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ORIGINAL ARTICLE
Year : 2015  |  Volume : 5  |  Issue : 7  |  Page : 12-19

Oral mucosal lesions in elderly dental patients in Sana'a, Yemen


1 Department of Oral and Maxillofacial Sciences, Al-Farabi Colleges of Dentistry and Nursing, Riyadh, Kingdom of Saudi Arabia
2 Department of Oral Medicine, Sana'a University, Sana'a, Yemen
3 Department of Dental Surgery, Al-Kuwait Teaching Hospital, Sana'a, Yemen

Correspondence Address:
Dr. Sadeq Ali Al-Maweri
Al-Farabi Colleges of Dentistry and Nursing, Riyadh
Kingdom of Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2231-0762.156152

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Objectives: With aging, the oral mucosa becomes more susceptible to external stimuli. The aims of this study were to obtain baseline data on the prevalence of oral mucosal lesions (OMLs) in a population of elderly Yemeni patients and to investigate differences in the presentation of these findings in relation to age, gender, education level, and the wearing of dentures. Patients and Methods: The prevalence of OMLs was assessed by clinical examination of a sample of 310 elderly Yemeni patients aged 60 years and older. A single examiner performed detailed oral examinations of the oral cavity according to international criteria and the World Health Organization codes. Results: The overall prevalence of OMLs was 77.1%, with a significant difference (P < 0.05) between men (80.3%) and women (69.6%). The prevalence rate of OMLs indicated a significant decrease with advancing age. The most frequently observed lesions were fissured tongue (34.2%), benign tumors (17.1%), hairy tongue (16.5%), and qat-induced white lesions (12.6%). Hairy tongue, qat-induced white lesions, and shammah keratosis were associated with men (P < 0.01, P < 0.05, and P < 0.05, respectively), whereas geographic tongue was associated with women (P < 0.05). The presence of one or more lesions was significantly associated with low education level (P < 0.05). Certain OMLs showed a significant association with smoking and qat chewing (P < 0.05). No association was found between the occurrence of OMLs and denture wearing (P > 0.05). Conclusions: The present study has shown a high prevalence of oral lesions among Yemeni elders.


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