Serviço de Estomatologia - Hospital São Lucas, PUCRS, Av. Ipiranga, 6690 Room 231, CEP: 90610-000 - Porto Alegre, RS, Brazil,
Med Oral Patol Oral Cir Bucal. 2019 Sep 1;24(5):e577-e582. doi: 10.4317/medoral.22966.
The aim of this retrospective, cross-sectional and observational study was to perform a survey of the stomatological conditions of elderly patients seen in a period of 40 years at a Stomatology Service in Southern Brazil.
A total of 24,347 medical records were reviewed, of which 5,063 belonged to elderly patients aged 60 to 97 years. The stomatological conditions, systemic conditions, and smoking and alcohol drinking habits as well were recorded.
The mean age of the patients was 69.29 years, 67.1% were female and 32.9% were male. Variations of normality accounted for 44.5% of the cases. The most prevalent disorders were fungal infections (26.1%), reactive inflammatory lesions (24.6%), burning mouth syndrome (14.9%), benign neoplasms (12.4%), autoimmune disorders (12.3%), premalignant lesions (10.2%) and malignant epithelial neoplasms (7.2%). Regarding biopsied lesions, squamous cell carcinoma was the most prevalent at 30.2%, followed by hyperplasic lesions (28.2%).
Knowledge of these physiological and pathological conditions in the oral cavity of the older people is essential for early diagnosis and preventive and therapeutic measures when necessary.
本回顾性、横断面和观察性研究旨在对巴西南部一家口腔诊所 40 年来就诊的老年患者的口腔状况进行调查。
共回顾了 24347 份病历,其中 5063 份属于 60 至 97 岁的老年患者。记录了口腔状况、全身状况、吸烟和饮酒习惯。
患者的平均年龄为 69.29 岁,67.1%为女性,32.9%为男性。正常变异占 44.5%。最常见的疾病是真菌感染(26.1%)、反应性炎症性病变(24.6%)、灼口综合征(14.9%)、良性肿瘤(12.4%)、自身免疫性疾病(12.3%)、癌前病变(10.2%)和恶性上皮肿瘤(7.2%)。对于活检病变,鳞状细胞癌最常见,占 30.2%,其次是增生性病变,占 28.2%。
了解老年人口腔的这些生理和病理状况对于早期诊断以及必要时的预防和治疗措施至关重要。