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      Distribution and prevalence of oral mucosal lesions in residents of old age homes in Delhi, India

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          Abstract

          Background

          It has been seen that very less attention has been given to the oral health of the geriatric population residing in old age homes and as the oral mucosal lesions are a matter of concern for this growing population. Therefore, a study was done with the objective of finding the prevalence of oral mucosal lesions and the distribution of oral mucosal lesions among 65-74 year old residents of old age homes in Delhi, India.

          Materials and Methods

          A cross sectional study was done on 65-74 year old age group elders of old age homes in Delhi. A total of 464 subjects participated in the study. Oral Health Assessment Form, WHO was used for assessing oral mucosa. Clinical examination was performed using two mouth mirrors under natural illumination in a systematic manner. Data was processed and analyzed using SPSS version 23.

          Results

          Out of a total of 464 subjects, 291 (62.70%) were males and 173 (37.30%) were females. Oral mucosal lesions seen in the study subjects were malignant tumours, leukoplakia, lichen planus, ulcerations, ANUG, Abscess and candidiasis. Leukoplakia was seen in 70 subjects (15%) and was present on buccal mucosa in the majority. A malignant tumour was seen in 7 subjects (1.5%) and commonly seen area is floor of mouth.

          Conclusion

          Prevalence of oral mucosal lesions among residents of old age homes shows the need for increased preventive and diagnostic measures for prevention and early identification of oro-mucosal lesions. Taking adequate care for oro-mucosal health of elderly people residing in old age homes is necessary.

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          Most cited references22

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          Oral health in the elderly patient and its impact on general well-being: a nonsystematic review

          Data on the oral health of the elderly depict a worrying situation, with an elevated prevalence of caries and moderate periodontal disease, frequent edentulism, and numerous cases of dry mouth and oral cancer. There is wide evidence that periodontitis is a risk factor for certain systemic diseases, and impaired oral health has been associated with mastication and nutritional problems, especially among the elderly, with highly negative effects on their quality of life. In this nonsystematic review, the authors discuss the importance of evaluating the oral health of the geriatric population in a comprehensive manner, beyond simple clinical assessments.
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            Geriatric Oral Health: A Review Article

            Oral health is not separate from general health, but maintaining oral health is definitely difficult and different in old age. Even though, few elderly have physical and/or mental situation that call for particular interest in the dental workplace, one should not presume that all elderly community shares these circumstances. In order to achieve health, it is necessary to know few aspects of old age. In due course of old age body tissues get harder, collection of waste products in body cells and loss of lubrication leads to impaired functions of various organs. The design and implementation of comprehensive preventive dentistry protocols for elders presents the dental profession with many challenges. Although a specific protocol must be tailored to meet the unique needs of the individual patient, there are certain factors common to elderly segment of the population that may influence these protocols.
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              The prevalence of oral mucosal lesions in patients visiting a dental school in Southern India.

              The purpose of the present study was to evaluate the prevalence of oral mucosal lesions in Manipal, Karnataka State, India. A total of 1190 subjects who visited the department of oral medicine and radiology for diagnosis of various oral complaints over a period of 3 months were interviewed and clinically examined for oral mucosal lesions. The result showed the presence of one or more mucosal lesions in (41.2%) of the population. Fordyce's condition was observed most frequently (6.55%) followed by frictional keratosis (5.79%), fissured tongue (5.71%), leukoedema (3.78%), smoker's palate (2.77%), recurrent aphthae, oral submucous fibrosis (2.01%), oral malignancies (1.76%), leukoplakia (1.59%), median rhomboid glossitis (1.50%), candidiasis (1.3%), lichen planus (1.20%), varices (1.17%), traumatic ulcer and oral hairy leukoplakia (1.008%), denture stomatitis, geographic tongue, betel chewer's mucosa and irritational fibroma (0.84%), herpes labialis, angular cheilitis (0.58%), and mucocele (0.16%). Mucosal lesions like tobacco-related lesions (leukoplakia, smoker's palate, oral submucous fibrosis, and oral malignancies) were more prevalent among men than among women. Denture stomatitis, herpes labialis, and angular cheilitis occurred more frequently in the female population.
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                Author and article information

                Journal
                Nepal J Epidemiol
                Nepal J Epidemiol
                NJE
                Nepal Journal of Epidemiology
                International Nepal Epidemiological Association
                2091-0800
                June 2018
                30 June 2018
                : 8
                : 2
                : 727-734
                Affiliations
                [1 ]Senior lecturer, Department of Public Health Dentistry, Manav Rachna Dental College , Faridabad, Haryana, India.
                [2 ]Reader, Department of Public Health Dentistry, Manav Rachna Dental College , Faridabad, Haryana, India.
                [3 ]Lecturer, Department of Public Health Dentistry, Manav Rachna Dental College , Faridabad, Haryana, India.
                [4 ]Senior Lecturer, Department of Public Health Dentistry, NIIMS Dental College , Jaipur, Rajasthan, India.
                [5 ]Senior Lecturer, Department of Public Health Dentistry, Subharti Dental College , Meerut, U.P, India.
                [6 ]Private practitioner, Faridabad
                Author notes
                Correspondence: Dr Nisha Rani Yadav, Senior Lecturer, Manav Rachna Dental College, House no 574, sec 46, Gurgaon, Haryana, 122001 Email: drnisharao@ 123456gmail.com

                Author’s Contribution: NRY, MJ, AS, RY, MP and VJ have substantial contributions to conception and design, acquisition of data, analysis and interpretation of data. All the authors also contributed in drafting the article and revising it critically. All the authors approved the final version of manuscript.

                Conflict of interest: All authors have declared that they have no conflict of interest.

                Source of Support: Nil

                Article
                10.3126/nje.v8i2.18708
                6415931
                31086682
                f267d83d-ab01-419e-8aa5-fa7df46b67b5
                © 2018 CEA& INEA

                This work is licensed under a Creative Commons Attribution 4.0 International License

                History
                : 6 December 2017
                : 27 June 2018
                : 30 June 2018
                Page count
                Figures: 1, Tables: 3, Equations: 0, References: 26, Pages: 8
                Categories
                Research Article

                prevalence,geriatric dentistry,oral lesions
                prevalence, geriatric dentistry, oral lesions

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