Suspicious oral lesions

2021 ◽  
pp. 175573802110089
Author(s):  
Timothy Collins
Keyword(s):  
Oral Pathology ◽  
Undergraduate Curriculum ◽  
Oral Lesions ◽  
Oral Ulceration ◽  
Significant Component ◽  
Pigmented Lesions ◽  
Asymptomatic Patients ◽  
Benign Pathology ◽  
Mucosal Lesions ◽  
Underlying Pathology

Oral lesions typically present as swellings/lumps or mucosal lesions. Mucosal lesions can be red, white, red-and-white or pigmented. Lesions are typically incidental findings in routine dental examinations of asymptomatic patients. Symptoms (typically soreness) prompt patients to seek advice from GPs as well as dentists. Oral ulceration is a common reason for presentation and may indicate a suspicion of underlying pathology. It is common for mucosal lesions to warrant referral, but it is useful to identify benign pathology to inform the urgency of referral. The study of suspicious oral pathology, in addition to benign pathology mimicking suspicious aetiology, forms a significant component of the dental undergraduate curriculum. This is a large topic and full familiarity will require reading beyond the scope of this article.

scholarly journals Prevalence of Oral Mucosal Lesions in Admitted Patients in Yazd Shahid Sadoughi Hospital in 2018

2019 ◽  
Author(s):  
Fatemeh Owlia ◽  
Hossein Tabatabaei ◽  
Mohammad Nima Motallaei ◽  
Reza Ayatollahy
Keyword(s):  
Oral Cavity ◽  
Demographic Data ◽  
Oral Lesion ◽  
Oral Lesions ◽  
Cross Sectional ◽  
Timely Diagnosis ◽  
Pigmented Lesions ◽  
Common Location ◽  
Oral Mucosal Lesions ◽  
Mucosal Lesions

Introdution: One of the most important signs of general health is oral health. Many systemic diseases have oral manifestations that could be appeared in the oral cavity at first. Therefore, considering the importance of timely diagnosis and treatment of oral lesions. This study was conducted to determine the prevalence of oral lesions in the patients admitted to Yazd ShahidSadoughi Hospital. Methods: In this cross sectional study, 443 hospitalized patients were clinically evaluated for oral mucosal lesions. All of the abnormal variations in oral mucosa in these patients, demographic data, type & location of oral lesion, existence of denture & smoking were documented. Data were analyzed by SPSS Inc., Chicago, IL; Version 19 was analyzed using Chi-square and Fisher exact tests. Results: Oral lesions were observed in 37.7% of patients. The most common type of lesion was related to red and white lesions, which was seen in 19.1% of patients.  Palate was the common location for red and white lesions. Most of vesiculobollous lesions were observed in the hard palate and tongue. The lesions rate increased with aging. Among the lesions, only pigmented lesions were significantly higher in males. Conclusion: Regarding the high prevalence of oral mucosal lesions in admitted patients, the importance of more attention to oral cavity for timely diagnosis and referral in the routine examination is emphasized.

scholarly journals Pigmented Oral Lesions: A Multicenter Study

2021 ◽  
Author(s):  
Kittipong Dhanuthai ◽  
Natchaya Theungtin ◽  
Natnicha Theungtin ◽  
Pantira Thep-akrapong ◽  
Sompid Kintarak ◽  
...  
Keyword(s):  
Buccal Mucosa ◽  
Demographic Data ◽  
Oral Pathology ◽  
Oral Lesion ◽  
Oral Lesions ◽  
Clinical Appearance ◽  
Pigmented Lesions ◽  
Prince Of Songkla University ◽  
The Mean ◽  
University Department

Abstract Objectives The aim of this study was to determine the prevalence and clinical features of pigmented oral lesions from Thailand. Materials and Methods Biopsy records of the Department of Oral Pathology, Chulalongkorn University, Department of Oral Diagnosis, KhonKaen University, Department of Oral Biology and Oral Diagnostic Sciences, Chiangmai University, Department of Stomatology, Prince of Songkla University, and Rangsit University were reviewed for oral pigmented lesions diagnosed during 1999 to 2019. Demographic data were culled from the biopsy records. Ages of the patients were subdivided into 10-year intervals. Locations of the lesions were classified as gingiva, labial/buccal mucosa, palate, floor of the mouth, tongue, as well as the combination of sites. Data were analyzed by descriptive statistics using SPSS version 20.0. Results Of the 47,175 accessioned cases, 241 cases (0.51%) were diagnosed in the category of pigmented oral lesions. The age of the patients ranged from 1 month to 88 years with the mean ± standard deviation = 38.74 ± 20.96 years. Regarding gender, 172 patients (71.37%) with pigmented lesions were females, while 69 patients (28.63%) were males. The female-to-male ratio was 2.49:1. The majority of the pigmented lesions were encountered at the gingiva (29.88%) followed by labial/buccal mucosa (26.97%), palate (14.94%), lip (10.79%), alveolar mucosa (9.54%), and others (7.88%), respectively. The three most common pigmented oral lesions in the present study were nevus (39.83%), followed by melanotic macule (28.63%) and amalgam tattoo (17.43%), respectively. Conclusions The most common pigmented oral lesion in the present study is nevus. Demographic data of the patients in the present study are in accordance with previous studies with minor differences. Even though pigmented lesions of the oral cavity constitute a small portion of the oral pathology biopsies, accurate diagnosis is important since there is an overlap in clinical appearance of benign pigmented lesions and melanoma.

scholarly journals Prevalence Of Developmental Oral Mucosal Lesions Among A Sample Of Denture Wearing Patients Attending College Of Dentistry Clinics In Aljouf University

2016 ◽  
Vol 12 (24) ◽  
pp. 352 ◽  
Author(s):  
Abdalwhab M.A . Zwiri ◽  
Santosh Patil ◽  
Fadi AL- Omair ◽  
Mohammed Assayed Mousa ◽  
Ibrahim Ali Ahmad
Keyword(s):  
Personal Information ◽  
Statistical Tests ◽  
Later Life ◽  
Oral Lesions ◽  
Ministry Of Health ◽  
Dental Patients ◽  
Oral Mucosal Lesions ◽  
Mucosal Lesions ◽  
And Gender ◽  
Fissured Tongue

Introduction: developmental oral lesions represent a group of normal lesions that can be found at birth or evident in later life. These lesions include fissured and geographic tongue, Fordyce’s granules and leukoedema. Study aims: to investigate the prevalence of some developmental oral mucosal lesions among dental patients wearing dentures who were attending college of dentistry clinics in Aljouf University, and specialized dental center of ministry of health. Methods and subjects: a retrospective design was conducted to collect data from 344 wearing denture dental patients who were attending college of dentistry clinics in Aljouf University, and specialized dental center of ministry of health. A working excel sheet was created for patients and included data related to personal information such as age and gender; and oral developmental lesions. The software SPSS version 20 was used to analyze data. Statistical tests including frequency, percentages, and One way Anova were used to describe data. Significance was considered at alpha level <0.05. Study findings: the majority of participants were males (86%), the mean age was 51.60+ 3.51years. The prevalence of fissured tongue was 10.2%, geographic tongue 11.3%, Fordyce’s granules 7%, and leukoedema 7.3%. Age was significantly associated with fissured tongue (p=0.04), and Fordyce’s granules (p=0.003). Gender was not associated significantly with any of the studied lesions. Conclusion: developmental oral lesions among dental patients wearing dentures exist with varying rates of prevalence as well as it provides valuable basic data about the prevalence of oral mucosal lesions among patients seeking dental care in Aljouf area.

scholarly journals Feasibility and acceptability of an oral pathology asynchronous tele-mentoring intervention: A protocol

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Mary E. Northridge ◽  
Tina Littlejohn ◽  
Nathalie Mohadjeri-Franck ◽  
Steven Gargano ◽  
Andrea B. Troxel ◽  
...  
Keyword(s):  
Oral Cancer ◽  
Oral Pathology ◽  
Oral Lesions ◽  
Structured Interviews ◽  
Dental Clinics ◽  
Use Of Technology ◽  
Implementation And Dissemination ◽  
Oral Cancer Screening ◽  
Improving Patient Care ◽  
Design And Methods

Introduction: Oral cancer remains prevalent, despite being largely preventable. The widespread use of technology at chairside, combined with advances in electronic health record (EHR) capabilities, present opportunities to improve oral cancer screening by dentists, especially for disadvantaged patients with severe health needs. Design and methods: Using a mixed-methods approach, we will evaluate the feasibility and acceptability of integrating a tele-mentoring component into the identification of oral lesions using the following 3 methods: 1) administering provider surveys that consist of a checklist of 10 key components of the intervention based on process, and asking the dental provider subjects if each one was covered; 2) conducting semi-structured interviews informed by the Consolidated Framework for Implementation Research and the Implementation Outcomes Framework with dental resident subjects to assess specific barriers to sustaining the intervention and strategies for addressing these barriers to facilitate integration of the intervention into the routine workflow of the dental clinics; and 3) administering brief exit interviews with patient subjects regarding the acceptability of the intervention to assess satisfaction with the use of intra-oral cameras at chairside to screen for and refer patients with oral lesions and identification of these oral lesions via EHR and secure e-mail tele-mentoring with an oral pathology expert.Expected impact of the study for public health: If successful, then later clinical trials will maximize the external validity of the intervention and facilitate the widespread implementation and dissemination of the model for the teaching of dentists and residents, with the ultimate goal of improving patient care.

scholarly journals A single center study of oral mucosal lesions in a Turkish population during 12 years period

2020 ◽  
Vol 7 (9) ◽  
pp. 625-634
Author(s):  
Ayşegül Saygın ◽  
Ömer Fahrettin Göze ◽  
Hatice Reyhan Eğilmez
Keyword(s):  
Oral Health ◽  
Periodontal Diseases ◽  
Age Groups ◽  
Turkish Population ◽  
Permanent Dentition ◽  
Equal Distribution ◽  
Screening Programs ◽  
Pigmented Lesions ◽  
Oral Mucosal Lesions ◽  
Mucosal Lesions

Objective: The prevalence of oral mucosal lesions, together with information on the risk habits associated with oral health, such as tobacco and alcohol use, can help in planning future oral health studies and screening programs. Material and Methods: This study presents the findings of 805 oral mucosal biopsies from patients, received over twelve years period. The cases represent 0.6 per-cent of the total number of reports examined (130.680). The data were revised and compiled for diagnosis site, age, and sex. The patients were divided into nine age groups according to decades. The classification was modified and divided into eleven main groups Results: Connective tissue lesions formed the largest group of diagnoses (24.4per cent) followed by white lesions (17.8 %per cent), verrucal-papillary lesions (15.4%per cent), red-blue lesions (14%per cent), ulcerous lesions (12.2%per cent), periodontal diseases (10%per cent), lymphoid tissue lesions (1.3%per cent), other tumors (2%per cent), pigmented lesions (0.6%per cent) only 1 metabolic disease (cherubism) (0.1per cent). Approximately 60 %per cent of the biopsies were from the second group patients with an almost equal distribution among sexes. The predominant site of the biopsies was gingiva (28%per cent) followed by lips (19.2%per cent). Conclusion:  The majority of the lesions were in the category of reactive and inflammatory lesions with most occurring in the thirty age group (31-40 age) that represents permanent dentition. These results suggest that the difficulties in maintaining oral hygiene or the presence of trauma may be the primary factor in mucosal lesions occurring in the permanent dentition period.

scholarly journals A Sixteen-year Retrospective Study of Biopsied Pediatric Oral Lesions from North Kerala

2017 ◽  
Vol 7 (3) ◽  
pp. 144-149
Author(s):  
Resmi G Nair ◽  
Sathyabhama Sudha ◽  
Ismayil Paikkadan ◽  
Faseela Beegum
Keyword(s):  
Retrospective Study ◽  
Pediatric Population ◽  
Care Center ◽  
Dentigerous Cyst ◽  
Age Groups ◽  
Oral Pathology ◽  
Oral Lesions ◽  
Lower Lip ◽  
Health Care Center ◽  
Periapical Cyst

ABSTRACT Aim This study aimed at providing updated information on biopsied oral and maxillofacial lesions from children below 12 years, received between 2001 and 2016, from a tertiary health care center in North Kerala, India. Materials and methods The archives of the Department of Oral Pathology and Microbiology, Government Dental College, Kozhikode, India, were retrospectively analyzed over a period of 16 years (2001—2016). Patients aged 12 years and below were considered as the pediatric population. Age, gender, site, and histopathologic diagnosis were recorded. Subjects were divided into three age groups: 0 to 6, 7 to 9, and 10 to 12 years. The oral and maxillofacial lesions were classified into eight different categories. Data were analyzed using descriptive statistics. Results Of the total 8,306 biopsied cases, 334 cases were from the pediatric population. Cases showed almost equal predilection between males (48%) and females (52%); M:F = 1:1.08. Both mandible (26.94%) and maxilla (26.05%) showed almost equal site predilection followed by lower lip (19.76%), gingiva (14.67%), and tongue (5.39%). The most common condition diagnosed individually was periapical cyst (21.86%), followed by mucocele (17.37%) and dentigerous cyst (13.17%). Regarding the diagnostic categories, most lesions were in the cystic group (37.43%) followed by the inflammatory/reactive group (31.44%) and benign odontogenic tumors (10.48%). Conclusion This study showed similar trends as well as contradictory results when compared with other studies. This can be due to geographical and ethnic variations, difference in criteria, and difference in age groups selected. How to cite this article Nair RG, Sudha S, Paikkadan I, Beegum F. A Sixteen-year Retrospective Study of Biopsied Pediatric Oral Lesions from North Kerala. J Contemp Dent 2017;7(3):144-149.

scholarly journals Prevalence of Oral Mucosal Lesions and Their Association with Severity of Psoriasis among Psoriatic Patients Referred To Dermatology Clinic: A Cross-Sectional Study in Kashan/Iran

2017 ◽  
Vol 5 (7) ◽  
pp. 978-982 ◽  
Author(s):  
Rezvan Talaee ◽  
Zohreh Hajheydari ◽  
Ahmad Yeganeh Moghaddam ◽  
Seyyed Alireza Moraveji ◽  
Bentolhoda Fatahi Ravandi
Keyword(s):  
Clinical Importance ◽  
Severity Index ◽  
Oral Lesion ◽  
Cross Sectional Study ◽  
Oral Lesions ◽  
Cross Sectional ◽  
Exact Test ◽  
Dermatology Clinic ◽  
Oral Mucosal Lesions ◽  
Mucosal Lesions

BACKGROUND: Psoriasis is a common inflammatory papulosquamous disease of the skin with unknown aetiology that may be associated with the abnormal T-cell function.AIM: This study was aimed to determine the prevalence of oral mucosal lesions and their associations with severity of psoriasis in psoriatic patients attending the dermatologic clinic of Shahid Beheshti Teaching Hospital at Kashan, Iran.METHODS: In this cross-sectional descriptive analytic study, all consecutive patients with psoriasis who referred to the dermatologic clinic at the Shahid Beheshti Hospital of Kashan University of Medical Sciences in Kashan City/ Iran were enrolled. All patients were examined for the presence of oral lesions, and the clinical and epidemiological features of the disease were recorded in a questionnaire for each patient. A biopsy was taken from atypical suspected patients with oral lesions by an expert dermatologist. Data were analysed using the Statistical Package for Social Science (Version 18). Descriptive statistics tests; Cross tabulation and Chi-square with Fisher's exact test were used.RESULTS: Of total 177 psoriatic patients, 62 cases (35%) of patients were male, and 115 cases (65%) were female. Mean age of patients was 31.71 years. The oral lesion was seen in 83 cases (46.9%). Fissure tongue (28.2%) and geographic tongue (4.5%) were the most common oral lesions. The prevalence of oral lesions in patients with psoriasis significantly was associated with age, history of oral lesions, and with the onset of the oral lesions (P < 0.05). The most common form of psoriasis was chronic plaque form (Psoriasis Vulgaris) observed in 147 cases (83.1). The majority of patients (67.2%) were suffering from a mild form of the disease. Psoriasis Area and Severity Index (PASI) score of most patients was mild.CONCLUSIONS: The prevalence of oral lesions such as Fissure tongue and geographic tongue is higher in psoriatic patients suggests further studies for approving the clinical importance of these apparently nonspecific lesions as possible predictors or markers of the severity of the cases suspected to Psoriasis disease.

scholarly journals Evaluation of Oral Mucosal Lesions in 598 Referred Iranian Patients

2009 ◽  
Vol 3 (1) ◽  
pp. 42-47 ◽  
Author(s):  
Jahanfar Jahanbani ◽  
Leiv Sandvik ◽  
Torstein Lyberg ◽  
Eva Ahlfors
Keyword(s):  
Diabetes Mellitus ◽  
Statistical Analysis ◽  
Oral Cavity ◽  
Oral Lesions ◽  
Disease Characteristics ◽  
Oral Mucosal Lesions ◽  
Mucosal Lesions ◽  
School Of Dentistry ◽  
Fissured Tongue ◽  
Iranian Patients

The mucosal membrane of the oral cavity displays at times classical developmental lesions considered to be variations of normal structures rather than having disease characteristics. Of these lesions leukoedema, Fordyce granules, geographic-, fissured- and hairy tongue, median rhomboid glossitis and lingual varices were studied in 598 patients referred to the School of Dentistry, Tehran, Iran. The prevalence was studied in relation to age, gender, occupation, education, smoking habits, general health, addictions and or drug therapies. Oral developmental lesions were seen in 295 patients (49.3%). Only Fordyce granules (27,9%), fissured tongue (12,9%), leukoedema (12,5%) and hairy tongue (8,9%) had enough cases for statistical analysis. Three of these lesions increased with age but not fissured tongue. All were more common in men. After adjusting for age, the parameters education, occupation and complaints upon referral had little influence on the prevalence of the lesions. Fewer Fordyce granules were seen in oral mucosa of smoking men. Leukoedema and hairy tongue were significantly associated with smoking, leukoedema with diabetes mellitus. We conclude that there was a highly significant association between these oral lesions and age, gender and smoking. Few significant associations were found between oral lesions and general diseases.

Pediatric oral lesions: a 15-year review from São Paulo, Brazil

2002 ◽  
Vol 26 (4) ◽  
pp. 413-418 ◽  
Author(s):  
Fabrício Bitu Sousa ◽  
Adriana Etges ◽  
Luciana Corrêa ◽  
Ricardo Alves Mesquita ◽  
Ney Soares de Araújo
Keyword(s):  
Malignant Tumors ◽  
Dentigerous Cyst ◽  
Young Patients ◽  
Oral Pathology ◽  
Sao Paulo ◽  
Histopathological Diagnosis ◽  
Oral Lesions ◽  
São Paulo ◽  
Patients Âgés ◽  
Significant Difference

There are few studies on pediatric oral pathologies in the literature. This study presents data from a review of 2,356 biopsies of young patients (birth to 14 years) received over 15 years (1985-2000) in the Oral Pathology Service at the University of Sao Paulo, Brazil. Information about patients (sex, age, race) and histopathological diagnosis was retrieved. Diagnosis data of 2,356 biopsies were classified into 20 groups.There was no significant difference between male (50.0%) and female (49.0%) patients. White is the predominant race (69.0%), and patients ages were concentrated between 9 and 14 years old (70%). Mucocele was the most frequent (13.5%), followed by dentigerous cyst (6.5%) and fibrous hyperplasia (5.4%). Papilloma and Langerhans cells histiocytosis were the most common non-odontogenic benign and malignant tumors, respectively. In the group of odontogenic tumors, odontoma was the most frequent, and ameloblastoma had a significant incidence (27 cases). These data are important in order to detect differences in geographic areas, diagnosis line tendencies and for clinicians to perform judgment to evaluate of the pediatric patients before the biopsy and management of pediatric oral lesions.

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