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Cunha JLS, Cavalcante IL, Rodrigues ABR, Catão NEDS, Cruz VMS, Turatti E, Cavalcante RB, Fonseca FP, Gordón-Núñez MA, Alves PM, Nonaka CFW, Andrade BABD. A retrospective multicenter study of oral and maxillofacial lesions in older people. Braz Oral Res 2023; 37:e098. [PMID: 38055516 DOI: 10.1590/1807-3107bor-2023.vol37.0098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2023] [Accepted: 05/16/2023] [Indexed: 12/08/2023] Open
Abstract
Few studies on the distribution of oral diseases in older people are available in the literature. This study aimed to investigate the prevalence and demographic characteristics of oral and maxillofacial lesions in geriatric patients (age ≥ 60 years). A retrospective descriptive cross-sectional study was performed. Biopsy records were obtained from archives of three Brazilian oral pathology centers over a 20-year period. Data on sex, age, anatomical site, skin color, and histopathological diagnosis were collected and analyzed. Pearson's chi-square test was used to evaluate differences in the frequency of the different oral and maxillofacial lesion groups. A total of 7,476 biopsy records of older patients were analyzed. Most cases were diagnosed in patients aged 60 to 69 years (n = 4,487; 60.0%). Females were more affected (n = 4,403; 58.9%) with a female-to-male ratio of 1:0.7 (p < 0.001). The tongue (n = 1,196; 16.4%), lower lip (n = 1,005; 13.8%), and buccal mucosa (n = 997; 13.7%) were the most common anatomical sites. Reactive and inflammatory lesions (n = 3,840; 51.3%) were the most prevalent non-neoplastic pathologies (p < 0.001), followed by cysts (n = 475; 6.4%). Malignant neoplasms were more frequent (n = 1,353; 18.1%) than benign neoplasms (n = 512; 6.8%). Fibrous/fibroepithelial hyperplasia (n = 2,042; 53.2%) (p < 0.001) and squamous cell carcinoma (n = 1,191; 88.03%) (p < 0.001) were the most common oral lesions in older adults. Biopsy data allow the accurate characterization of the prevalence of oral and maxillofacial lesions, supporting the development of public health policies that can enable the prevention, early diagnosis, and appropriate treatment of these lesions. Also, they bring valuable information that helps dentists and geriatricians diagnose these diseases.
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Affiliation(s)
- John Lennon Silva Cunha
- Universidade Estadual de Campinas - Unicamp, Piracicaba Dental School, Department of Oral Diagnosis, Piracicaba, SP, Brazil
| | - Israel Leal Cavalcante
- Universidade Federal do Rio de Janeiro - UFRJ, School of Dentistry, Department of Oral Diagnosis and Pathology, Rio de Janeiro, RJ, Brazil
| | | | | | - Vitória Maria Sousa Cruz
- Universidade Estadual de Campinas - Unicamp, Piracicaba Dental School, Department of Oral Diagnosis, Piracicaba, SP, Brazil
| | - Eveline Turatti
- Universidade de Fortaleza - Unifor, School of Dentistry, Fortaleza, CE, Brazil
| | | | - Felipe Paiva Fonseca
- Universidade Federal de Minas Gerais - UFMG, Faculty of Dentistry, Department of Oral Surgery and Pathology, Belo Horizonte, MG, Brazil
| | | | - Pollianna Muniz Alves
- Universidade Estadual da Paraíba - UEPB, Department of Dentistry, Campina Grande, PB, Brazil
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Length of the ramus of the mandible as an indicator of chronological age and sex: A study in a group of Egyptians. FORENSIC SCIENCE INTERNATIONAL: REPORTS 2020. [DOI: 10.1016/j.fsir.2020.100066] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Treatment of facial myiasis in an elderly patient with oral squamous cell carcinoma: Case report. Int J Surg Case Rep 2020; 71:260-265. [PMID: 32492640 PMCID: PMC7264952 DOI: 10.1016/j.ijscr.2020.05.015] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2019] [Revised: 02/12/2020] [Accepted: 05/11/2020] [Indexed: 02/01/2023] Open
Abstract
Myiasis may develop secondary to malignant neoplasms. Surgical treatment associated with administration of Ivermectin is effective in curing myiasis. The establishment of a multiprofessional team is fundamental in the treatment of myiasis.
Myiasis is caused by the infestation of fly larvae in human tissues and it presents immunodeficiency, poor hygiene, or malignant neoplasias as predisposing chronic diseases. Objective To describe a clinical case of myiasis associated with oral squamous cell carcinoma (OSCC) in an elderly patient. Case presentation A 60-year-old male, black, smoker, and alcoholic patient with OSCC, who refused initial cancer treatment and sought hospital care with an extensive facial lesion and approximately 150 larvae in the extraoral region. The treatment was given through the administration of 6 mg of Ivermectin associated with the surgical removal of the larvae. Subsequently, palliative chemotherapy began. Discussion Myiasis can sometimes be associated with OSCC and it commonly occurs in individuals who live in unhealthy locations and present poor hygiene and low immunity. In addition to medication, the surgical removal of the larvae is important in the treatment of myiasis. Conclusion Patient adherence to cancer treatment is essential to avoid the negative evolution of the tumor. The social component linked to the development of myiasis makes it an important public health topic, as it is related directly to the lack of primary care. Surgical and drug treatments are required to cure myiasis.
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de Jesus AO, Matias MDP, de Arruda JAA, Aires AV, Gomes IP, Souza LN, Abreu LG, Mesquita RA. Diode laser surgery versus electrocautery in the treatment of inflammatory fibrous hyperplasia: a randomized double-blind clinical trial. Clin Oral Investig 2020; 24:4325-4334. [PMID: 32356212 DOI: 10.1007/s00784-020-03296-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2019] [Accepted: 04/17/2020] [Indexed: 11/28/2022]
Abstract
OBJECTIVES To compare the efficacy and safety of diode laser and electrocautery techniques for inflammatory fibrous hyperplasia (IFH) removal. MATERIALS AND METHODS In this randomized double-blind clinical trial, 40 individuals were randomly allocated to two groups: group 1 (G1) consisted of 20 individuals assigned to treatment with diode laser and group 2 (G2) consisted of 20 individuals assigned to treatment with electrocautery. The following transoperative parameters were evaluated: bleeding, temperature, and surgical technique parameters (energy deposited on tissue, flow rate, and time of incision). The postoperative parameters evaluated were as follows: pain, functional alterations (chewing, speaking), analgesic medication intake, swelling, healing of the wound area, and patient satisfaction. RESULTS Among the 40 individuals included in the study, four (two in G1 and two in G2) did not complete the entire follow-up. Therefore, 36 individuals (18 in G1 and 18 in G2) participated. Participants in G1 and in G2 had similar demographic characteristics. No difference regarding the trans- or postoperative parameters evaluated was observed between G1 and G2 (p > 0.05). Also, no difference regarding the time for healing was observed between groups. CONCLUSIONS Diode laser seems to be as effective and safe as electrocautery when applied under similar conditions for IFH removal. CLINICAL RELEVANCE IFH corresponds to 65% of the lesions observed in denture wearers. This study shows that under similar conditions diode laser is as effective and safe as electrocautery for removal of IFH.
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Affiliation(s)
- Alessandro Oliveira de Jesus
- Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Michelle Danielle Porto Matias
- Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - José Alcides Almeida de Arruda
- Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Amanda Vieira Aires
- Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Isadora Pereira Gomes
- Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Leandro Napier Souza
- Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Lucas Guimarães Abreu
- Department of Child's and Adolescent's Oral Health, School of Dentistry, Universidade Federal de Minas Gerais, Av. Pres. Antônio Carlos, 6627, room 3322, Pampulha, Belo Horizonte, MG, 31270-901, Brazil.
| | - Ricardo Alves Mesquita
- Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
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Al‐Amad SH, Ghebeh M, Saloum P, Maarouf TB, Moustafa YM, Younis Z. Pharmacists' clinical competency towards oral mucosal diseases: Results from a mystery shopper study. Oral Dis 2019; 26:89-95. [DOI: 10.1111/odi.13208] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2019] [Revised: 09/16/2019] [Accepted: 09/26/2019] [Indexed: 12/11/2022]
Affiliation(s)
| | - Maya Ghebeh
- College of Dental Medicine University of Sharjah Sharjah UAE
| | | | | | | | - Zeyad Younis
- College of Dental Medicine University of Sharjah Sharjah UAE
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Fonseca MFL, Kato CDNADO, Pereira MJDC, Gomes LTF, Abreu LG, Fonseca FP, Mesquita RA. Oral and maxillofacial lesions in older individuals and associated factors: A retrospective analysis of cases retrieved in two different services. J Clin Exp Dent 2019; 11:e921-e929. [PMID: 31636862 PMCID: PMC6797459 DOI: 10.4317/jced.56194] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2019] [Accepted: 09/09/2019] [Indexed: 01/21/2023] Open
Abstract
BACKGROUND Studies on the oral and maxillofacial lesions (OMLs) in older people usually assess data of laboratory services and data from oral medicine clinic have been poorly described. The aim of this study was to describe and to compare OMLs in older individuals considering two data sources, besides to assess associated factors with the three most frequent lesions. MATERIAL AND METHODS A retrospective study was conducted with individuals aged 60 years or older. Data of individuals and lesions reported in both services were collected. Univariate analysis was used to test the association between the occurrence of the lesion and the independent variables. The level of significance was set at 5%. RESULTS A total of 1,695 (37.3%) records were from the Oral Medicine clinic and 2,848 (62.7%) from the Laboratory service. Inflammatory/reactive lesion group was the most frequent in both services (40.4% in Oral Medicine Clinic and in 44.2% Laboratory). The second and third groups of lesions in the Oral Medicine clinic were infectious diseases (18.5%), and variations of normality (10.8%), while in the laboratorial service were the malignant neoplasms (17.6%) and potentially malignant disorders (13.3%). Differences between services regarding the frequency of lesion groups occurred (p<0.05), except for pigmented (p=0.054) and infectious (p=0.054) groups. Females (OR: 2.08; CI: 1.81-2.39) and individuals who wore a removable prosthesis (OR: 3.99; CI: 2.83-5.62) were also likely to have inflammatory fibrous hyperplasia. Old-old individuals (OR: 1.70; CI: 1.30-2.21), male (OR: 3.63; CI: 3.00-4.39), smoking (OR: 6.05; CI: 4.84-7.56) or alcohol use (OR: 3.95; CI: 3.12-5.01) were likely to have squamous cell carcinoma. CONCLUSIONS The results showed different frequencies of OMLs in older individuals according to the data sources and age group. The findings are important to direct public policies for this age group. Key words:Oral medicine, laboratory service, older adult, oral diagnosis, oral and maxillofacial pathology.
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Affiliation(s)
- Mª Fernanda-Lopes Fonseca
- DDS, MSc, Department of Oral Pathology and Surgery, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | | | | | - Lucas-Tadeu-Ferreira Gomes
- Undergraduate Student, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Lucas-Guimarães Abreu
- DDS, MScPhD, Adjunt Professor, Department of Paediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Felipe-Paiva Fonseca
- DDS, MSc, PhD, Adjunt Professor, Department of Oral Pathology and Surgery, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Ricardo-Alves Mesquita
- DDS, MSc, PhD, Full Professor, Department of Oral Pathology and Surgery, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
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Fattori E, Teixeira DS, de Figueiredo MAZ, Cherubini K, Salum FG. Stomatological disorders in older people: An epidemiological study in the Brazil southern. Med Oral Patol Oral Cir Bucal 2019; 24:e577-e582. [PMID: 31433386 PMCID: PMC6764713 DOI: 10.4317/medoral.22966] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2019] [Accepted: 07/08/2019] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND The aim of this retrospective, cross-sectional and observational study was to perform a survey of the stomatological conditions of elderly patients seen in a period of 40 years at a Stomatology Service in Southern Brazil. MATERIAL AND METHODS A total of 24,347 medical records were reviewed, of which 5,063 belonged to elderly patients aged 60 to 97 years. The stomatological conditions, systemic conditions, and smoking and alcohol drinking habits as well were recorded. RESULTS The mean age of the patients was 69.29 years, 67.1% were female and 32.9% were male. Variations of normality accounted for 44.5% of the cases. The most prevalent disorders were fungal infections (26.1%), reactive inflammatory lesions (24.6%), burning mouth syndrome (14.9%), benign neoplasms (12.4%), autoimmune disorders (12.3%), premalignant lesions (10.2%) and malignant epithelial neoplasms (7.2%). Regarding biopsied lesions, squamous cell carcinoma was the most prevalent at 30.2%, followed by hyperplasic lesions (28.2%). CONCLUSIONS Knowledge of these physiological and pathological conditions in the oral cavity of the older people is essential for early diagnosis and preventive and therapeutic measures when necessary.
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Affiliation(s)
- E Fattori
- Serviço de Estomatologia - Hospital São Lucas, PUCRS, Av. Ipiranga, 6690 Room 231, CEP: 90610-000 - Porto Alegre, RS, Brazil,
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Silva LP, Serpa MS, Sobral APV, Arruda JAA, Silva LVO, Noronha MS, Kato CO, Mesquita RA, Schuch LF, Gomes APN, Vasconcelos ACU, Souza LB. A retrospective multicentre study of cystic lesions and odontogenic tumours in older people. Gerodontology 2018; 35:325-332. [DOI: 10.1111/ger.12354] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/01/2018] [Indexed: 11/28/2022]
Affiliation(s)
- Leorik P. Silva
- Postgraduate Program in Oral PathologySchool of DentistryUniversidade Federal do Rio Grande do Norte Natal Brazil
| | - Marianna S. Serpa
- Postgraduate Program in Oral PathologySchool of DentistryUniversidade Federal do Rio Grande do Norte Natal Brazil
| | - Ana Paula V. Sobral
- Department of Oral and Maxillofacial PathologySchool of DentistryUniversidade de Pernambuco Camaragibe Brazil
| | - José Alcides A. Arruda
- Department of Oral Surgery and PathologySchool of DentistryUniversidade Federal de Minas Gerais Belo Horizonte Brazil
| | - Leni Verônica O. Silva
- Department of Oral Surgery and PathologySchool of DentistryUniversidade Federal de Minas Gerais Belo Horizonte Brazil
| | - Mariana S. Noronha
- Department of Oral Surgery and PathologySchool of DentistryUniversidade Federal de Minas Gerais Belo Horizonte Brazil
| | - Camila O. Kato
- Department of Oral Surgery and PathologySchool of DentistryUniversidade Federal de Minas Gerais Belo Horizonte Brazil
| | - Ricardo A. Mesquita
- Department of Oral Surgery and PathologySchool of DentistryUniversidade Federal de Minas Gerais Belo Horizonte Brazil
| | - Lauren F. Schuch
- Diagnostic Center for Oral DiseasesSchool of DentistryUniversidade Federal de Pelotas Pelotas Brazil
| | - Ana Paula N. Gomes
- Diagnostic Center for Oral DiseasesSchool of DentistryUniversidade Federal de Pelotas Pelotas Brazil
| | | | - Lélia B. Souza
- Postgraduate Program in Oral PathologySchool of DentistryUniversidade Federal do Rio Grande do Norte Natal Brazil
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