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Epidemiology of oral mucosal lesions in Slovenia

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11 sept. 2018
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Prevalence of tobacco smoking and most frequent oral lesions, precancerous lesions (oral lichen planus and leukoplakia) and oral cancer_ Exsmokers who have stopped smoking more than 10 years ago are considered as non-smokers_ Statistically significant association was found only between oral cancer and tobacco smoking (p < 0_05, chi-square = 40_23)

Study group(N = 2395; %)Cheek biting (N = 39)Linea alba (N = 38)Fibroma (N = 56)Fordyce spots (N = 46)Oral cancer (N = 9)Oral lichen planus (N = 26)Oral leukoplakia (N = 12)
Smokers392; 16.37%20; 51.28%15; 39.47%10; 17.86%11; 23.91%9∗∗; 100%6; 23.1%4; 3.33%
Non-smokers2003; 83.63%19; 48.72%23;46;35; 76.08%0; 0%20; 76.9%8; 6.66%
60.53%82.14%

Frequency of oral lesions in non-smokers, smokers and ex-smokers

Without oral lesionsOral lesions presentOne oral lesionTwo or more oral lesionsThe most frequent oral lesion
Male (N = 904)Non-smokers (N = 719)531 (73.85%)188 (26.14%)154/188 (81.91%)34/188 (18.08%)Fordyce spots
Smokers (N = 166)117 (70.48%)49 (29.51%)35/49 (71.5%)14/49 (28.5%)cheek biting
Ex-smokers (N = 19)15 (78.94 %)4 (21.05%)4/4--
Female (N = 1491)Non-smokers (N = 1249)914 (73.17%)335 (26.82%)288/335 (85.97%)47/335 (14.02%)fibroma
Smokers (N = 226)163 (72.12%)63 (27.87%)53/63 (84.12%)10/63 (15.85%)linea alba
Ex-smokers (N = 16)10 (62.5%)6 (37.5%)6/6-traumatic ulcer

Frequency of lesion occurrence, diagnosis and percentage of the lesion within the whole sample and within the sample with oral lesions

Frequency of occurrenceOral lesionNumber and % within the whole sample and within the patients with oral lesions
1.fibroma56 (2.33%–8.7 %)
2.gingivitis51 (2.12%–7.90%)
3.Fordyce spots46 (1.92%–7.13%)
4.white coated tongue40 (1.67%–6.20%)
5.cheek biting39 (1.62%–6.04%)
6.linea alba38 ( 1.58%–5.89%)
7.denture stomatitis36 (1.50%–5.58%)
8.geographic tongue32 (1.33%–4.96%)
9.recurrent aphthous ulceration31 (1.29%–4.80%)
10.fissured tongue27 (1.12%–4.18%)
11.traumatic ulcer27 (1.12%–4.18%)
12.lichen26 (1.08%–4.03%)
13.mucosal pigmentation25 (1.04%–3.87%)
14.amalgam tattoo21 (0.87%–3.25%)
15.vascular lesions21 (0.87%–3.25%)
16.hyperkeratosis21 (0.87%–3.25%)
17.mucocele20 (0.83%–3.10%)
18.haemangioma19 (0.79%–2.94%)
19.papilloma18 (0.75%–2.79%)
20.reccurrent herpes15 (0.62%–2.32%)
21.decubital ulcer15 (0.62%–2.32%)
22.leukoplakia12 (0.50%–1.86%)
23.papillitis lingue10 (0.41%–1.55%)
24.oral squamous cell carcinoma9 (0.37%–1.39%)
25.mucosal petechiae7 (0.29%–1.08%)
26.candidal infection7 (0.29%–1.08%)
27.leukoedema5 (0.20%–0.77%)
28.frictional hyperkeratosis5 (0.20%–0.77%)
29.teeth impressions on the mucosa4 (0.16%–0.62%)
30.haematoma after bite3 (0.12%–0.46%)
31.black hairy tongue3 (0.12%–0.46%)
32.angular cheilitis2 (0.08%–0.31%)
33.median rhomboid glossitis2 (0.08%–0.31%)
34.lingua accreta2 (0.08%–0,31%)
35.hyperplastic candidiasis1 (0.04%–0.15%)
36.nicotine stomatitis1 (0.04%–0.15%)
Langue:
Anglais
Périodicité:
4 fois par an
Sujets de la revue:
Médecine, Médecine clinique, Médecine interne, Hématologie, oncologie, Radiologie