ABSTRACT
Introdução: A queilite actínica é uma lesão inflamatória com potencial de transformação maligna e desenvolvimento associado à exposição solar excessiva. Objetivo: Avaliar a prevalência de queilite actínica em um grupo de agricultores, bem como a percepção e conhecimento desse grupo sobre a lesão. Métodos: O estudo observacional de levantamento epidemiológico envolveu uma população de agricultores de uma região do sertão brasileiro. A amostra foi obtida por acessibilidade a essa população, e alcançou-se o total de 219 agricultores. Além do exame físico intraoral, utilizou-se um questionário estruturado para coleta dos dados. Resultados: A queilite actínica foi diagnosticada em 30,6 porcento dos agricultores examinados. A lesão foi encontrada com maior frequência no sexo masculino (86,6 porcento), com mais de 60 anos (64,2 porcento) e leucodermas (58,2 porcento). A maioria dos indivíduos com queilite actínica se expunham à radiação solar por mais de 30 anos (65,7 porcento), por mais de 6h por dia (73,1 porcento) e não se protegiam adequadamente (94 porcento). Sexo, idade, escolaridade, hábito de beber e tempo de exposição solar tiveram uma correlação estatisticamente significante com a presença da queilite actínica (p<0,05). Verificou-se que 76,1 porcento dos participantes não notavam sinais e 61,2 porcento não percebiam sintomas da lesão. O conhecimento sobre queilite actínica foi baixo para 97 porcento dos indivíduos com lesão. Conclusões: Os resultados demonstraram alta prevalência de queilite actínica, além de uma baixa percepção e conhecimento sobre esta lesão, o que indica a necessidade de realização de ações de educação em saúde(AU)
Introducción: La queilitis actínica es una lesión inflamatoria con potencial de transformación maligna y desarrollo asociado con la exposición excesiva al sol. Objetivo: Evaluar la prevalencia de queilitis actínica en un grupo de agricultores brasileños y la percepción y conocimiento que estos tienen sobre la lesión. Métodos: Estudio observacional epidemiológico. Incluyó una población de agricultores de una región rural brasileña. La muestra, constituida por 219 agricultores, se obtuvo por accesibilidad a esta población. Además del examen físico intraoral, se utilizó un cuestionario estructurado para recopilar los datos. Resultados: Se diagnosticó queilitis actínica en el 30,6 por ciento de los agricultores examinados. La lesión se encontró con mayor frecuencia en hombres (86,6 por ciento), mayores de 60 años (64,2 por ciento) y leucodermos (58,2 por ciento). La mayoría de las personas con queilitis actínica estuvieron expuestas a la radiación solar durante más de 30 años (65,7 por ciento), más de seis horas al día (73,1 por ciento) que no se protegieron adecuadamente (94 por ciento). El género, la edad, el nivel de educación, los hábitos de bebida y el tiempo de exposición al sol tuvieron una correlación estadísticamente significativa con la presencia de queilitis actínica (p < 0,05). Se encontró que el 76,1 por ciento de los participantes no notó signos y el 61,2 por ciento no percibió síntomas de la lesión. El conocimiento sobre la queilitis actínica fue bajo para el 97 por ciento de las personas con lesiones. Conclusión: Los resultados mostraron una alta prevalencia de queilitis actínica, además de una baja percepción y conocimiento al respecto de esta lesión, lo que indica la necesidad de acciones de educación para la salud(AU)
Introduction: Actinic cheilitis is an inflammatory, potentially malignant lesion associated with excessive sun exposure. Objective: To evaluate the prevalence of actinic cheilitis in a group of farmers, as well as the perception and knowledge of that group about this lesion. Methods: The observational epidemiological study included Brazilian semi-arid region farmers. The sample was obtained for accessibility to this population and a total of 219 farmers was reached. A structured questionnaire was used to collect the data in addition to the intraoral physical examination. Results: Actinic cheilitis was diagnosed in 30.6 percent of the examined farmers. The lesion was found more frequently in males (86.6 percent), older than 60 years (64.2 percent), and leukoderma (58.2 percent). Most individuals with actinic cheilitis were exposed to solar radiation for more than 30 years (65.7 percent), for more than 6 hours a day (73.1 percent), and did not adequately protect themselves (94 percent). Sex, age, education level, drinking habits, and time of sun exposure had a statistically significant correlation with the presence of actinic cheilitis (p < 0.05). It was found that 76.1 percent of the participants did not notice signs and 61.2 percent did not perceive symptoms of this injury. Knowledge about actinic cheilitis was low for 97 percent of individuals with the lesion. Conclusions: The results showed a high prevalence of actinic cheilitis, in addition to low perception and knowledge about it, which indicates the need for health education actions(AU)
Subject(s)
Humans , Male , Aged , Cheilitis/epidemiology , Health Surveys , Solar Radiation/adverse effects , Epidemiologic Studies , Cheilitis/diagnosis , Observational Studies as Topic , Farmers/statistics & numerical dataABSTRACT
Introducción: La epidemiología sobre alteraciones en tejidos blandos bucales es limitada cuando se compara con caries, enfermedades periodontales y maloclusiones, por lo que su estudio representa un paso adelante en la odontología más allá de los dientes. Objetivo: Describir la prevalencia de las lesiones bucales en tejido blando encontradas en la Clínica de Estomatología de la Facultad de Odontología de la ULA, del 2015 al 2018, con la finalidad de proporcionar una fuente de datos actualizada, que oriente a una mejor prevención y oportuno diagnóstico. Material y métodos: Se realizó una investigación descriptiva, documental, retrospectiva y multivariable. Resultados: De 1,000 fichas clínicas estudiadas, las patologías más frecuentes fueron: lengua saburral (50.6%), queilitis (33.4%), traumatismo de la mucosa de los carrillos (27.6%), várices linguales (18.3%), anquiloglosia (13.7%) y agrandamiento de rugas palatinas (11.7%). La zona con mayor alteración fue la lengua (92.1%), mientras que el paladar fue la menos afectada (29%). De los hábitos predisponentes a la formación de lesiones, el mordisqueo de mucosa fue el más común (16.5%). En cuanto a los factores locales asociados, una higiene oral regular/ deficiente resultó el principal (53.8%). Conclusión: La educación del paciente sigue siendo considerada la clave para disminuir la aparición de patologías y su evolución a entidades más graves (AU)
Introduction: Epidemiological studies on soft tissue alterations in the mouth are limited when compared with caries, periodontal diseases and malocclusions, so their study represents a step forward in dentistry beyond the teeth. Objective: To describe the prevalence of soft tissue oral lesions found in the Stomatology Clinic of the ULA School of Dentistry, from 2015 to 2018, in order to provide an up-to-date data source, to guide better prevention and timely diagnosis. Material and methods: A descriptive and documentary, retrospective and multivariable research was carried out. The statistical package IBM SPSS Statistics v 23 was applied for the analysis. Results: 1,000 clinical records studied, the most frequent pathologies were: saburral tongue (50.6%), cheilitis (33.4%), traumatism of the cheek mucosa (27.6%), lingual varices (18.3%), ankyloglossia (13.7%) and enlargement of palatal rugas (11.7%). The tongue was the most affected (92.1%), while the palate was the least affected (29%). Of the predisposing habits to the formation of lesions, mucosal nipping was the most common (16.5%). Regarding the associated local factors, a regular / deficient oral hygiene was the main one (53.8%). Conclusion: Patient education is still considered the key to diminish not only the appearance of pathologies but their evolution to more serious entities (AU)
Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Mouth Diseases/classification , Mouth Diseases/epidemiology , Mouth Mucosa/injuries , Schools, Dental , Stomatitis, Aphthous/epidemiology , Tongue, Fissured/epidemiology , Tongue Habits , Tongue, Hairy/epidemiology , Leukoplakia, Oral/epidemiology , Cheilitis/epidemiology , Epidemiology, Descriptive , Data Interpretation, Statistical , Retrospective Studies , Colombia , Oral Ulcer/epidemiology , Age and Sex Distribution , Glossitis, Benign Migratory/epidemiology , Macroglossia/epidemiologyABSTRACT
Abstract The objective of the present study was to determine the prevalence of actinic cheilitis among extractive mining workers and factors associated with the condition, especially the relationship between clinical appearance and the length of occupational exposure to sunlight. A cross-sectional study was performed in Dona Inês, Paraíba, Brazil between 2014 and 2015. A clinical examination, clinical photography and a questionnaire were applied to 201 extractive mining workers. The T-student's, ANOVA one-way, Fisher's exact and Pearson chi-squared tests were performed and the significance level was set at 5%. A high prevalence of actinic cheilitis was observed (38.8%). Length of occupational exposure to sunlight in months (169.63±112.68, p=0.002) was associated with actinic cheilitis. Most workers were Caucasian (p<0.001) and aged 37.41±12.15 years (p=0.004). The time of occupational exposure to sunlight was significant in relation to the following clinical features: atrophy (225.75±97.31; p=0.024); blurred demarcation between the vermilion border of the lip and the skin (186.68±113.15; p=0.032); vertical fissures (210.09±123.07; p=0.046); white and red spotting (199.51±91.80; p=0.004); hard consistency of the lip (225.81±122.34; p=0.012). A high prevalence of actinic cheilitis was found. Age and ethnicity were associated with the presence of AC. Severe clinical presentations of actinic cheilitis were found among participants who had worked for at least 185 months (approximately 15 years) exposed to the sun.
Resumo O objetivo foi determinar a prevalência de queilite actínica entre os trabalhadores extrativistas minerais e os fatores associados a esta lesão, principalmente a relação da aparência clínica da lesão com o tempo de exposição ocupacional à luz solar. Foi realizado um estudo transversal, entre 2014 e 2015, em Dona Inês / PB, localizado no Nordeste do Brasil. Foram aplicados um exame clínico, registro fotográfico e um questionário a 201 trabalhadores extrativistas minerais. Realizaram-se os testes "t" student, ANOVA, Exato de Fisher e Qui-quadrado de Pearson, o nível de significância foi de 5%. Observou-se alta prevalência de queilite actínica (38,8%). A duração da exposição ocupacional à luz solar, em meses, (169,63 ± 112,68, p = 0,002) foi associada à presença de queilite actínica. Estes trabalhadores eram, em sua maioria, brancos (p<0.001) com idade média de 37.41±12.15 anos (p=0.004). O tempo de exposição ocupacional à luz solar foi significativo em relação às seguintes características clínicas: atrofia (225,75 ± 97,31; p = 0,024); perda da demarcação entre o vermelhão do lábio e a borda da pele (186,68 ± 113,15; p = 0,032); Fissuras verticais (210,09 ± 123,07; p = 0,046); Manchas brancas e vermelhas (199,51 ± 91,80; p = 0,004); Consistência dura do lábio (225,81 ± 122,34; p = 0,012). Conclui-se que a prevalência de queilite actínica foi alta. A idade e a etnia foram fatores associados a presença de queilite actinica. Os participantes que haviam trabalhado pelo menos 185 meses (aproximadamente 15 anos) sob exposição ao sol, apresentaram manifestações clínicas graves da queilite actínica.
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Sunlight/adverse effects , Cheilitis/etiology , Cheilitis/epidemiology , Mining , Occupational Diseases/etiology , Occupational Diseases/epidemiology , Time Factors , Brazil/epidemiology , Cheilitis/ethnology , Prevalence , Cross-Sectional Studies , Occupational Exposure , Age Factors , Race Factors , Occupational Diseases/ethnologyABSTRACT
El objetivo de este trabajo consistió en determinar la prevalencia de Queilitis Actínica en pescadores artesanales de la ciudad de Valdivia, Chile. Se realizó un estudio observacional descriptivo de corte transversal durante los meses de noviembre 2014 a abril 2015. La muestra fueron 180 pescadores previamente seleccionados a través de una muestra aleatoria simple, quienes fueron evaluados mediante un examen clínico y además completaron un cuestionario referente a datos personales y hábitos de salud. El 38,8 % de los pescadores artesanales presentó Queilitis Actínica. El 64,4 % de los pescadores revisados no utiliza protección solar mientras trabaja y todos los casos se ubicaron en el labio inferior. Los pescadores artesanales de la ciudad de Valdivia presentaron una prevalencia de Queilitis Actínica superior a las reportadas a nivel nacional. Nuestros resultados sugieren la implementación de políticas de salud pública centrados en la prevención de Queilitis Actínica en pescadores artesanales de la ciudad de Valdivia.
The aim of this study was to determine the prevalence of actinic cheilitis in fishermen in the city of Valdivia, Chile 2015. A descriptive observational cross-sectional study was realized from November 2014 to April 2015. The sample included 180 fishermen, previously selected through a simple random sample. The subjects were evaluated by clinical examination and also completed a questionnaire on personal data and health habits. Of the total fishermen surveyed 38.8 % presented Actinic cheilitis. Furthermore, 64.4 % of the fishermen interviewed reported they do not use sun protection while working and all cases were located in the lower lip. The fishermen in Valdivia showed a higher prevalence of Actinic cheilitis than that found nationally. Our results suggest the implementation of public health policies focusing on the prevention of actinic cheilitis in artisanal fishermen in the city of Valdivia.
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Young Adult , Fishing Industry , Cheilitis/epidemiology , Occupational Diseases/epidemiology , Precancerous Conditions/epidemiology , Chile/epidemiology , Epidemiology, Descriptive , Prevalence , Cross-Sectional Studies , Surveys and Questionnaires , FisheriesABSTRACT
Justificación: Existen escasos estudios que documenten la frecuencia de lesiones de la mucosa bucal en niños y adolescentes, y todos revelan resultados dispares.Materiales y método: Se realizó un estudio observacional, descriptivo, transversal, en niños de 3 a 12 años de edad que participan del Programa de Salud Bucal de la Facultad de Odontología de la Universidad Católica del Uruguay. Se tomaron en cuenta lesiones en la totalidad de la cavidad bucal, describiendo y registrando cada uno de los hallazgos. Se seleccionaron las 7 lesiones más frecuentes enla bibliografía consultada. Se realizó un análisis estadístico según edad, género y tipo de dentición.Resultados: Se estudiaron 191 sujetos; 103 presentaron alguna lesión. La lesión identificada con mayor frecuencia fue Morsicatio buccarum es decir, mordisqueo de mucosa yugal (trauma inflingido). La siguiente lesión más frecuente fue Lengua geográfica.Conclusiones: Las niñas tuvieron mayor probabilidad de presentar algún tipo de lesión que los niños. El rango de edades de 6-9 años tuvo mayor riesgo de presentar alguna lesión que el grupo de 9-12 años. Los sujetos con dentición mixta tuvieron más riesgo de presentarMorsicatio buccarum que el grupo de dentición permanente. Asimismo, los individuos de 6-9 años tuvieron mayores posibilidades de presentar Morsicatio buccarum que el grupo de 9-12 años. No se encontró un estudio epidemiológicamente comparable que describa las mismas lesiones que éste; esto lleva a concluir que es necesario realizar otros estudios con la misma metodología y ampliando los criterios diagnósticos.
Justification: There are few studies that document the frequency of oral mucosal lesions in children and adolescents, and all of them reveal different results.Materials and method: This was an observational, descriptive, transversal survey, in children between the ages of 3 and 12, that participate in the Programa de Salud Bucal de la Facultad de Odontología de la Universidad Católica del Uruguay/ Oral Health Program of the Dentistry School of Uruguayan Catholic University. Lesions in the whole oral cavity were taken into account, describing and registering each one of the findings. The 7 lesions more frequent in the bibliography consulted were selected. A descriptive statisticalanalysis was made using the variables age, gender and dentition stages.Results: 191 children were examined; lesions were found in 103 children. Morsicatio buccarum, meaning the bitening of the cheek mucosa (self inflicted trauma), was the most common lesion. The second most frequent lesion was Geographic tongue. Conclusions: Girls had higher probability of presenting a lesion than boys. The age range between 6-9 had more risk of developing a lesion than the group ranging in age from 9-12. The children with mixed dentition had more risk of having Morsicatio buccarumthan the children with permanent dentition; and the children ranging in age from 6-9 had more probabilities of presenting Morsicatio buccarum than the children ranging 9-12. We could not find any other survey epidemiologically comparable that described the samelesions than ours. This leads to the conclussion that it is necessary to perform further studies with the same methodology and a wider range of diagnosis criteria.
Subject(s)
Humans , Child, Preschool , Child , Mouth Diseases/diagnosis , Mouth Diseases/epidemiology , Mouth Mucosa/injuries , Mouth Mucosa/pathology , Mouth/injuries , Stomatitis, Aphthous/epidemiology , Glossitis, Benign Migratory/epidemiology , Tongue, Fissured/epidemiology , Cheek/injuries , Cheilitis/epidemiology , Uruguay/epidemiologyABSTRACT
Introducción: la destrucción de la capa de ozono ha provocado un aumento en la incidencia de lesiones de la piel, a la que se suma la queilitis actínica. Objetivo: describir los aspectos histológicos, clínicos y epidemiológicos de la queilitis actínica a partir de la literatura reciente. Métodos: se revisaron las bases electrónicas PubMed, SciELO y Google Scholar con los términos claves en inglés y español: queilitis, queratosis, actínica, solar. Se incluyeron artículos originales, de revisión, reportes de casos, tesis y libros de la especialidad publicados preferentemente en el período 2005-2014. Resultados: La queilitis actínica es un trastorno potencialmente maligno inducido por la exposición solar y caracterizado por alteraciones micro y macroestructurales del labio. Factores de riesgo que interaccionan con la exposición solar son el fototipo (piel clara), hábito tabáquico, sexo (hombres), edad y ocupación (aire libre). Entre las alteraciones histológicas se encuentran la displasia epitelial y la elastosis solar; sin embargo, la severidad de estas no correlacionan con la gravedad clínica. Los pacientes con queilitis actínica presentan alteraciones de color, descamación, ulceraciones, difuminación del bermellón, entre otras. En muchas ocasiones la consulta y el diagnóstico son tardíos; se realizan cuando el cuadro ha evolucionado a cáncer. El diagnóstico es principalmente clínico, sumado a la biopsia de las lesiones con presentaciones moderadas y severas. Actualmente la terapia incluye métodos quirúrgicos y farmacológicos, y métodos innovadores como la fototerapia. Sin duda, la estrategia de prevención más importante es aumentar el uso de protectores solares, especialmente en la población de alto riesgo ocupacional. Conclusiones: la queilitis actínica es una patología relevante para los países sudamericanos, debido a que los factores de riesgo están presentes diariamente en las actividades de millones de trabajadores de nuestra región, por eso es necesario potenciar la investigación que permita mejorar la prevención, tratamiento y rehabilitación de esta patología(AU)
Introduction: depletion of the ozone layer has brought about an increase in the incidence of skin lesions, including actinic cheilitis. Objective: describe the histological, clinical and epidemiological characteristics of actinic cheilitis based on a review of recent literature. Methods: a search was conducted in the databases PubMed, SciELO and Google Scholar using the descriptors cheilitis, keratosis, actinic, solar, and their counterparts in Spanish. The search included original papers, review papers, case reports, theses and books about the specialty preferably published from 2005 to 2014. Results: actinic cheilitis is a potentially malignant condition induced by sun exposure and characterized by micro- and macrostructural alterations of the lip. The risk factors interacting with sun exposure are the skin phototype (light skin), smoking, gender (male), age and occupation (outdoor jobs). Histological alterations include epithelial dysplasia and solar elastosis, though their severity does not correlate with the degree of clinical seriousness. Patients with actinic cheilitis present color alterations, desquamation, ulceration and blurring of the vermillion border, among other signs and symptoms. On many occasions patients do not seek care during the early stages of the disease. As a result, diagnosis is made when the condition has already evolved into cancer. The diagnosis is basically clinic, with the support of the biopsy of lesions with moderate to severe characteristics. Current therapy includes surgery and medication, as well as innovative techniques like phototherapy. The most important strategy is no doubt the use of sunscreens, especially by the population at high occupational risk. Conclusions: actinic cheilitis is a condition relevant to South American countries, since its risk factors are present in the daily activities of millions of workers from our region. It is therefore necessary to foster research aimed at improving its prevention, treatment and rehabilitation(AU)
Subject(s)
Humans , Cheilitis/epidemiology , Databases, Bibliographic/statistics & numerical data , Keratosis, Actinic/pathology , Photosensitivity Disorders/prevention & control , Mouth Neoplasms/therapy , ReviewABSTRACT
ABSTRACT Objective To determine the incidence of potentially malignant oral lesions, and evaluate and correlate their clinical and pathological aspects. Methods The sample consisted of cases clinically diagnosed as oral leukoplakia, oral erythroplakia, erythroleukoplakia, actinic cheilitis, and oral lichen planus treated at a diagnostic center, between May 2012 and July 2013. Statistical tests were conducted adopting a significance level of 5% (p≤0.05). Results Out of 340 patients, 106 (31.2%) had potentially malignant oral lesions; and 61 of these (17.9%) were submitted to biopsy. Actinic cheilitis was the most frequent lesion (37.5%) and the lower lip was the most affected site (49.6%). Among 106 patients in the sample, 48 (45.3%) reported nicotine consumption, 35 (33%) reported alcohol intake and 34 (32.1%) sun exposure while working. When clinical and histopathological diagnoses were compared, oral erythroplakia and atypical ulcer were the lesions that exhibited greater compatibility (100% each). Conclusion In most cases, clinical and histopathological diagnoses were compatible. An association between the occurrence of erythroplakia, leukoplakia and erythroleukoplakia with smoking was observed. Similarly, an association between actinic cheilitis and sun exposure was noted. Erythroleukoplakia presented the highest malignancy grade in this study. Finally, dental surgeons should draw special attention to diagnosis of potentially malignant oral lesions, choose the best management, and control the lesions to avoid their malignant transformation.
RESUMO Objetivo Verificar a incidência das lesões orais potencialmente malignas, e avaliar e correlacionar seus aspectos clínico-patológicos. Métodos A amostra foi composta pelos casos diagnosticados clinicamente como leucoplasia oral, eritroplasia oral, eritroleucoplasia, queilite actínica e líquen plano oral em um serviço de diagnóstico no período entre maio de 2012 e julho de 2013. Foram realizados testes estatísticos adotando-se nível de significância de 5% (p≤0,05). Resultados Dos 340 pacientes examinados, 106 (31,2%) se apresentaram com lesões orais potencialmente malignas; destes, 61 (17,9%) biópsias foram realizadas. A lesão mais frequente foi a queilite actínica (37,5%), e o sítio anatômico mais acometido foi o lábio inferior (49,6%). Entre os 106 pacientes da amostra, 48 (45,3%) relataram consumo de nicotina, 35 (33%) ingeriam bebidas alcoólicas e 34 (32,1%) trabalhavam expostos ao sol. Comparando o diagnóstico clínico com o histopatológico, as lesões que apresentaram maior compatibilidade foram a eritroplasia oral e a lesão ulcerada atípica (100% ambas). Conclusão Na maioria dos casos, houve compatibilidade do diagnóstico clínico com o histopatológico. Notou-se correlação entre a ocorrência de eritroplasia, leucoplasia e eritroleucoplasia com o hábito de fumar, e entre a queilite actínica com a exposição solar. A eritroleucoplasia foi a lesão que demonstrou maior grau de malignização neste estudo. Diante do exposto, recomenda-se maior atenção por parte dos cirurgiões-dentistas ao diagnóstico das lesões orais potencialmente malignas, para aplicação da melhor conduta e controle da lesão, impedindo sua transformação maligna.
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Aged, 80 and over , Young Adult , Precancerous Conditions/pathology , Leukoplakia, Oral/pathology , Mouth Neoplasms/pathology , Cheilitis/pathology , Erythroplasia/pathology , Precancerous Conditions/epidemiology , Brazil/epidemiology , Leukoplakia, Oral/epidemiology , Mouth Neoplasms/epidemiology , Smoking , Cheilitis/epidemiology , Incidence , Cross-Sectional Studies , Retrospective Studies , Risk Factors , Lichen Planus, Oral/pathology , Lichen Planus, Oral/epidemiology , Erythroplasia/epidemiologyABSTRACT
Background: Health Care needs of children residing in Social Welfare Hostels is of utmost importance as they are in need of optimum health and nutrition care. Methodology: Study Setting: Social Welfare Hostel. Study Design: Cross sectional study. Study Duration: June to September 2013. Study subjects: Children( 7-14yrs of age) residing in the Social Welfare Hostel. Sample Size: A total of 200 children were residing in the hostel and hence the complete enumeration of them were considered for the study (purposive Sampling). Study variables: Socio-Demographic profile, measurement of height, weight, estimation of Hemoglobin percentage by Sahli’s method and clinical examination. Every child was examined physically from head to toe to assess their nutritional deficiencies. Enquiry was made about the health problems and occurrence of any ailment during previous two weeks. Data Collection: Using Semi- structured questionnaire, interview method. Data analysis: SPSS V 20. Results: Out of 200 subjects, 47(35.07%) of the study population were underweight, 71 (35.50%) had stunting and 38 (19%) had wasting. Prevalence of anemia was 47.5%. The common conditions observed were Flurosis (45.5%), skin problems (42.5%), dental caries (31.5%) and Cheilosis (24.5%). Conclu-sion: The nutritional status of children in social welfare hostels are not satisfactory. Periodic Health check up for the children residing in Social Welfare Hostels must be emphasized.
Subject(s)
Adolescent , Anemia/epidemiology , Cheilitis/epidemiology , Cross-Sectional Studies , Female , Homeless Youth/epidemiology , India , Male , Nutritional Status/epidemiology , Prevalence , Skin Diseases/epidemiology , Tooth Diseases/epidemiology , World Health OrganizationABSTRACT
El objetivo de esta investigación es determinar la prevalencia de queilitis actínica (QA) y factores asociados en trabajadores expuestos a radiación UV solar en la ciudad de Talca, Chile. Se examinaron 151 trabajadores, donde un 16.6 por ciento presentó QA. Todas las lesiones se presentaron en el labio inferior. El 40 por ciento de los casos poseía una edad entre 50 y 59 años y el 96 por ciento de los pacientes diagnosticados trabajaba más de 6 horas diarias expuestos al sol. El 56 por ciento de los diagnósticos de QA presentaron un historial 20 o más años totales de exposición a radiación UV por motivos laborales. El 56 por ciento de los casos de QA presentaron antecedentes de hábito de fumar. Los principales signos presentes en los casos de QA fueron la sequedad (100 por ciento), esfumación del margen del bermellón (88 por ciento) y el edema labial (84 por ciento). La mayoría de las lesiones fueron asintomáticas (60 por ciento).
The objective of this research is to determine the prevalence of actinic cheilitis (AC) and associated factors in workers exposed to solar UV radiation in the city of Talca (Chile). A total of 151 workers, of which 16.6 percent exhibited AC, were examined. All lesions appeared on the lower lip. The 40 percent of cases aged between 50-59 years and 96 percent of patients diagnosed worked up to 6 hours daily exposed to the sun. 56 percent of the diagnoses of AC had a history of 20 or more years of exposure to UV radiation for work. 56 percent of cases of AC had a history of smoking. Major signs present in the AC cases were the dryness (100 percent), blurred demarcation between the lip vermilion border and the skin (88 percent) and labial edema (84 percent). Most lesions were asymptomatic (60 percent).
Subject(s)
Humans , Male , Adult , Female , Young Adult , Middle Aged , Cheilitis/epidemiology , Ultraviolet Rays/adverse effects , Occupational Groups , Chile , Epidemiology, Descriptive , Smoking/epidemiology , Sunlight/adverse effects , Occupational Exposure , Prevalence , Time FactorsABSTRACT
A queilite actínica é uma lesão de lábio inferior definida como uma condição degenerativa do epitélio de revestimento, causada pela ação da radiação ultravioleta do sol sobre os lábios sendo considerada uma lesão cancerizável que pode evoluir para carcinoma. Em geral, os pacientes são assintomáticos e os sinais clínicos não refletem a gravidade histopatológica da lesão. O objetivo do trabalho foi realizar um levantamento epidemiológico da queilite actínica entre trabalhadores rurais do município de Piracaia, São Paulo, por meio de questionário e observação clínica. Aspectos como gênero, faixa etária, exposição solar, grau de alfabetização, uso de protetores solares, tabagismo, etilismo e características clínicas foram avaliados. Os resultados mostraram que o perfil epidemiológico dos 120 pacientes avaliados era composto de homens (73,3%1, com idade entre 20 e 44 anos (68,3%). Destes, 35,8% apresentavam quadro de queilite actínica e, segundo os parâmetros clínicos utilizados, 30,8% apresentavam grau leve a moderado de alterações teciduais. O uso de protetor solar labial foi relatado por 15,83% da população estudada. Os dados obtidos nesta pesquisa reforçam a necessidade de orientação aos trabalhadores rurais quanto aos malefícios da radiação solar e conscientização do uso de fotoproteção, não só aos que já apresentam as características clínicas da queilite actínica, como também aos pertencentes ao grupos de risco, estando os profissionais de saúde, em especial os cirurgiões-dentistas, responsáveis pelo diagnóstico, prevenção e tratamento.
The actinic cheilitis is a lesion located at lower lip defined as a degenerative condition of the lining epithelium. It is caused by the action of ultraviolet radiation from the sun. It is considered a carcinogenic lesion that can progress to carcinoma. In general, patients are asymptomatic and clinical signs do not reflect the severity of histopathological lesions. The aim of this study was an epidemiological survey of actinic cheilitis among rural workers at Piracaia - São Paulo using questionnaires and clinical observation. Some aspects were assessed as gender, age, sun exposure, degree of literacy, use of sunscreens, smoking, alcohol consumption and clinical characteristics. The results showed that the epidemiological profile of the 120 patients evaluateí was composed of 73.3% by men with ages between 20 and 44 years (68.3%). Of these, 35.801; were diagnosed with actinic cheilitis. According second clinical parameters used, 30.8% patients had mild to moderate tissue changes. The use of sunscreen lip was reported by 15.83% of this sample. The data obtained in this study reinforce the need for guidance the rural workers to the harmful effects of solar radiation. It is important to use the sunscreen, not only people who already have clinical features of actinic cheilitis but ali belonging to risk groups, with the health professionals, especially dentist, responsible for the diagnosis, prevention and treatment.
Subject(s)
Humans , Male , Female , Young Adult , Middle Aged , Epidemiology , Precancerous Conditions/epidemiology , Cheilitis/epidemiologySubject(s)
Humans , Male , Adult , Female , Agricultural Workers' Diseases , Agriculture , Cheilitis/epidemiology , Brazil/epidemiology , Cross-Sectional StudiesABSTRACT
O presente estudo teve por objetivo verificar a ocorrência de estomatite protética e queilite actínica diagnosticadas nos pacientes do CEO de Estomatologia Asa Branca, no período de 2008 a 2009.Fez-se um estudo descritivo transversal analisando as variáveis sexo, idade, diagnóstico clínico, localizaçãoe tratamento das lesões em 834 prontuários. Dos 706 pacientes com lesão 152 (21,5%)apresentavam estomatite protética e 32 (4,5%) queilite actínica. A idade dos pacientes em ambas as lesões não apresentaram associação significativa com a ocorrência, diferentemente do gênero. Nos pacientes com estomatite protética as mulheres são as mais afetadas representando 86,8%. Enquantona queilite actínica 56,2% dos acometidos são homens. A instrução de higiene oral (IHO) foi o tipo de tratamento realizado em 52,6% dos pacientes com estomatite. Porém, em 44,1% além da (IHO) sefez uso do miconazol. O tratamento indicado para queilite actínica em 81,3% dos casos foi através de medidas preventivas. Os demais, 18,7% dos pacientes foram submetidos a procedimentos cirúrgicos. Dessa forma, é fundamental o saber dos cirurgiões dentistas quanto ao diagnostico e tratamento adequados para as referidas lesões, ou encaminhá-lo para um atendimento especializado, pois constitui uma condição de fácil diagnóstico e tratamento.
This study aimed to describe the occurrence of denture stomatitis and actinic cheilitis in patientsdiagnosed CEO Asa Branca Stomatology College ASCES, in the period 2008 to 2009. There was across-sectional study examining gender, age, clinical diagnosis, localization and treatment of lesionsin 834 records. Of 706 patients with lesions 152 (21,5%) had denture stomatitis and 32 (4,5%) actiniccheilitis. The age of patients in both lesions were not significantly associated with the occurrence,unlike the genre. In patients with denture stomatitis women are most affected representing 86,8%.While in actinic cheilitis 56,2% of men are affected. The instruction in oral hygiene (IHO) was the treatmentperformed in 52,6% of patients with stomatitis. However, in addition to 44,1% (IHO) is madeuse of miconazole. The recommended treatment for actinic cheilitis in 81,3% of the cases throughpreventive measures. The remaining 18,7% of patients underwent surgical procedures. Thus, it is essentialknowledge of dentists regarding diagnosis and appropriate treatment for those injuries, or refer you to specialized service, because it is a condition easily diagnosed and treated.
Subject(s)
Diagnosis , Stomatitis/epidemiology , Cheilitis/epidemiologyABSTRACT
Uma condição com aumento da fenda bucal de eqüinos por lesão na comissura labial foi estudada. Este aumento tinha extensão variável e era uni ou bilateral. Na mucosa da bochecha da comissura labial exposta havia pequenas erosões. Durante a mastigação havia perda de pequena quantidade de capim e saliva pela fenda bucal aumentada. Os animais apresentavam bom estado nutricional. O exame histopatológico de tecido retirado da comissura labial revelou epidermite superficial. Nas quatro propriedades onde se verificou o problema, constatou-se que os eqüinos eram mantidos em sistema extensivo de criação em pastagem de Panicum maximum (variedades Tanzânia, Mombaça, Tobiatã e Colonião), com folhas maduras, altas, lignificadas e de bordos cortantes. De acordo com os dados epidemiológicos, com os achados clínicos e histopatológicos, concluí-se que essas lesões foram causadas pela ação cortante das folhas de Panicum maximum, associada à forma de apreensão da pastagem alta e mastigação pelos eqüinos.
A condition with enlargement of the oral cleft in horses was studied. The enlargement of varied extension was uni or bilateral. The cheek mucosa of the labial commissure showed slight erosions. During chewing there was loss of small amounts of grass and saliva through the oral cleft. The affected horses were in good nutritional condition. Histopathological studies of tissues obtained by biopsia, revealed a superficial epidermitis. The pastures consisted of Panicum maximum grass (varieties Tanzânia, Mombaça, Tobiatã and Colonião) which was mature, tall, lignified, with leaves of cutting edges. Based on epidemiological, clinical and histopathological data, it was concluded that the lesions were caused by the hard grass, favored by the way horses pull the tall grass and chew it.
Subject(s)
Animals , Horses , Lip/injuries , Panicum/adverse effects , Cheilitis/complications , Cheilitis/epidemiology , Cheilitis/pathology , Cheilitis/diagnosis , Cheilitis/veterinaryABSTRACT
São várias as alterações provocadas pela exposição labial continuada e desprotegidas à radiação ultravioleta, com destaque para a Queilite Actínica e o Carcinoma Epidermóide. O objetivo desta pesquisa foi levantar a prevalência de alterações labiais relacionadas à exposição crônica ao sol e estudar a sua relação com outros possíveis fatores etiológicos numa população de pescadores de Florianópolis/SC bem como os dispositivos e métodos de prevenção regularmente utilizados. De uma população de aproximadamente 4000 pescadores filiados a Federação de Pescadores do Estado de Santa Catarina, foram examinados 111 pescadores de 08 comunidades pesqueiras de Florianópolis, no período compreendido entre agosto de 2002 e março de 2003. Todos os participantes voluntßrios da amostra foram entrevistados e examinados em sedes ou associações das colônias de pescadores incluídas na amostra. As alterações labiais diagnosticadas no exame clínico foram registradas em ficha clínica própria. Dentre as patologias labiais diagnosticadas, destacaram-se 48 casos de queilite actínica, 2 casos de queilite actínica aguda, 3 de leucoplasia, 4 de hiperceratose e 4 suspeitas de Carcinoma Epidermóide. Foram realizadas 22 palestras educativas e distribuídos mais de 350 folhetos com orientações bßsicas sobre prevenção do câncer de boca; 16 pacientes foram encaminhados para o atendimento especializado no Ambulatório de Estomatologia do Hospital Universitßrio. O diagnóstico precoce de alterações labiais em pescadores, bem como a conscientização destes sobre os prejuízos da radiação ultra-violeta são fundamentais pelo fato dos mesmos pertencerem a uma população de risco ao desenvolvimento de lesões cancerizáveis e câncer de lábio.
Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Aged, 80 and over , Carcinoma, Squamous Cell/epidemiology , Carcinoma, Squamous Cell/etiology , Carcinoma, Squamous Cell/prevention & control , Mouth Neoplasms/epidemiology , Mouth Neoplasms/etiology , Mouth Neoplasms/prevention & control , Cheilitis/epidemiology , Cheilitis/etiology , Cheilitis/prevention & control , Ultraviolet Rays/adverse effects , Surveys and QuestionnairesABSTRACT
The caries prevalence, oral hygiene status, periodontal health and treatment needs were evaluated in a group of institutionalized psychiatric patients in Goa, India. Of the total 153 inmates, males constituted 59 percent, the mean age was 25 years, 96 percent were self sufficient and the response rate was 84 percent. 63 percent were diagnosed with schizophrenia. They did not receive any assistance in daily self-care activities including oral hygiene maintenance. None of the 5 edentulous patients had dentures, 5% had been referred for emergency dental care during the period of institutionalization. 15 subjects (12%) were caries-free, the stepwise linear regression analysis showed that the mean DMFT index significantly increased with age (t = 2-819, PL 0.05). Two third of the study population (88%) were in need of conservative dental treatment. The stepwise linear regression analysis showed that the mean OHI-S index significantly increased with age (t = 2.412, P < 0.01). Only 5.4% reported a healthy periodontium whereas 16.27% required complex periodontal therapy. Soft tissue lesions included dorsal lingual depapillation/heavily coated areas and angular cheilitis in addition to incidental observations such as mucosal hyperpigmentation, gingival hyperplasia, and leucoedema. Bruxism and factitious injuries were also noted. The onus of meeting the oral health needs of this marginalized patient population therefore depends on the effectiveness of community dentistry programs vis a vis the efforts of the staff of the institution to provide such services on a regular basis.
Subject(s)
Adult , Age Factors , Bruxism/epidemiology , Cheilitis/epidemiology , DMF Index , Dental Care for Disabled/statistics & numerical data , Dental Caries/epidemiology , Emergency Treatment , Female , Gingival Hyperplasia/epidemiology , Health Services Needs and Demand/statistics & numerical data , Humans , India/epidemiology , Institutionalization/statistics & numerical data , Leukoedema, Oral/epidemiology , Linear Models , Male , Mental Disorders/epidemiology , Middle Aged , Mouth Diseases/epidemiology , Oral Hygiene Index , Periodontal Diseases/epidemiology , Pigmentation Disorders/epidemiology , Prevalence , Schizophrenia/epidemiology , Self-Injurious Behavior/epidemiology , Tongue Diseases/epidemiology , Tooth Diseases/epidemiologyABSTRACT
Se analizaron 250 biopsias de lesiones precancerosas (cancerizables) con el objeto de investigar los cambios intraepiteliales (displasia) y evaluar su incidencia. 19 de estas patologías (7.6 por ciento) presentaron lesiones intraepiteliales grado III (displasia grave). Del estudio bibliográfico se recoge la necesidad de otorgar a este tipo de cambios intraepiteliales una nomenclatura más adecuada a las normas internacionales (Acta Cytol. 33:567, 1989). Se propone la designación de lesiones intraepiteliales de mucosa bucal (LIMb) grado I, II y III en reemplazo del controvertido término displasia
Subject(s)
Humans , Male , Female , Mouth Mucosa/pathology , Precancerous Conditions/classification , Precancerous Conditions/diagnosis , Terminology , Biopsy , Carcinoma in Situ/diagnosis , Cheilitis/diagnosis , Cheilitis/epidemiology , Hyperplasia/diagnosis , Hyperplasia/epidemiology , Leukoplakia, Oral/diagnosis , Leukoplakia, Oral/epidemiology , Lichen Planus , Lichen Planus, Oral/diagnosis , Lichen Planus, Oral/epidemiology , Mouth Mucosa/ultrastructure , Ulcer/diagnosis , Ulcer/epidemiology , World Health OrganizationABSTRACT
Examinaram 42 escolares de ambos os sexos, de 7 a 12 anos, na Clínica de Odontopediatria da Escola de Farmácia e Odontologia de Alfenas. Os pacientes foram separados em dois grupos: I - aqueles com etiologia de infecção primária; II - aqueles cuja causa primária não era infecciosa. Determinou-se a relação entre sexos, idade e condição social. Formas de tratamento foram realizadas e são aqui descritas