scholarly journals Prevalence of Oral Mucosal Lesions Among the Institutionalized Elderly Population in Lebanon

2020 ◽  
Vol 6 ◽  
pp. 233372142092518
Author(s):  
Antoine Choufani ◽  
Marysette Folliguet ◽  
Nathalie Chahine ◽  
Sahar Rammal ◽  
Mounir Doumit

This study aimed to determine the prevalence of oral mucosal lesions and risk factors among the institutionalized elderly Lebanese population. A representative sample of 526 individuals (49% males and 61% females) aged 65 years and above was examined. A questionnaire and clinical examination were administered. Bivariate and multivariate regressions were carried out. The frequency of oral mucosal lesions was 22.8% and it was associated to the use, integrity ( p < .002), and hygiene level ( p < .047) of removable mandibular and maxillary prosthesis. Multiple regression analysis also predicted the relationship between the mandibular prosthesis hygiene level and the occurrence of mucosal lesions. The factors controlling the occurrence of oral mucosal lesion were mainly related to the level of oral care given to the individuals. Therefore, a proper oral health care system should be implemented in the Lebanese residential homes to ensure the well-being of the residing population.

2020 ◽  
Vol 26 (1) ◽  
pp. 10 ◽  
Author(s):  
S. Rohini ◽  
Herald J. Sherlin ◽  
Gifrina Jayaraj

Introduction: The oral mucosa serves as a protective barrier against trauma, pathogens and carcinogenic agents. It can be affected by a wide variety of lesions and conditions, some of which may be harmless or with serious complications. Identification and institution of proper treatment of these lesions are an important part of total oral health care. Knowledge of clinical characteristics of oral mucosal lesions such as morphology, location, and duration helps in proper diagnosis and in identifying the type of oral mucosal lesion. The present study was designed to analyze prevalence of oral mucosal lesions in elderly population. Materials and methods: A descriptive pro forma-based study was conducted among the elderly patients visiting the Saveetha Dental College, Chennai, Tamil Nadu, India. Elderly patients within the age 55–90 years were considered as subjects in this study. The pro forma contained basic details of patients such as name, age, sex, occupation, chief complaint, past medical and dental history, family history and personal habits (oral hygiene habits and oral habits). On intra oral examination the characteristic features of oral mucosal lesions were recorded. Result: Seventy five subjects participated in the study. In 75 subjects, there were 55 males and 20 females. The patients ranged from 55 to 90 years old and were categorised into four age groups: 55–60 years, 60–70 years, 70–80 years and 80–90 years. The most common lesions were oral submucous fibrosis (21.33%), smoker's palate (20%), leukoplakia (14.66%) and tobacco pouch keratosis (10.66%). Conclusion: The prevalence of oral habits related lesions in elderly population are more in Indian population because of more exposure to tobacco products in old age and the prevalence of non oral habits related lesions are because of vitamin, dietary deficiency and stress. Hence, proper support and care of aged individuals will help the dentist in proper diagnosis and treatment planning programs.


2016 ◽  
Vol 3 (4) ◽  
Author(s):  
Srisailamaiah. M ◽  
Suresh. K ◽  
Srikanth Reddy. V

India is fast developing country. The elderly population is large and increasing due to development of health care facilities. Elderly people are facing physical, psychological and health issues due to economic impairment, urbanization, modernization. Globalizations have brought lifestyle changes which resulted in disintegration of joint family system and alternative living arrangements for elderly have come forward. Living in old age homes is becoming an option for elderly. This study is an attempt to find out the mean difference between depression and psychological well being among institutionalized and non- institutionalized elderly. To realize the objectives and to test the hypotheses formulated, two tools were used to assess depression and psychological wellbeing The Geriatric depression Inventory (Holroyd & Clayton, 2000), and Psychological Wellbeing Scale (Bhogley & Prakash, 1995), were used on elderly population. For purposes of the present study, a total sample of 60 were taken out of which 30 were ( 60+ years )  elderly people  from old age homes and 30 were  (60+ y ears) from non- institutionalized elderly from Tirupati in Chittoor district ,Andhra Pradesh. ‘t’-test was applied to check the difference of depression and psychological well being and the Karl-person ‘r’ method used to check the correlation. Result revealed significant differences in depression and psychological well being with respect to institutionalized and non- institutionalized elderly. While co-relation between depression and psychological well-being reveals -0.68, negative correlation.


Author(s):  
Florence M. F. Wong ◽  
Yannies T. Y. Ng ◽  
W. Keung Leung

The oral health of an ageing population, especially that of the institutionalized elderly population, constitutes a significant concern because it is closely linked to general health and the quality of life. Shared common risk factors drive the development and worsening of poor oral health and non-communicable diseases, which eventually lead to self-care inability. Several studies have reported on the poor oral health of the institutionalized elderly population. However, few comprehensive reports exist regarding the relationship between poor oral health, the oral health-related quality of life (OHRQoL) and the associated factors in this specific population. Objective: The objective is to describe recently reported oral health levels, the OHRQoL and the associated factors among older institutional residents. Methods: Studies published between July 2009 and June 2019 in MEDLINE, EMBASE and CINAHL were searched. The population, intervention, comparison and outcome (PICO) strategy was used as a guide. The reported factors related to poor oral health were identified (i.e., age, gender, educational level, acquired systemic conditions or dementia/cognitive impairment). Results: Twenty-five surveys (or study series) from 19 countries were included. The level of evidence reported by these studies was generally moderate to strong. The reported oral cleanliness and health of the surveyed institutionalized elderly were poor (>50% of residents had calculus; denture hygiene index > 80%). Gum (approximately 30% of dentate residents had moderate to severe periodontitis), teeth (decayed, missing or filled teeth >20), mucosa (>10% had mucosal lesions) and denture problems (up to 40%) were prevalent and were associated with a poor OHRQoL, especially in females, socially deprived residents or those with mild or above cognitive impairment. Those with a poor OHRQoL might show signs of poor nutrition. Conclusions: This report reviewed evidence-based knowledge on oral health, the OHRQoL and the associated factors among elderly institutional residents. Further research is needed to confirm these observations. For improved oral health, a better OHRQoL and the general well-being of older residents, clinical trials are needed, targeting modifiable factors, such as social inequality, oral healthcare accessibility, and/or nursing home service quality. The relationship between oral health, the OHRQoL and nutrition in this at-risk population also warrants exploration.


2021 ◽  
Vol 21 (1) ◽  
pp. 20-27
Author(s):  
Shaida Muhammed Ali Hassan ◽  
◽  
Balkess Taha Garib

Background: The prevalence of oral mucosal lesions in infants and neonates is still a matter of debate. Objective: To find the frequency of oral mucosal lesions in children from Sulaymaniyah city. Patients and Methods: A cross-sectional study was performed in Maternity and Pediatrics Teaching Hospitals in Sulaymaniyah city. Twohundred children aged from birth to two years old were randomly selected. Demographic features, mode of delivery, pattern of feeding, and type and site of oral mucosal lesions, were recorded. Results: Male: female ratio was 1.06:1, and 64% were delivered by cesarean section. Significant differences were present between breastfeeding with the mode of delivery and age of the infants. Oral mucosal lesions were observed in 64.5% of children at 141 sites. 30% of lesions are located at median palatine raphe. The diagnosis of 30% of oral mucosal lesions was Epstein pearls, and 16% were Bohn’s nodule. The oral mucosal lesions were more frequently seen in children within the first week. Conclusion: About three-quarters of children was afflicted with oral mucosal lesions. Besides, Epstein pearls and Bohn’s nodule were among the most frequent diagnosis. Further, ages of a week or less afflicted more with congenital oral mucosal lesions. Keywords: Oral mucosal lesion, Oral developmental cyst, Infant, Neonates, Sulaymaniyah


2019 ◽  
Vol 53 (5) ◽  
Author(s):  
Fatma Yasmin Mahdani ◽  
Desiana Radithia ◽  
Adiastuti Endah Parmadiati ◽  
Diah Savitri Ernawati

Background. Population aged 60 years old and above are growing in number; a fact that will have an impact on general and oral health in the future. Oral health is often overlooked in the management of geriatric patients but it is vital to have a knowledged-based practice in order to increase the quality of life of elderly patients. Objective. The purpose of this study is to determine the number and types of oral mucosal lesions in geriatric patients who come to the Universitas Airlangga Dental Hospital. Methods. This is an observational descriptive study with cross-sectional design. Intraoral soft tissue examination was performed on geriatric patients coming to the hospital between March and December 2018. Results. One hundred twenty-four (124) new geriatric patients came to the hospital. A total of 152 oral lesions from 63 geriatric patients (50.81%) were identified. Overall, coated tongue (55.56%) was the most frequently detected lesion, followed by linea alba buccalis (31.74%) and lingual varicosities (26.98%). Conclusion. Coated tongue or white tongue is the most frequently detected oral mucosal lesion, often caused by poor oral hygiene. The dentist should be able to recognize and differentiate them from the worrisome lesions and decide on the appropriate treatment in geriatric patients.


2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1054-1059
Author(s):  
Aishwarya Reddy B ◽  
Herald J. Sherlin ◽  
Nivethigaa B

Oral trauma in elderly population constitutes an increasingly recognized problem. Aging results in a progressive decline in cellular function, which leads to loss of their capacity to respond to an injury. The aim of the study is to check the prevalence of traumatic oral mucosal lesions in elderly population/patients visiting a dental clinic. Elderly patients with oral mucosal lesions reported to dental hospitals were selected. Data from 86000 patients visiting Saveetha Dental College during the time period of June 2019 to March 2020 were reviewed, and the data was collected. This is a single centred retrospective study conducted in a private dental institution, Chennai. The collected data were tabulated and analysed using SPSS software by IBM. Out of 80 patients, 56.3% of the patients were of age 60 to 65 years. 42% of the patients had Denture stomatitis which was the highest among all the traumatic oral mucosal lesions. Males were more prevalent to oral mucosal lesions with 57.5% than females. The most common site with oral mucosal lesions is palate with 44%. The overall prevalence of traumatic oral mucosal lesions in the elderly population is high. Denture stomatitis is the most commonly occurring oral traumatic mucosal lesion among elderly patients visiting the dental clinic.


2019 ◽  
Vol 13 (1) ◽  
pp. 24-30 ◽  
Author(s):  
Esin Bozdemir ◽  
Hasan Hüseyin Yılmaz ◽  
Hikmet Orhan

Background. The aim of this study was to determine the prevalence of oral lesions in terms of sex, age, educational status, medication use, systemic diseases, the duration of denture use and tobacco or alcohol use. Methods. A total of 709 voluntary patients (375 males and 334 females), aged ≥60 years, were interviewed by one investigator for demographic data, systemic diseases, tobacco or alcohol use, denture use and the duration of denture use. Results. The majority of the participants (87.6%) had one or more oral mucosal lesions. The prevalence of oral mucosal lesions was 46.3% in males and 41.3% in females (P=0.76). The most common oral mucosal lesion was a sublingual varicosity in both males and females. A statistically significant difference was observed between the three age groups (60–64, 65–69, and ≥70 years) with regard to the prevalence of oral mucosal lesions (P=0.02). There was a significant relationship between the presence of systemic diseases and oral mucosal lesions (P=0.01). There was also a significant relationship between denture use and oral mucosal lesions (P=0.001). Smoking and a history of smoking were also significant predictive factors for oral mucosal lesions (OR: 3.385, P=0.045). Conclusion. Although the majority of oral mucosal lesions detected in the present study were benign, there were some patients with premalignant and malignant lesions. Therefore, periodic oral examinations for detection of precancerous and cancerous lesions are important, especially in the elderly, smokers and denture users.


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