ABSTRACT
OBJECTIVES: This work is intended to establish the prevalence of reverse smokers at the villages of Hato Nuevo, San Francisco and Cayo de Palma, Department of Sucre, Colombia, characterizing their socio-culture conditions, clinical and histological changes in the oral mucosa. DESIGN OF STUDY: A descriptive study was done through a home to home inquiry to select the people with inclusion criteria for a posterior clinical test and a biopsy of the affected oral mucosa. RESULTS AND CONCLUSIONS: Reverse smokers's prevalence was from the 15%, mainly women (p<0.001) with an age average of 59.3 years. The lesions were classified clinically in mild, moderate and severe changes. Tongue moderate lesions presented the higher frequency (80%), followed by severe lesions on palate (74%). Oral cancer prevalence was 10.8% in the San Francisco village and 18.2% in Cayo de Palma village, no new cases were reported in Hato Nuevo village. This was the highest prevalence reported in comparison with other studies with similar population. The clinical and histological findings agree with the reported in literature, no relation was found between the degree of clinical severity and the dysplasia itself. Cases of oral submucous fibrosis-like lesions were found, which had never been reported in Latin America. Further studies are required in order to decrease the morbidity for this habit and to identify other related risk factors.
Subject(s)
Leukoplakia, Oral/pathology , Mouth Mucosa/injuries , Smoking/adverse effects , Adult , Aged , Aged, 80 and over , Biopsy , Colombia/epidemiology , Female , Humans , Leukoplakia, Oral/epidemiology , Male , Melanosis/pathology , Middle Aged , Mouth Mucosa/pathology , Mouth Neoplasms/pathology , Precancerous Conditions/pathology , Prevalence , Risk Factors , Sex Distribution , Smoking/epidemiology , Socioeconomic Factors , Terminology as Topic , Trauma Severity IndicesABSTRACT
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Objectives: This work is intended to establish the prevalence of reverse smokers at the villages of Hato Nuevo, San Francisco and Cayo de Palma, Department of Sucre, Colombia, characterizing their socio-culture conditions, clinical and histological changes in the oral mucosa.Design of study: A descriptive study was done through a home to home inquiry to select the people with inclusion criteria for a posterior clinical test and a biopsy of the affected oral mucosa.Results and conclusions: Reverse smokerss prevalence was from the 15%, mainly women (p<0.001) with an ageaverage of 59.3 years. The lesions were classified clinically in mild, moderate and severe changes. Tongue moderate lesions presented the higher frequency (80%), followed by severe lesions on palate (74%). Oral cancer prevalence was 10.8% in the San Francisco village and 18.2% in Cayo de Palma village, no new cases were reported in Hato Nuevo village. This was the highest prevalence reported in comparison with other studies with similar population. The clinical and histological findings agree with the reported in literature, no relation was found between the degree of clinical severity and the dysplasia itself. Cases of oral submucous fibrosis-like lesions were found, which had never been reported in Latin America. Further studies are required in order to decrease the morbidity for this habit and to identify other related risk factors (AU)
Subject(s)
Humans , Precancerous Conditions/pathology , Tobacco Use Disorder/epidemiology , Mouth Neoplasms/epidemiology , Nicotiana/adverse effects , Tongue Neoplasms/epidemiology , Mouth Mucosa/pathologyABSTRACT
Los dientes formados en exceso del número normal son denominados supernumerarios; tales dientes pueden también ser definidos como suplementarios si ellos recuerdan cercanamente al diente adyacente. Pueden ser simples o múltiples, unilaterales o bilaterales, malformados morfológicamente o normales en tamaño y forma y euprcionados o retenidos. Los dientes supernumerarios pueden causar varias complicaciones como: apiñamiento, retardo en la erupción, diastemas, rotaciones, lesiones quísticas, erupción dentro del piso de la cavidad nasal y reabsorción del diente adyacente. La hiperodoncia es detectada tanto por examen RX de rutina o como resultado de signos clínicos bien conocidos; pueden erupcionar normalmente, permanecer retenidos, aparecer invertidos, asumir una posición ectópica, reabsorberse o desaparecer. La remoción temprana de tales dientes es recomendada si ellos pimpiden la erupción de los dientes permanentes adyacentes. Este documento revisa la literatura previa y presenta los hallazgos de una muestra de 170 casos con 242 dientes supernumerarios para establecer lineamientos respecto al tratamiento y enfatiza en la importancia de un diagnóstico y manejo adecuado, dependiendo de diferentes factores
Subject(s)
Humans , Male , Child, Preschool , Adolescent , Adult , Female , Middle Aged , Tooth, Supernumerary , Age Distribution , Anodontia , Colombia , Diastema , Epidemiology, Descriptive , Tooth Eruption, Ectopic/etiology , Tooth Eruption/physiology , Tooth Extraction , Malocclusion/etiology , Mandible , Maxilla , Tooth Resorption/etiology , Retrospective Studies , Sex Distribution , Tooth, Deciduous , Tooth, Impacted , Tooth, SupernumeraryABSTRACT
Son diversos los factores de riesgo asociados con la aparición de cáncer bucal, entre ellos algunos hábitos como el consumo de cigarrillo y alcohol. Este estudio descriptivo retrospectivo evaluó diferentes variables como edad, sexo, consumo de bebidas alcohólicas y cigarrillos entre los pacientes con diangóstico de cáncer bucal en la Unidad de Cirugía Maxilofacial y Estomatología del HUSVP en Medellín, Colombia. Se encontró una mayor prevalencia de cáncer bucal en el sexo masculino, principalmente en mayores de 45 años con un aumento significativo después de los 60 años, siendo el principal tipo de cáncer el carcinoma escamocelular (88 por ciento) y la ubicación más frecuente en el borde lateral de lengua. El 36 por ciento de los pacientes consumía simultáneamente alcohol y cigarrillo y sólo el 23 por ciento eran alcohólicos puros. No es posible establecer relación causa-efecto entre consumo de licor y cáncer bucal, aunque se observa que es mayor el factor de riesgo cuando se consume simultáneamente alcohol y cigarrillo. Debe investigarse otro tipo de hábitos que puedan asociarse a la aparición de cáncer bucal debido al número alto de personas con la enfermedad y sin hábitos conocidos en nuestra población
