Cheruvathoor Dimla Denny, Thomas Valsa, Kumar Nileena R, Jose Merrin
Department of Oral Medicine and Radiology, Government Dental College, Government Dental College, Kozhikode, Kerala, India.
J Family Med Prim Care. 2020 Aug 25;9(8):4375-4380. doi: 10.4103/jfmpc.jfmpc_51_20. eCollection 2020 Aug.
World'spopulation is ageing and increase in geriatric population demands improved oral health care. Previous epidemiologic studies in general population of India and particularly in Kerala (state with maximum proportion of elderly) provided very little information about oral mucosal lesions in elderly.
To find out the prevalence, pattern and distribution of oral mucosal lesions in geriatric patients and to explore their association with different study variables.
A descriptive, hospital-based, cross sectional study was conducted for a period of 9 months in the out-patient clinic, Department of Oral Medicine and Radiology, Government Dental College, Kozhikode (tertiary healthcare centre in Kerala, India).
Participants aged 60 and above were selected by consecutive sampling. Data were collected through clinical examination and by using a structured proforma.
Descriptive statistics with tests of significance of associations were done.
The geriatric population (N=750, 66.89 ± 6.07, M: F=1.4:1), was recruited by screening 43,180, and 447 (67.29 ± 6.15, M: F=2:1) were identified having oral mucosal lesions withprevalence of 59.6% (95% CI=56.05-63.05). Most common lesion group was red and white (73.2%), followed by pigmented (15.5%). Oral mucosal lesions were significantly associated with age over 65, male gender, presence of habit and denture usage ( < 0.05).
The prevalence of oral mucosal lesions in geriatric people is high. Hence setting up of geriatric dental clinics, with appropriate preventive and palliative intervention strategies is mandatory.
世界人口正在老龄化，老年人口的增加需要改善口腔保健。此前在印度普通人群中，尤其是在喀拉拉邦（老年人口比例最高的邦）进行的流行病学研究，提供的关于老年人口腔黏膜病变的信息非常少。
了解老年患者口腔黏膜病变的患病率、类型和分布情况，并探讨它们与不同研究变量之间的关联。
在印度科泽科德政府牙科学院口腔医学与放射科门诊进行了一项为期9个月的描述性、基于医院的横断面研究（科泽科德是印度喀拉拉邦的三级医疗中心）。
通过连续抽样选取60岁及以上的参与者。通过临床检查并使用结构化表格收集数据。
进行描述性统计以及关联显著性检验。
通过对43180人进行筛查，招募了老年人群（N = 750，年龄66.89 ± 6.07岁，男：女 = 1.4：1），其中447人（年龄67.29 ± 6.15岁，男：女 = 2：1）被确定患有口腔黏膜病变，患病率为59.6%（95%置信区间 = 56.05 - 63.05）。最常见的病变类型是红白相间型（73.2%），其次是色素沉着型（15.5%）。口腔黏膜病变与65岁以上年龄、男性、有相关习惯以及使用假牙显著相关（P < 0.05）。
老年人口腔黏膜病变的患病率很高。因此，必须设立老年牙科诊所，并制定适当的预防和姑息干预策略。
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