Prakash Kurumba, Bindu R, Sanoj N M
Oral & Maxillofacial Surgery, Government Medical College, Kollam, Kerala India.
Oral & Maxillofacial Surgery, Government Dental College, Thiruvananthapuram, Kerala India.
J Maxillofac Oral Surg. 2024 Apr;23(2):296-300. doi: 10.1007/s12663-023-02049-5. Epub 2023 Dec 1.
COVID-19, a pandemic since 2019, is still causing significant healthcare burden across the world. Although the disease primarily presents with respiratory symptoms, a multitude of signs and symptoms may be manifested elsewhere in the body.
This study was to estimate the prevalence of oral manifestations in COVID-19 diagnosed patients and thereby understand the effects of corona virus disease on oral health.
MATERIALS & METHODS: A total of 472 patients were evaluated using a questionnaire and further examined visually using a mouth mirror and a light source.The patients were evaluated for erythema, ulcers, macule, papule, vescicles, bullae or any other abnormal changes within the oral cavity.
103 patients (21%) were found to have oral lesions and 41 (39.8%) of them presented with palatal enanthem which was macular in nature. Candidiasis was noted in 19 (18.4%) patients, ulcer in 4 (3.8%), mucositis in 5 (4.8%), angular cheilitis in 3 (2.9%), white coating on tongue in 25 (24.2%) & depapillated tongue with glossitis in 6 (5.8%). Multivariate analysis was done using logistic regression.Tobacco chewing, malignancies and altered taste sensation were found to be independently associated with oral lesions.
The study thus confirms the presence of oral lesions in diagnosed COVID-19 patients prompting healthcare professionals on a multidisciplinary approach towards this novel disease.
自2019年以来的新冠疫情，仍在全球造成巨大的医疗负担。尽管该疾病主要表现为呼吸道症状，但身体其他部位可能会出现多种体征和症状。
本研究旨在评估新冠确诊患者口腔表现的患病率，从而了解冠状病毒病对口腔健康的影响。
共对472名患者进行问卷调查，并使用口镜和光源进行进一步的目视检查。对患者口腔内的红斑、溃疡、斑疹、丘疹、水疱、大疱或任何其他异常变化进行评估。
发现103名患者（21%）有口腔病变，其中41名（39.8%）表现为腭部黏膜疹，呈斑疹性质。19名（18.4%）患者有念珠菌病，4名（3.8%）有溃疡，5名（4.8%）有黏膜炎，3名（2.9%）有口角炎，25名（24.2%）舌面有白苔，6名（5.8%）有舌乳头萎缩伴舌炎。使用逻辑回归进行多变量分析。发现嚼烟、恶性肿瘤和味觉改变与口腔病变独立相关。
该研究证实了新冠确诊患者存在口腔病变，促使医疗保健专业人员对这种新型疾病采取多学科方法。
