Oral mucosal health and disease in institutionalized elderly in Brazil.
Oral mucosal health and disease in institutionalized elderly in Brazil.
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巴西住院老年人的口腔粘膜健康和疾病。
DOI：
10.1111/j.1600-0528.1991.tb00136.x
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发表时间：
1991
影响因子：
2.3
通讯作者：
E. Graner
中科院分区：
文献类型：
--
作者：
J. J. Júnior;O. P. Almeida;L. Bozzo;Crispian Scully;E. Graner
在过去的十年中，欧洲和北美的许多研究评估了老年人的口腔状况和牙科需求。巴西没有类似的信息。本研究的目的是确定生活在巴西圣保罗州皮拉西卡巴市的老年人的口腔健康和疾病的患病率。在350名老年人中，134名男性和136名女性接受了访谈和临床检查。不到一半的人拥有健康的口腔。58.9%的受检者显示口腔粘膜有一处或多处病变，最常见的是义齿引起的口腔炎（20.0%）。纤维增生（11.8%）和口角炎（9.3%）较为常见。性别、义齿使用情况和义齿卫生程度是影响义齿性口炎患病率的显著因素。癌前病变如白斑（3.0%），光化性唇炎（2.6%）是罕见的，但发现3例鳞状细胞癌（1.1%）。这项研究强调，需要定期口腔检查的老年人的口腔诊断培训的人员。
During the last decade, many studies in Europe and North America have evaluated oral conditions and dental needs in the elderly. Similar information does not exist in Brazil. The aim of this study was to determine the prevalence of oral health and disease in elderly persons living in an institution in the city of Piracicaba, State of São Paulo, Brazil. Of 350 elderly persons, 134 males and 136 females were interviewed and clinically examined. Less than one half had healthy mouths. 58.9% of the examined individuals showed one or more lesions in the oral mucosa, the most frequent being denture-induced stomatitis (20.0%). Fibrous hyperplasias (11.8%) and angular cheilitis (9.3%) were fairly common. Gender, use and degree of hygiene of the denture were factors statistically significantly contributing to prevalence of denture stomatitis. Precancerous lesions such as leukoplakia (3.0%), actinic cheilitis (2.6%) were uncommon but three cases of squamous carcinoma (1.1%) were revealed. This study emphasizes the need for regular oral examinations of the elderly by personnel trained in oral diagnosis.