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.
BACKGROUND: 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. AIM: 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. RESULTS: 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. CONCLUSION: 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.
背景: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。 目的: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。 材料与方法: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。 结果: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。 结论: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。
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