The Rate of Oral Lesions in Infants and Neonates Attend Maternity and Pediatric Teaching Hospital in Sulaymaniyah City

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

A Sketch on Oral Mucosal Lesion Presenting in a Rural Tertiary Care Hospital in Bangladesh

Background: Oral mucosal lesion (OML) is defined as any abnormal alteration in color, surface aspect, swelling, or loss of integrity of the oral mucosal surface. Some oral mucosal lesions are benign and require no treatment but some may present with significant pathology. Several oral potential disorders frequently progress into malignancy Objective: The present study was carried out to assess the pattern of various oral cavity lesions of patients attending in a regional tertiary care hospital in northern area of Bangladesh. Materials and Methods: This prospective cross-sectional study was carried out in the Department of Dentistry in collaboration with department of Pathology of Khwaja Yunus Ali Medical College and Hospital, Sirajgonj, Bangladesh during the period of one year from December 2016 to December 2017. An elaborate schedule was prepared before undertaking the study. A total of 73 patients in the Dental OPD of the hospital presenting with oral lesion for more than 3 weeks were randomly selected. An incisional biopsy was taken from all patients and histological examinations were done. The collected data were analyzed using SPSS (V-20) and MS Excel. Results: Most common site of oral lesion is Buccal Mucosa (36.99%), then supraglotic region (26.03%), lower lip 6.85%, gingiva 5.48%, anterior palate and oral flor 4.11% each. Most of the lesion was Squamous cell carcinoma (58%), then lichen planus, leukoplakia, inflammatory lesion, pyogenic granuloma and verrucous carcinoma, each of them was around 5% of lesion. Conclusion: The epidemiological data on the prevalence of oral lesion is an important determinant in planning appropriate levels of services and further studies are required to provide accurate estimates of the treatment need in Bangladeshi population with oral lesion. Update Dent. Coll. j: 2021; 11(2): 4-9

Prevalence of oral mucosal lesion in peri-urban area of Lucknow city (Uttar Pradesh)

Introduction: . The oral mucosa performs essential protective functions that affect the general health of the patient. Oral lesions can cause discomfort or pain that interferes with mastication, swallowing, and speech. Aim: The aim of this study is to assess the prevalence of oral mucosal lesions in periurban area in the city of Lucknow aged 15 years and above. Settings and Design: A multistage random sampling was done for identifying the study sample. Materials & Methods: In the first stage. all peri-urban areas of Lucknow city was grouped into four geographical zones. Second stage consisted of random selection of 20 peri-urban areas by lottery method (5 from each zone). In third stage there was selection of individuals using simple random method. A total of 45 individuals was selected. Thus a total 900 individuals was selected (i.e. 225 from each zone). Results: The prevalence of oral mucosal lesion in the present study was found to be 11.8%. The percentage of patients suffering from leukoplakia, oral submucous fibrosis and lichen planus was 51.9%, 20.8% & 11.3% respectively. Conclusion: This survey high-lighted the rampant misuse of variety of harmful substances as well as the high prevalence of oral lesions in the community.

Prevalence of smoker’s palate and smoker’s melanosis among patients visiting a private dental college

Tobacco consumption including smoked or smokeless type is harmful for the oral mucosa as it promotes the development of oral cancer and oral mucosal lesions such as leukoplakia, smoker’s palate (nicotinic stomatitis), smoker’s melanosis and other types of lesions. A retrospective study was conducted in a dental hospital from July 2019 till March 2020. A total of 146 patients diagnosed with smoker’s palate, smoker’s melanosis or both were included in this study. The data variables including socio-demographic and patients diagnosed with smoker’s palate and smoker’s melanosis were recorded and analyzed using SPSS Statistical software Version 20. Smoker’s palate and smoker’s melanosis were prevalent in 50-59 years and predominant in males. In this present study, smoker’s palate (53.4%) was more prevalent followed by smoker’s melanosis (24%) and smoker’s palate and melanosis (22.6%). There was statistically insignificant association between the age and types of oral mucosal lesion (p>0.05). It can be concluded that smoker’s palate was more prevalent followed by smoker’s melanosis and both in which 50-59 years age and male group were more predominant.

Correlation of clinical and histopathological diagnoses of oral mucosal lesions at tertiary care centre: a retrospective study

<p class="abstract"><strong>Background:</strong> The objective of the study was to study the correlation between clinical and histopathological diagnoses of oral lesions.</p><p class="abstract"><strong>Methods:</strong> Data of all patients attending the department of Dermatology KEM Hospital, Mumbai with oral mucosal lesions who underwent biopsy for histopathological examination in a duration of one year was included in this retrospective study. Their clinical and histopathological diagnoses were correlated and data was analysed.<strong></strong></p><p class="abstract"><strong>Results:</strong> A data of total of 164 patients was included in study. Out of the clinically diagnosed, histopathological correlation was found to be 66.66% for oral leucoplakia, 81.25% for lichen planus, 72% for squamous cell carcinoma, 88% for pemphigus vulgaris and 75% for submucosal fibrosis. Overall correlation found was 75.60%.</p><p class="abstract"><strong>Conclusions:</strong> Histopathological examination of oral mucosal lesion is very important to arrive at the accurate diagnosis and to plan definitive treatment. Histopathological examination of oral mucosal lesions must be done routinely because wide variety of conditions present with similar morphologic features and can be the initial signs of many skin disorders.</p>

Recurrent aphthous stomatitis as the only clinical sign of celiac disease in obese adolescent - case report and literature review

Introduction. Recurrent aphthous stomatitis (RAS) is a relatively common oral mucosal lesion of unclear etiology. It occurs in otherwise healthy people, but also in various infectious and non-infectious diseases, including celiac disease (CD). We present an obese adolescent with RAS as the only clinical sign of CD. Case outline. An adolescent aged 15 2/12 years come with very pronounced RAS in previous five months. He had no other difficulties. The patient was obese from the age of 12. Other data were without peculiarities. On admission he was 165 cm tall (P25), obese (BMI 27 kg/m2), in the final stage of puberty, with stretch marks in the distal areas of the abdomen, thighs and gluteus and very pronounced pain-sensitive aphthae in the buccal and labial mucosa accompanied by swelling of the lips and perioral region. Except for lower serum iron levels (8 ?mol/l), routine laboratory blood tests were within the reference range. The serological test for CD was positive (antibodies to tissue transglutaminase IgA 78.5 U/ml, anti-endomysial antibodies IgA positive). Endoscopy revealed reflux esophagitis, without any other pathological findings. Stereomicroscopic and pathohistological analysis of the duodenal mucosa samples showed mild destructive enteropathy (Marsh IIIa). Pathohistological examination of the gastric mucosa revealed grade I-II lymphocytic gastritis. The urease test for Helicobacter pylori was negative. A gluten-free diet resulted in the withdrawal of aphthous stomatitis and no recurrence later. Conclusion. Within the differential diagnostic analysis of the RAS causes, CD should also be considered. Additionally, obesity does not exclude the presence of CD.

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

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.

Prevalence of oral mucosal lesions among elderly population in Chennai: a survey

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.