RESUMEN
ABSTRACT In Brazil, smoking and drinking are more common in male patients, less frequently affecting female patients. The most diagnosed type of lesion is squamous cell carcinoma. This article aims to understand the literary references associated with the influence of tobacco and alcohol on the development of oral cavity cancer. In order to elaborate an analytical and thematic literature review, using the Literatura Latino-Americana e do Caribe em Ciências da Saúde (Lilacs), Scientific Electronic Library Online (Scielo), US National Library of Medicine National Institutes of Health (PubMed) and Medline databases, articles from the English and Portuguese literatures published between 2007 and 2019 were searched with the help of the terms: prognostic factors and indicators, tobacco, alcohol and oral carcinoma. Proper knowledge of the disease and its etiological and prognostic factors should make professionals able to prevent, identify and control oral cancer.
RESUMEN En Brasil, el humo y la ingestión de bebidas alcohólicas son más comunes en hombres. El tipo de lesión más frecuente es el carcinoma. Tuvimos como objetivo hacer un inventario de referencias literarias publicadas acerca de la influencia del tabaco y del alcohol en el desarrollo del cáncer en la cavidad oral. Para la revisión de literatura, de tipo analítica y temática, la búsqueda de artículos en las lenguas inglesa y portuguesa publicados entre 2007 y 2019 se realizó en las bases de datos Literatura Latino-Americana e do Caribe em Ciências da Saúde (Lilacs), Scientific Electronic Library Online (Scielo), US National Library of Medicine National Institutes of Health (PubMed) y Medline, con los siguientes términos: factores e indicadores pronósticos, tabaco, alcohol, y carcinoma oral. El conocimiento adecuado de la enfermedad y de sus factores etiológicos y pronósticos debe capacitar a los profesionales de salud para prevenir, identificar y controlar el cáncer oral.
RESUMO No Brasil, o fumo e a ingestão de bebidas alcoólicas são mais comuns em homens. O tipo de lesão mais diagnosticada é o carcinoma epidermoide. Este artigo tem como objetivo realizar um levantamento das referências literárias já publicadas associadas à influência do tabaco e do álcool no desenvolvimento do câncer na cavidade bucal. Para elaborar uma revisão de literatura, do tipo analítica e temática, utilizamos a Literatura Latino-Americana e do Caribe em Ciências da Saúde (Lilacs), o Scientific Electronic Library Online (Scielo), o US National Library of Medicine National Institutes of Health (PubMed) e o Medline. Nessas bases de dados, foram pesquisados artigos das literaturas inglesa e portuguesa publicados entre 2007 e 2019, com auxílio dos seguintes termos: fatores e indicadores prognósticos, tabaco, álcool e carcinoma bucal. O conhecimento adequado da doença e dos seus fatores etiológicos e prognósticos devem capacitar os profissionais para prevenir, identificar e controlar o câncer de boca.
RESUMEN
ABSTRACT Lichen planus is a chronic inflammatory disease involving the skin and mucosa, which often affects the oral cavity. The objective of this study is to report a case of oral lichen planus (OLP) with cutaneous manifestations and to discuss the clinical, histopathological aspects and the established treatment. A 61-years-old female white patient was referred for evaluation of white lesions in the oral mucosa. In the intraoral examination, multiple white lesions with striated appearance were observed in the jugal mucosa, tongue and border. The extraoral examination revealed scaly lesions on the arm, white spots on the legs, and nail dystrophy on feet. Based on biopsy of the oral lesions and the histopathological analysis, the diagnosis of OLP was confirmed. The patient underwent treatment with clobetasol propionate topical cream (0.5 mg), and was instructed to apply it to affected area, once or twice a day for four weeks. In the clinical follow-up after one month and 15 days, the improvement of the lesions could be analyzed. As OLP is a disease with an etiopathogenesis that is still poorly recognized, several factors may enable the development of this condition. Therefore, the dentist's clinical view is essential for the most effective treatment.
RESUMEN El liquen plano es una enfermedad inflamatoria crónica que involucra piel y mucosa, con frecuencia de la cavidad bucal. Los objetivos de este estudio son reportar un caso de liquen plano oral (LPO) con manifestaciones cutáneas y discutir sus aspectos clínicos e histopatológico, así como el tratamiento establecido. Reportamos el caso de una mujer de 61 años de edad, raza blanca, que fue remitida para evaluación de lesiones blancas en la mucosa bucal. En el examen intraoral se observaron lesiones blancas múltiples estriadas en mucosa yugal, lengua y cresta; en el examen extraoral, lesiones descamativas en el brazo, manchas blancas en las piernas y uñas distróficas en los pies. Basándose en la biopsia de las lesiones bucales y en el análisis histopatológico, el diagnóstico de LPO se confirmó. La paciente fue sometida a tratamiento con propionato de clobetasol crema (0,5 mg) y aconsejada a aplicar el medicamento sobre el área afectada, una o dos veces al día, por cuatro semanas. En el seguimiento clínico, al cabo de un mes y 15 días, fue posible analizar la mejoría de las lesiones. Por tratarse de una enfermedad de etiología todavía poco conocida, varios factores pueden favorecer su desarrollo. Así, el ojo clínico del cirujano dentista es imprescindible para un tratamiento más efectivo.
RESUMO O líquen plano é uma doença inflamatória crônica que envolve pele e mucosa, acometendo frequentemente a cavidade bucal. Os objetivos deste estudo são relatar um caso de líquen plano oral (LPO) com manifestações cutâneas e discutir os aspectos clínicos e histopatológicos, bem como o tratamento estabelecido. Relatamos o caso de uma mulher, 61 anos de idade, leucoderma, que foi encaminhada para avaliação de lesões brancas na mucosa bucal. Ao exame intraoral, foram observadas múltiplas lesões brancas com aspecto estriado em mucosa jugal, língua e rebordo; ao exame extraoral, lesões de aspecto descamativo no braço, manchas brancas nas pernas e unhas distróficas nos pés. Com base na biópsia das lesões bucais e na análise histopatológica, o diagnóstico de LPO foi confirmado. A paciente foi submetida ao tratamento com propionato de clobetasol em creme (0,5 mg) e orientada a fazer a aplicação na área afetada, uma a duas vezes ao dia, durante quatro semanas. No acompanhamento clínico após um mês e 15 dias, pôde-se analisar a melhora das lesões. Por se tratar de uma doença com etiopatogênese ainda pouco reconhecida, vários fatores podem possibilitar o desenvolvimento dessa condição. Dessa forma, é imprescindível o olhar clínico do cirurgião-dentista para o tratamento mais eficaz.
RESUMEN
ABSTRACT Oral lymphoepithelial cyst (OLEC) is an uncommon lesion that develops in oral lymphoid tissue. The aim of the present study was to report a clinical case of OLEC in the tongue. A 22-year-old patient presented a nodular lesion, yellowish, with a softened consistency, measuring 0.5 cm in the ventral surface of the tongue. Under the clinical hypotheses of mucocele and OLEC, excisional biopsy was performed. The histopathological examination revealed a cystic lesion covered by a parakeratinized stratified squamous epithelium, which presented in its fibrous capsule a prominent lymphoid tissue. Based on the definitive diagnosis, surgical excision of the lesion was performed.
RESUMO O cisto linfoepitelial oral (CLEO) é uma lesão incomum que se desenvolve no tecido linfoide oral. O objetivo do presente trabalho foi relatar um caso clínico de CLEO na língua. Paciente de 22 anos de idade exibia uma lesão nodular, de coloração amarelada e consistência amolecida, medindo 0,5 cm na região ventral de língua. Sob as hipóteses clínicas de mucocele e CLEO, foi realizada biópsia excisional. O exame histopatológico revelou lesão cística revestida por epitélio escamoso estratificado paraceratinizado, que apresentava em sua cápsula fibrosa tecido linfoide proeminente. Com base no diagnóstico definitivo, foi realizada a excisão cirúrgica da lesão.
RESUMEN
OBJECTIVES: The aim of this study was to investigate the prevalence of oral and maxillofacial lesions among older adults (≥60 years) from representative regions in Brazil. DESIGN: Retrospective descriptive cross-sectional study. SETTING: Biopsy records were obtained from the archives of four Brazilian referral centers of oral diagnosis between 2000 and 2016. PARTICIPANTS: A total of 45,506 biopsy records of all patients were analyzed, of these 7,259 persons aged 60 and older were selected. MEASUREMENTS: Data such as gender, age, race, anatomical location, and histopathological diagnosis were collected and categorized. Pearson's chi-square test (P < .005) was used to evaluate differences in the frequency of the several groups of oral lesions. RESULTS: Oral and maxillofacial lesions were diagnosed in 7,259 older people, including 59.4% women (P < .001) and 61.3% white patients (P = .07). The most commonly affected sites were the cheek mucosa (20.3%) and mandible (8.9%) (P < .001). Reactive and inflammatory lesions were the most common lesions, followed by neoplasms. Oral squamous cell carcinoma was the most prevalent neoplasm (83.4%) (P < .001). CONCLUSION: Knowledge of oral diseases obtained from biopsy records provides more accurate data about the diagnosis and oral health of elderly patients. These indicators thus support the development of specific health policies for the prevention and treatment of oral and maxillofacial lesions that affect this population.
Asunto(s)
Enfermedades de la Boca/epidemiología , Enfermedades de la Boca/patología , Mucosa Bucal/patología , Factores de Edad , Anciano , Biopsia/métodos , Brasil/epidemiología , Carcinoma Mucoepidermoide/epidemiología , Carcinoma Mucoepidermoide/patología , Carcinoma de Células Escamosas/epidemiología , Carcinoma de Células Escamosas/patología , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Neoplasias de la Boca/epidemiología , Neoplasias de la Boca/patología , Prevalencia , Estudios RetrospectivosRESUMEN
The aim of this study was to evaluate the association between overweight/obesity and the occurrence of traumatic dental injury among schoolchildren aged 7 to 14 years. A cross-sectional study was carried out involving 590 students at public schools in the city of Campina Grande, Brazil. The classification proposed by O'Brien (1994) was used for the diagnosis of traumatic dental injury. Overweight/obesity was determined based on the body mass index. Clinical examinations were performed by two examiners who had undergone a calibration exercise (Kappa statistics of 0.87 and 0.90 for intra-examiner and inter-examiner, respectively). Data analysis involved the chi-square test and Fisher's exact test with a 5% level of significance. Traumatic dental injury was less prevalent among the schoolchildren with overweight/obesity than those without this condition (8.7% and 13.3%, respectively). When the sample was stratified by gender and age, traumatic dental injury was also more prevalent among schoolchildren without overweight/obesity. When the sample was stratified based on ethnicity, prevalence rates were similar between those with and without overweight/obesity. In the overall sample, no significant association was found between overweight/obesity and traumatic dental injury (p = 0.253). Overweight/obesity among schoolchildren aged 7 to 14 years was not associated with traumatic dental injury in this study. The analysis of physical activity may be important to gain a better understanding of this finding.
Asunto(s)
Obesidad/epidemiología , Sobrepeso/epidemiología , Traumatismos de los Dientes/epidemiología , Adolescente , Factores de Edad , Índice de Masa Corporal , Brasil/epidemiología , Brasil/etnología , Niño , Estudios Transversales , Etnicidad/estadística & datos numéricos , Femenino , Humanos , Masculino , Prevalencia , Factores SexualesRESUMEN
The aim of this study was to evaluate the association betweenoverweight/obesity and the occurrence of traumatic dentalinjury among schoolchildren aged 7 to 14 years. A cross-sectionalstudy was carried out involving 590 students at publicschools in the city of Campina Grande, Brazil. The classificationproposed by OBrien (1994) was used for the diagnosis oftraumatic dental injury. Overweight/obesity was determinedbased on the body mass index. Clinical examinations were performedby two examiners who had undergone a calibrationexercise (Kappa statistics of 0.87 and 0.90 for intra-examinerand inter-examiner, respectively). Data analysis involved thechi-square test and Fishers exact test with a 5% level of significance.Traumatic dental injury was less prevalent among theschoolchildren with overweight/obesity than those without thiscondition (8.7% and 13.3%, respectively). When the sample wasstratified by gender and age, traumatic dental injury was alsomore prevalent among schoolchildren without overweight/obesity.When the sample was stratified based on ethnicity,prevalence rates were similar between those with and withoutoverweight/obesity. In the overall sample, no significant associationwas found between overweight/obesity and traumaticdental injury (p = 0.253). Overweight/obesity among schoolchildrenaged 7 to 14 years was not associated with traumaticdental injury in this study. The analysis of physical activity maybe important to gain a better understanding of this finding...
O objetivo do presente estudo foi avaliar a associação entre osobrepeso/obesidade e a ocorrência do trauma dentário entreescolares de 7 a 14 anos de idade. Caracterizou-se como um estudotransversal realizado com 590 escolares de escolas públicasde Campina Grande, Brasil. Utilizou-se como critério de diagnósticopara traumatismo dentário a classificação proposta porOBrien (1994) e para sobrepeso/obesidade o índice IMC. Osexames clínicos foram feitos por dois examinadores previamentecalibrados (Kappa intra e inter de 0,87 e 0,90, respectivamente).Os testes estatísticos utilizados foram Qui-quadrado e exato deFisher (significância de 5%). Os indivíduos sem sobrepeso/obesidadeapresentaram mais lesões de trauma dentário que aquelescom sobrepeso/obesidade (13,3% vs 8,7%). Quando estratificadaa amostra em relação ao sexo, idade e grupo étnico, otraumatismo dentário foi mais prevalente entre crianças/adolescentessem sobrepeso/obesidade, com exceção do grupo étnico,que apresentaram prevalências similares. No grupo total não foiobservada associação entre sobrepeso/obesidade e trauma dentário(p=0,253). A presença de sobrepeso/obesidade em escolaresde 7 a 14 anos não foi associada ao traumatismo dentário. Aanálise da atividade física pode ser um fator importante paramelhor elucidar a temática...
Asunto(s)
Humanos , Masculino , Adolescente , Femenino , Obesidad/epidemiología , Sobrepeso/epidemiología , Traumatismos de los Dientes/epidemiología , Factores de Edad , Índice de Masa Corporal , Brasil/epidemiología , Brasil/etnología , Estudios Transversales , Etnicidad/estadística & datos numéricos , Prevalencia , Factores SexualesRESUMEN
The aim of this study was to evaluate the association between overweight/obesity and the occurrence of traumatic dental injury among schoolchildren aged 7 to 14 years. A cross-sectional study was carried out involving 590 students at public schools in the city of Campina Grande, Brazil. The classification proposed by OBrien (1994) was used for the diagnosis of traumatic dental injury. Overweight/obesity was determined based on the body mass index. Clinical examinations were performed by two examiners who had undergone a calibration exercise (Kappa statistics of 0.87 and 0.90 for intra-examiner and inter-examiner, respectively). Data analysis involved the chi-square test and Fishers exact test with a 5
level of significance. Traumatic dental injury was less prevalent among the schoolchildren with overweight/obesity than those without this condition (8.7
and 13.3
, respectively). When the sample was stratified by gender and age, traumatic dental injury was also more prevalent among schoolchildren without overweight/obesity. When the sample was stratified based on ethnicity, prevalence rates were similar between those with and without overweight/obesity. In the overall sample, no significant association was found between overweight/obesity and traumatic dental injury (p = 0.253). Overweight/obesity among schoolchildren aged 7 to 14 years was not associated with traumatic dental injury in this study. The analysis of physical activity may be important to gain a better understanding of this finding.