Oyetola E O, Mogaji I K, Agho T O, Ayilara O A
Department of Preventive and Community Dentistry, Obafemi Awolowo University Teaching Hospital Complex, Ile Ife, Osun State, Nigeria.
Department of Oral and Maxillofacial Surgery and Oral Pathology, Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Osun State, Nigeria.
Ann Ib Postgrad Med. 2018 Jun;16(1):9-11.
This study aimed at describing the epidemiology and pattern of presentation of oral ulcerations among patients seen in Oral Medicine clinic of Obafemi Awolowo University Complex, Ile-Ife.
This study was a retrospective cohort study of all cases that presented with oral ulcers in the oral medicine clinic between May 2015 and May 2017. The clinical diagnosis of oral ulcers was based on the WHO guidelines for oral mucosa diagnosis. All the case notes in the unit were retrieved and reviewed. Information extracted from the case notes included age, sex, medical history, clinical findings and treatment received. The data was analyzed using STATA 13 statistical software.
Out of 250 patients seen in the Oral Medicine Clinic during the study period, oral ulcerations were seen in 50 patients comprising 34(68%) males and 16(32%) females, giving a prevalence of 20%. The mean age was 35.4 ±14.7 years and patients were most frequently seen in the third decade of life 16 (32%). The commonest site was lower lip (20; 40%) and ulcers were rare on the gingiva (1, 2%). More than half of the ulcers were solitary (26; 52%) and painful at presentation. Recurrent aphthous ulceration accounted for 47 cases (94%), others were traumatic ulcer (2; 4%) and Chemical burns (1; 2%). Physical stress was the most frequent implicated predisposing factor observed in 38 (76%) patients.
Recurrent apthous ulcer was the most frequent form of oral ulceration and was commoner in males. Physical stress was the most frequently implicated predisposing factor.
本研究旨在描述在伊费奥巴费米·阿沃洛沃大学综合医院口腔医学门诊就诊患者口腔溃疡的流行病学特征及表现模式。
本研究是一项回顾性队列研究，研究对象为2015年5月至2017年5月期间在口腔医学门诊出现口腔溃疡的所有病例。口腔溃疡的临床诊断依据世界卫生组织口腔黏膜诊断指南。检索并查阅了该科室的所有病例记录。从病例记录中提取的信息包括年龄、性别、病史、临床检查结果及接受的治疗。使用STATA 13统计软件对数据进行分析。
在研究期间口腔医学门诊就诊的250例患者中，有50例出现口腔溃疡，其中男性34例（68%），女性16例（32%），患病率为百分之二十。平均年龄为35.4±14.7岁，患者最常见于第三个十年年龄段，共16例（32%）。最常见的部位是下唇（20例；40%），牙龈处溃疡少见（1例，2%）。超过半数的溃疡为单发（26例；52%），就诊时疼痛。复发性阿弗他溃疡占47例（94%），其他为创伤性溃疡（2例；4%）和化学灼伤（1例；2%）。身体应激是观察到的最常见诱发因素，见于38例（76%）患者。
复发性阿弗他溃疡是最常见的口腔溃疡形式，男性更为常见。身体应激是最常见的诱发因素。
