Oral mucosal conditions in elderly dental patients

Oral mucosal conditions in elderly dental patients
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DOI:
10.1034/j.1601-0825.2002.01789.x
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发表时间:
2002-07-01
期刊:
影响因子:
3.8
通讯作者:
Langlais, RP
Langlais, RP
中科院分区:
医学3区
文献类型:
--
作者:
Jainkittivong, A;Aneksuk, V;Langlais, RP

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目的:本研究的目的如下:获得泰国老年患者口腔粘膜疾病发病率的基线信息,并研究这些发现与年龄、性别和戴假牙有关的差异。口腔粘膜疾病的发病率是通过对500名年龄在60岁及以上的泰国患者进行临床检查来确定的。口腔粘膜疾病的总体发生率为83.6%,男性(81.4%)和女性(85%)之间无显著差异。口腔粘膜疾病的发病率随着年龄的增长而显著增加。静脉曲张(59.6%)、舌裂(28%)和创伤性溃疡(15.6%)是最常见的三种疾病,且发病率随年龄增长而增加。白斑病和吸烟者黑变病在男性中更常见,而扁平苔藓在女性中更常见。口腔癌有3例,发病率为0.6%。戴义齿者(62.7%)的口腔粘膜疾病患病率显著高于无义齿者(28.5%)和戴牙冠和/或牙桥者(8.8%)。最常见的三种义齿相关问题是创伤性溃疡(22.6%)、义齿性口炎(14.3%)和口角炎(4.8%)。此外,全口义齿佩戴者(46.3%)之间的义齿相关的条件的发病率高于那些戴局部义齿(40.8%)。结论:目前的结果,关于老年泰国人口支持其他人群的研究,即老年人的口腔粘膜条件的发病率与年龄,性别和戴假牙。
OBJECTIVES: The goals of this study were as follows: to obtain baseline information on the incidence of oral mucosal conditions in a population of elderly Thai patients and to investigate differences in the presentation of these findings in relation to age, sex and the wearing of dentures.SUBJECTS AND METHODS: The incidence of oral mucosal conditions was determined by the clinical examination of a sample of 500 Thai patients aged 60 years and older.RESULTS: The overall incidence of oral mucosal conditions was 83.6% with no significant difference between men (81.4%) and women (85%). The incidence of oral mucosal conditions indicated a significant increase with advancing age. Varices (59.6%), fissured tongue (28%) and traumatic ulcer (15.6%) were the three most common conditions; and the incidence increased with age. Leukoplakia and smoker's melanosis were more common in men whereas lichen planus was seen more frequently in women. Three cases of oral cancer were detected, representing an incidence of 0.6%. Denture wearers (62.7%) exhibited a significantly higher prevalence of oral mucosal conditions than subjects who had no dentures (28.5%) and subjects with crowns and/or bridges (8.8%). The three most common denture-related problems were traumatic ulcer (22.6%), denture stomatitis (14.3%) and angular cheilitis (4.8%). In addition, the incidence of denture-related conditions among complete denture wearers (46.3%) was higher than in those wearing partial dentures (40.8%).CONCLUSION: The current results regarding an elderly Thai population support the studies of other populations whereby the incidence of oral mucosal conditions in the elderly is related to age, sex and the wearing of dentures.