Rivera César, Droguett Daniel, Arenas-Márquez María-Jesús
Department of Basic Biomedical Sciences, Faculty of Health Sciences, University of Talca (UTALCA), Talca, Chile; Department of Oral Diagnosis, School of Dentistry (FOP), University of Campinas (UNICAMP), Piracicaba, São Paulo, Brazil.
Department of Stomatology, Faculty of Health Sciences, University of Talca (UTALCA), Talca, Chile.
J Clin Exp Dent. 2017 Feb 1;9(2):e276-e283. doi: 10.4317/jced.53427. eCollection 2017 Feb.
The oral examination is an essential part of the multidisciplinary medical care in elderly people. Oral mucosal lesions and normal variations of oral anatomy (OMLs) are very common in this people, but few studies have examined the frequency and prevalence of these conditions worldwide and less in Chile. The aim of this research was to evaluate the frequency of OMLs in a Chilean elderly population.
It was conducted a retrospective study (Talca, Chile). Two hundred seventy-seven OMLs were classified in groups and anatomical sites. In order to contextualize our numbers, we made a systematic review using Publish or Perish software, Google Scholar and InteractiVenn.
The most prevalent OMLs groups were soft tissue tumors, epithelial pathology, facial pain and neuromuscular diseases, and dermatologic diseases. The most frequent OMLs included irritation fibroma (30 patients, 10.8%), hemangioma (20, 7.2%), burning mouth syndrome (20 cases, 7.2%), oral lichen planus (12, 4.3%) and epulis fissuratum (12, 4.3%). In the systematic review, 75 OMLs were relevant and the more studied pathologies were traumatic ulcerations (11 of 15 articles), oral lichen planus (10/15), irritation fibroma, melanotic pigmentations, and recurrent aphthous stomatitis (9/10, respectively). Considering all included articles, most frequent OMLs in elderly people included denture-related stomatitis (13.3%), irritation fibroma (8.7%) and fissured tongue (6.3%).
The results reflect the frequency of OMLs diagnosed in a specialized service in south of Chile and many countries around the world. These numbers will allow the establishment of preventive politics and adequacy of the clinical services. Oral mucosal lesions, elderly people, Chilean population, frequency, systematic review.
口腔检查是老年人多学科医疗护理的重要组成部分。口腔黏膜病变和口腔解剖结构的正常变异在老年人中非常常见，但全球范围内对这些情况的发生率和患病率的研究较少，在智利则更少。本研究的目的是评估智利老年人群中口腔解剖结构正常变异的发生率。
在智利塔尔卡进行了一项回顾性研究。对277例口腔解剖结构正常变异进行了分组和解剖部位分类。为了将我们的数据置于背景中，我们使用“发表或灭亡”软件、谷歌学术和InteractiVenn进行了系统评价。
最常见的口腔解剖结构正常变异组为软组织肿瘤、上皮病理学、面部疼痛和神经肌肉疾病以及皮肤病。最常见的口腔解剖结构正常变异包括刺激性纤维瘤（30例，10.8%）、血管瘤（20例，7.2%）、灼口综合征（20例，7.2%）、口腔扁平苔藓（12例，4.3%）和沟裂性牙龈瘤（12例，4.3%）。在系统评价中，75种口腔解剖结构正常变异是相关的，研究较多的病理情况是创伤性溃疡（15篇文章中的11篇）、口腔扁平苔藓（10/15）、刺激性纤维瘤、黑色素沉着和复发性阿弗他口炎（分别为9/10）。考虑到所有纳入的文章，老年人中最常见的口腔解剖结构正常变异包括义齿性口炎（13.3%）、刺激性纤维瘤（8.7%）和裂纹舌（6.3%）。
结果反映了智利南部一家专科医院以及世界上许多国家诊断出的口腔解剖结构正常变异的发生率。这些数据将有助于制定预防政策和调整临床服务。口腔黏膜病变、老年人、智利人群、发生率、系统评价。
