Amadori Francesca, Bardellini Elena, Conti Giulio, Majorana Alessandra
Dental School, Pediatric Dentistry Department, University of Brescia, P.le Spedali Civili, 1, 25123, Brescia, Italy.
Clinica Odontoiatrica, P.le Spedali Civili 1, 25123, Brescia, Italy.
Ital J Pediatr. 2017 May 31;43(1):50. doi: 10.1186/s13052-017-0367-7.
Adolescence is a period of transition to adulthood. Little is known about oral mucosal lesions (OMLs) in teenagers, in which the emergence of new habits, unfamiliar to children, could affect the type of lesions. The aim of this study was to evaluate the distribution of oral mucosal lesions (OMLs) in a wide sample of adolescents.
A retrospective cross-sectional study was carried out examining all medical records of adolescents (aged 13-18 years) treated at the Dental Clinic of the University of Brescia (Italy) in the period from 2008 to 2014. Cases with OMLs were selected. Data regarding age, gender, type of OML, bad habits, systemic chronic diseases were collected.
A total of 6.374 medical records (mean age 15.2 + -1.7 years) were examined. We found 1544 cases (31.7%) of oral mucosal lesions; 36 different types of mucosal alterations were detected and the most frequent were: aphthous ulcers (18%), traumatic ulcerations (14.3%), herpes simplex virus (11%), geographic tongue (9.6%), candidiasis (5.5%), and morsicatio buccarum (4.7%). Papilloma virus lesions (1.7%), piercing-related lesions (4%), multiform erythema (0.13%), oral lichen planus (0.13%) and granular cell tumour (0.06%) were also diagnosed.
The prevalence of OMLs in adolescents are different from those in children and, in some conditions, it could increase with age.
青春期是向成年期过渡的阶段。对于青少年口腔黏膜病变（OML）了解甚少，在这一时期出现了一些儿童所没有的新习惯，可能会影响病变类型。本研究的目的是评估大量青少年样本中口腔黏膜病变（OML）的分布情况。
开展一项回顾性横断面研究，检查2008年至2014年期间在意大利布雷西亚大学牙科诊所接受治疗的青少年（13至18岁）的所有病历。选取患有OML的病例。收集有关年龄、性别、OML类型、不良习惯、全身性慢性疾病的数据。
共检查了6374份病历（平均年龄15.2±1.7岁）。我们发现1544例（31.7%）口腔黏膜病变；检测到36种不同类型的黏膜改变，最常见的有：复发性阿弗他溃疡（18%）、创伤性溃疡（14.3%）、单纯疱疹病毒（11%）、地图舌（9.6%）、念珠菌病（5.5%）和咬颊症（4.7%）。还诊断出乳头瘤病毒病变（1.7%）、穿刺相关病变（4%）、多形红斑（0.13%）、口腔扁平苔藓（0.13%）和颗粒细胞瘤（0.06%）。
青少年OML的患病率与儿童不同，在某些情况下，患病率可能随年龄增长而增加。
