Oral lesions in older patients: a descriptive analysis of a brazilian population

Authors

DOI:

https://doi.org/10.33448/rsd-v10i15.23227

Keywords:

Dental Care for Aged; Oral pathology; Oral Squamous Cell Carcinoma; Leukoplakia Oral; Lichen Planus Oral; Hyperplasia.

Abstract

The objective of this retrospective, observational study was to describe the oral lesions diagnosed in older patients through histopathological reports from the oral pathology service of a private university in Rio de Janeiro over a 19 year period (1999-2017) and to call attention to the oral health of the elderly. Information was collected and analyzed from 713 medical records of patients aged ≥ 60 years old. The data collected included the patient's age, gender and the type and location of the injury. The mean age of the patients was 68.1 years old, with a higher prevalence of lesions in the 60 to 74 age group. The results showed that three of the four most common oral lesions were more frequent in women and only one (oral squamous cell carcinoma) was more common in men. The 4 most common injuries were: fibrous inflammatory hyperplasia (187; 26.2%), oral squamous cell carcinoma (78; 10.9%), leukoplakia (40; 5.6%) and oral lichen planus (36; 5.0%). These lesions were distributed mainly in the alveolar edge (71; 20.8%) followed by tongue (57; 16.7%), bottom of the vestibule (55; 16.1%), and buccal mucosa (44; 12.9%). The results obtained should be used to alert health professionals, especially dentists, so that early diagnoses of such lesions can be made and thus contribute to improving the quality of care for the elderly.

References

Alencar, J. A. (2017). Prevalência de lesões bucais em idosos assistidos no Centro de Convivência do Idoso - Gama - DF. Dissertation (Master in Gerontology) - Universidade Católica de Brasília.

Araujo M. V. A., Pinheiro H. H. C., Pinheiro J. J. V., Quaresma J. A., Fuzii H. T. & Medeiros R. C. (2014). Prevalence of human papillomavirus (HPV) in Belém, Pará State, Brazil, in the oral cavity of individuals without clinically diagnosable injuries. Cad. Saúde Pública. 30(5):1115-9.

Bertoja I. C., Tomazini J. G., Braosi A. P. R., Zielak J. C., Reis L. F. G. & Giovanini A. F. (2007). Prevalência de lesões bucais diagnosticadas pelo Laboratório de Histopatologia do UnicenP. RSBO. 4(2): 41-6.

Bezerra N. V., Leite K. L., de Medeiros M. M., Martins M. L., Cardoso A. M., Alves P. M., et al. (2018). Impact of the anatomical location, alcoholism and smoking on the prevalence of advanced oral cancer in Brazil. Med Oral Patol Oral Cir Bucal. 1;23(3):e295-e301.

Carvalho M. V., Iglesias D. P., Nascimento G. J. & Sobral A. P. (2011). Epidemiological study of 534 biopsies of oral mucosal lesions in elderly Brazilian patients. Gerodontology. 28(2):111-5.

Chi A. C., Neville B. W., Krayer J. W. & Gonsalves W. C. (2010). Oral Manifestations of Systemic Disease. Am Fam Physician. 82(11):1381-1388.

Chen J. K.,Eisenberg E., Krutchkoff D. J. & Katz R. V. (1991). Changing Trends in oral câncer in United States, 1935 to 1985; A Connecticut Study. J Oral Maxillofac. Surg. 49(11):1152-8.

Corrêa L., Frigerio M. L., Sousa S. C. & Novelli M. D. (2006). Oral lesions in elderly population: A biopsy survey using 2250 histopathological records. Gerodontology. 23(1):48-54.

Cueto A., Martínez R., Niklander S., Deichler J., Barraza A. & Esguep A. (2013). Prevalence of oral mucosal lesions in an elderly population in the city of Valparaiso, Chile. Gerodontology. 30(3):201-6.

De Visschere L. M., Van der Putten G. J., Vanobbergen J. N., Schols J. M. & de Baat C. (2011). An oral health care guideline for institutionalised older people. Gerodontology. 28(4):307-10.

Dhanuthai K., Rojanawatsirivej S., Somkotra T., Shin H. I., Hong S. P., Darling M., et al. (2016). Geriatric oral lesions: A multicentric study. Geriatr Gerontol Int. 16(2):237-43.

Durazzo M. D., Araujo C. E. N., Brandão Neto J. S., Potenza A. S., Costa P., Takeda F., et al. (2005). Clinical and epidemiological features of oral cancer in medical school teaching hospital from 1994 to 2002: increasing incidence in women, predominance of advanced local disease, and low incidence of neck metastases. Clinics. 60(4):293-298.

Espinoza I., Rojas R., Aranda W. & Gamonal J. (2003). Prevalence of oral mucosal lesions in elderly people in Santiago, Chile. J Oral Pathol Med. 32(10):571-5.

Gleiznys A., Zdanavičienė E. & Žilinskas J. (2015). Candida albicans importance to denture wearers. A literature review. Stomatologija. Baltic Dental and Maxillofacial Journal. 17(2):54-66.

Gutmacher Z., Teich S., Lin S., Ghantous Y. & Abu El-Naaj I. (2016). Practitioners’ challenges in diagnosing oral and maxillofacial tumors. Quintessence Int. 47(7):603-608.

Hung W. W., Ross J. S., Boockvar K. S. & Sir A. L. (2011). Recent trends in chronic disease, impairment and disability among older adults in the United States. BMC Geriatr. 11:47.

Instituto Brasileiro de Geografia e Estatística - IBGE. Censo Demográfico. (2010). Available in: https://www.ibge.gov.br/estatisticas/sociais/populacao/9662-censo-demografico-2010.html?=&t=resultados. Accessed in: Oct 31, 2021.

Instituto Brasileiro de Geografia e Estatística - IBGE. Projeção da população do Brasil e das Unidades de Federação. (2021). Available in: https://www.ibge.gov.br/apps/populacao/projecao/. Accessed in: Oct 31, 2021.

Llewellyn C. D., Linklater K., Bell J., Johnson N. W. & Warnakulasuriya S. (2004). An analysis of risk factors for oral cancer in young people: a case-control study. Oral Oncol. 40(3):304-13.

Mohan B. C., Angadi P. V., Hallikerimath S. & Kale A. D. (2016). Diagnoses of 964 oral biopsies from people aged over 50 years in Karnataka State, India. Gerodontology. 33(2):217-24.

Montero P. H. & Patel S. G. (2015). Cancer of the oral cavity. Surg Oncol Clin N Am. 24(3):491-508.

Moresco F. C., Nora Filho M. R. & Balbinot M. A. (2003). Levantamento epidemiológico dos diagnósticos histopatológicos da disciplina de Estomatologia da Faculdade de Odontologia da ULBRA - Canoas/RS. Stomatos. 9(17): 29-34.

Mosele J. C., Stangles L. P., Trntin M. S., Silva S. O. & Carli J. P. (2008). Levantamento epidemiológico dos casos de carcinoma epidermoide da cavidade bucal registrados no serviço de diagnóstico histopatológico do Instituto de Ciências Biológicas da Universidade de Passo Fundo/RS. Revista Odonto. 16(32):18-24.

Pomorska-Wesołowska M., Różańska A., Natkaniec J., Gryglewska B., Szczypta A., Dzikowska M., et al. (2017). Longevity and gender as the risk factors of methicillin-resistant Staphylococcus aureus infections in southern Poland. BMC Geriatr. 10;17(1):51.

Rahib L., Wehner M. R., Matrisian L. M. & Nead K. T. (2021). Estimated Projection of US Cancer Incidence and Death to 2040. JAMA. 4(4):e214708.

Silva L. P., Leite R. B., Sobral A. P. V., Arruda J. A., Oliveira L. V., Noronha M. S., et al. (2017). Oral and maxillofacial lesions diagnosed in older people of a brazilian population: a multicentric study. J Am Geriatr Soc. 65(7):1586-1590.

Silveira E. J. D., Lopes M. F. F., Silva L. M. M., Ribeiro B. F., Lima K. C. & Queiroz L. M. G. (2009). Lesões orais com potencial de malignização: análise clínica e morfológica de 205 casos. J. Bras. Patol. Med. Lab. 45(3):233-238, 2009.

Thiagarajan S., Nair S., Nair D., Chaturvedi P., Kane S. V., Agarwal J. P., et al. (2014). Predictors of prognosis for squamous cell carcinoma of oral tongue. J Surg Oncol. 109(7):639-44.

United Nations (2020). Human Development Index. Available in: http://hdr.undp.org/en/data. Accessed in: Oct 31, 2021.

World Health Organization (2005). World Health Organization Classification of Tumours. Pathology & Genetics. Head and Neck Tumours. Lyon: International Agency for Research on Cancer (IARC) IARC Press. P. 177-9.

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Published

02/12/2021

How to Cite

ALMEIDA, R. F.; FERREIRA, K. D. M.; SILVA, A. M. P. da; VIEIRA, M. S.; PIRES, F. R.; THOLT, B.; AZEVERO, A. L. R.; SANTOS, T. C. R. B.; ARMADA, L.; FERREIRA, D. de C. Oral lesions in older patients: a descriptive analysis of a brazilian population. Research, Society and Development, [S. l.], v. 10, n. 15, p. e516101523227, 2021. DOI: 10.33448/rsd-v10i15.23227. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/23227. Acesso em: 23 dec. 2024.

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Health Sciences