamin A for each subject was assayed from a blood sample taken after the examination.
RESULTS
THIS STUDY SHOWED A SIGNIFICANT RELATIONSHIP BETWEEN THE INCIDENCE OF DS AND THREE MAJOR FACTORS: denture age (in terms of years), the practitioner manufacturing the dentures (general dental practitioner versus dental hygienist), and the night-long wearing of dentures. Also, the vitamin A serum level was low in 94.29% of all subjects (cases and controls).
CONCLUSION
Although many predisposing conditions were related to this situation, the most important risk factor was the continuous use of the dentures.
目的
关于世界范围内义齿性口炎（DS）多因素病因的信息匮乏，尽管其发病率较高，但相关因素尚未完全明确。本研究旨在调查可能与该病变相关的危险因素。
方法
总共70例无牙患者，均佩戴可摘义齿，被分为两组。试验组包括43例DS患者，对照组包括27例腭黏膜临床健康的受试者。进行了全面的病史采集和体格检查；受试者还回答了一份问卷。从检查后采集的血样中检测每个受试者的血清维生素A水平。
结果
本研究显示DS的发病率与三个主要因素之间存在显著关系：义齿使用年限、制作义齿的从业者（普通牙医与口腔保健员）以及整夜佩戴义齿。此外，所有受试者（病例组和对照组）中94.29%的血清维生素A水平较低。
结论
尽管许多诱发因素与这种情况有关，但最重要的危险因素是义齿的持续使用。
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