Fonseca Mª Fernanda-Lopes, Kato Camila-de-Nazaré-Alves-de Oliveira, Pereira Mateus-José-de Carvalho, Gomes Lucas-Tadeu-Ferreira, Abreu Lucas-Guimarães, Fonseca Felipe-Paiva, Mesquita Ricardo-Alves
DDS, MSc, Department of Oral Pathology and Surgery, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
DDS, MSc, PhD Student, Department of Oral Pathology and Surgery, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
J Clin Exp Dent. 2019 Oct 1;11(10):e921-e929. doi: 10.4317/jced.56194. eCollection 2019 Oct.
Studies on the oral and maxillofacial lesions (OMLs) in older people usually assess data of laboratory services and data from oral medicine clinic have been poorly described. The aim of this study was to describe and to compare OMLs in older individuals considering two data sources, besides to assess associated factors with the three most frequent lesions.
A retrospective study was conducted with individuals aged 60 years or older. Data of individuals and lesions reported in both services were collected. Univariate analysis was used to test the association between the occurrence of the lesion and the independent variables. The level of significance was set at 5%.
A total of 1,695 (37.3%) records were from the Oral Medicine clinic and 2,848 (62.7%) from the Laboratory service. Inflammatory/reactive lesion group was the most frequent in both services (40.4% in Oral Medicine Clinic and in 44.2% Laboratory). The second and third groups of lesions in the Oral Medicine clinic were infectious diseases (18.5%), and variations of normality (10.8%), while in the laboratorial service were the malignant neoplasms (17.6%) and potentially malignant disorders (13.3%). Differences between services regarding the frequency of lesion groups occurred (<0.05), except for pigmented (=0.054) and infectious (=0.054) groups. Females (OR: 2.08; CI: 1.81-2.39) and individuals who wore a removable prosthesis (OR: 3.99; CI: 2.83-5.62) were also likely to have inflammatory fibrous hyperplasia. Old-old individuals (OR: 1.70; CI: 1.30-2.21), male (OR: 3.63; CI: 3.00-4.39), smoking (OR: 6.05; CI: 4.84-7.56) or alcohol use (OR: 3.95; CI: 3.12-5.01) were likely to have squamous cell carcinoma.
The results showed different frequencies of OMLs in older individuals according to the data sources and age group. The findings are important to direct public policies for this age group. Oral medicine, laboratory service, older adult, oral diagnosis, oral and maxillofacial pathology.
关于老年人口腔颌面部病变（OMLs）的研究通常评估实验室服务数据，而口腔医学门诊的数据描述较少。本研究的目的是考虑两个数据来源来描述和比较老年人的OMLs，并评估三种最常见病变的相关因素。
对60岁及以上的个体进行回顾性研究。收集两个科室报告的个体和病变数据。采用单因素分析来检验病变发生与自变量之间的关联。显著性水平设定为5%。
共有1695份记录（37.3%）来自口腔医学门诊，2848份记录（62.7%）来自实验室服务。炎症/反应性病变组在两个科室中都是最常见的（口腔医学门诊中占40.4%，实验室中占44.2%）。口腔医学门诊中第二和第三常见的病变组分别是传染病（18.5%）和正常变异（10.8%），而在实验室服务中则是恶性肿瘤（17.6%）和潜在恶性疾病（13.3%）。除色素沉着组（P = 0.054）和感染组（P = 0.054）外，两个科室在病变组频率上存在差异（P < 0.05）。女性（比值比：2.08；95%置信区间：1.81 - 2.39）和佩戴可摘义齿的个体（比值比：3.99；95%置信区间：2.83 - 5.62）也更易患炎性纤维增生。高龄个体（比值比：1.70；置信区间：1.30 - 2.21）、男性（比值比：3.63；置信区间：3.00 - 4.39）、吸烟（比值比：6.05；置信区间：4.84 - 7.56）或饮酒（比值比：3.95；置信区间：3.12 - 5.01）更易患鳞状细胞癌。
结果显示，根据数据来源和年龄组，老年人OMLs的频率不同。这些发现对于指导该年龄组的公共政策很重要。口腔医学、实验室服务、老年人、口腔诊断、口腔颌面病理学。
