Dental and Medical Problems

Dent Med Probl
Index Copernicus (ICV 2020) – 128.41
MEiN – 70 pts
CiteScore (2021) – 2.0
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ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – quarterly

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Dental and Medical Problems

2018, vol. 55, nr 4, October-December, p. 405–410

doi: 10.17219/dmp/97310

Publication type: original article

Language: English

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Creative Commons BY-NC-ND 3.0 Open Access

Prevalence of oral mucosal lesions in young seniors in the Wrocław region

Występowanie chorób błony śluzowej jamy ustnej u młodych seniorów rejonu Wrocławia

Beata Głowacka1,B,D,F, Tomasz Konopka1,A,B,C,E,F

1 Department of Periodontology, Faculty of Dentistry, Wroclaw Medical University, Poland


Background. The morbidity of certain oral pathologies, for example denture-related stomatitis, burning mouth syndrome (BMS) and benign neoplasms is higher in the elderly. It is necessary to periodically assess the changes in the profile of the occurrence of these diseases and determine the dominant risk factors associated with their incidence.
Objectives. The aim of the study was to evaluate the prevalence of oral mucosal pathologies (in particular, potentially malignant and cancerous disorders) in a randomly selected population of 65–74-year-old residents of Wrocław and Oława, Poland.
Material and Methods. A group of 1,600 persons aged 65–74 years, living in Wrocław (a large city) and Oława (a small town) were randomly selected to participate in the study. 285 people from Wrocław and 102 from Oława were examined. In a clinical dental examination, the following parameters were assessed: the number of teeth; probing/pocket depth (PD) and clinical attachment level (CAL) for all the teeth at 4 measuring points (on this basis, periodontal diagnoses were made according to American recommendations – of the American Center for Disease Control and Prevention and the American Academy of Periodontology (CDC/AAP)); and the presence of prosthetic restorations and their quality. In the anamnestic study, variables concerning the socioeconomic status, systemic conditions (comorbidity of selected general diseases, nicotine addiction status, body mass) and selected behaviors promoting oral health were determined.
Results. The most common clinical changes in the oral mucosa were denture-related stomatitis (6.7%), hemangiomas (5.9%) and fibromas (4.1%). Potentially malignant disorders and cancerous lesions were diagnosed in 59 persons (15.2% of the respondents). One case of tongue cancer was diagnosed in an inhabitant of Oława.
Conclusion. More than 1/3 of the examined persons were diagnosed with certain clinical, pathological oral mucosal lesions requiring treatment, of which nearly half were potentially malignant and cancerous. Poor tooth brushing efficiency was associated with a higher incidence of pre-cancerous and cancerous lesions in the oral cavity.

Key words

the elderly, oral mucosa diseases, potentially malignant disorders, cross-sectional epidemiological study

Słowa kluczowe

osoby starsze, choroby błony śluzowej jamy ustnej, zaburzenia potencjalnie złośliwe, przekrojowe badanie epidemiologiczne

References (24)

  1. Pai A, Deverashetty P. Changing trends in the oral mucosa geriatric population – an epidemiological study. J Ind Acad Geriatr. 2017;13:10–17.
  2. Scully C. Oral & Maxillofacial Medicine. The Basis of Diagnosis and Treatment. 3rd ed. Edinburgh, UK: Churchill Livingstone Elsevier; 2013;10–20.
  3. Kim SK, Allen ED. Structural and functional changes in salivary glands during aging. Microsc Res Tech. 1994;28:243–253.
  4. Agnihotri R, Gaur S. Implications of tobacco smoking on the oral health of older adults. Geriatr Gerontol Int. 2014;14:526–540.
  5. Knychalska-Karwan Z. Oral mucosal pathological lesions in 4,752 patients treated at the Department of Conservative Dentistry at Jagiellonian University in Kraków, Medical College in the years 1961–1998 [in Polish]. Magazyn Stomatol. 2004;14(3):10–14.
  6. MacEntee MI, Glick N, Stolar E. Age, gender, dentures, and oral mucosal disorders. Oral Dis. 1998;4:32–36.
  7. Konopka T, Mendak M. Prevalence of oral mucosal diseases in patients of specialist clinics in Wrocław in the years 1992–2003 [in Polish]. Dent Med Probl. 2004;41:717–725.
  8. GLOBOCAN 2012: Estimated cancer incidence, mortality and prevalence worldwide in 2012. Accessed July 10, 2018.
  9. Vigneswaran N, Williams MD. Epidemiological trends in head and neck cancer and aids in diagnosis. Oral Maxillofac Surg Clin North Am. 2014;26:123–141.
  10. Thomson WM, Chalmers JM, Spencer AJ, Ketabi M. The occurrence of xerostomia and salivary gland hypofunction in a population-based sample of older South Australians. Spec Care Dent. 1999;19:20–23.
  11. Smidt D, Torpet LA, Nauntofte B, Heegaard KM, Pedersen AM. Associations between labial and whole salivary rates, systemic diseases and medications in a sample of older people. Community Dent Oral Epidemiol. 2010;38:422–435.
  12. Shetty SR, Bhowmick S, Castelino R, Babu S. Drug induced xerostomia in elderly individuals: An institutional study. Contemp Clin Dent. 2012;3:173–175.
  13. Chew ML, Mulsant BH, Pollock BG, et al. Anticholinergic activity of 107 medications commonly used by older adults. J Am Geriatr Soc. 2008;56:1333–1341.
  14. Lopez-Pintor RM, Casanas E, Gonzalez-Serrano J, et al. Xerostomia, hyposalivation, and salivary flow in diabetes patients. J Diab Res. 2016;2016:4372852.
  15. Acauan MD, Figueiredo MA, Cherubini K, Gomes AP, Salum FG. Radiotherapy-induced salivary dysfunction: Structural changes, pathogenetic mechanisms and therapies. Arch Oral Biol. 2015;60:1802–1810.
  16. O’Leary TJ, Drake RB, Naylor JE. The plaque control record. J Periodontol. 1972;43:38.
  17. Eke PI, Dye BA, Wei L, Thornton-Evans GO, Genco JR. Prevalence of periodontitis in adults in the United States: 2009 and 2010. J Dent Res. 2012;91:914–920.
  18. Lipkiewicz M. Periodontal condition in 65-74-year-old persons in West Pomerania [in Polish]. PhD thesis. Pomeranian Medical University in Szczecin, Poland, 2016.
  19. Hertrampf K. Disease and medical care prevalence in young seniors (65–74 years of age). Oral mucosa findings [in German]. In: Jordan AR, Micheelis W, eds. Fünfte Deutsche Mundgesundheitsstudie (DMS V). Koln, Germany: Deutscher Zahnärzte Verlag DÄV; 2016:359–362.
  20. Mumcu G, Cimilli H, Sur H, Hayran O, Atalay T. Prevalence and distribution of oral lesions: A cross-sectional study in Turkey. Oral Dis. 2005;11:81–87.
  21. Konopka T, Dembowska E, Pietruska M, Dymalski P, Górska R. Periodontal status and selected parameters of oral condition of Poles aged from 65 to 74 years [in Polish]. Przegl Epidemiol. 2015;69:643– 47.
  22. Jainkittivong A, Aneksuk V, Langlais RP. Oral mucosal conditions in elderly dental patients. Oral Dis. 2002;8:218–223.
  23. Cebeci AR, Gülşahi A, Kamburoğlu K, Orhan BK, Öztaş B. Prevalence and distribution of oral mucosal lesions in an adult Turkish population. Med Oral Patol Oral Cir Bucal. 2009;14:E272–277.
  24. Rivera C, Droguett D, Arenas-Márquez MJ. Oral mucosal lesions in a Chilean elderly population: A retrospective study with a systemic review from thirteen countries. J Clin Exp Dent. 2017;9:e276–283.