Gökçen Akçiçek, Nursel Akkaya, Hatice Boyacıoğlu Doğru

Hareketli protez kullanımına bağlı gelişen oral mukoza lezyonları: tanımlayıcı klinik araştırma

Amaç: Bu çalışmanın amacı, hareketli protez kullanımına bağlı gelişen oral mukoza lezyonları ile protez tipi veya hastalara ait bireysel özellikler arasındaki ilişkinin incelenmesidir.Gereç ve Yöntem: Hareketli protez kullanan 199 hastanın yaş, cinsiyet, protez tipi, genel sağlık ve ilaç kullanım durumları ile klinik muayene sırasında saptanan protezle ilişkili oral mukoza lezyonları (POML), lokalizasyonları ve hastaların bu durumun farkında olup olmadıkları kaydedildi. POML ile protez tipi ve hastalara ait bireysel özellikler arasında ilişkinin incelenmesi için Pearson ki-kare testi kullanıldı.Bulgular: Çalışmaya dahil edilen hastaların 122’si (%61.3) kadın, 77’si (%38.7) erkekti. Protez kullanan 96 (%48.2) hastada POML’ye rastlandı, 103 (%51.8) hastada ise POML saptanmadı. POML ile yaş ve cinsiyet arasında ilişki bulunmadı (p>0.05). En sık rastlanan POML tipi protez stomatiti idi (%34.7). Protez stomatiti parsiyel protez kullanan hastalarda (p<0.05), epulis fissuratum ve mesnetsiz kret ise total protez hastalarında istatistiksel olarak anlamlı şekilde daha fazla bulundu (p<0.001). Travmatik ülserlerin alt total protez kullanan hastalarda (p<0.05), epulis fissuratum ve mesnetsiz kretin, üst total protez kullanan hastalarda görülme sıklığı anlamlı olarak daha yüksek bulundu (p<0.001). POML’lerin mevcut olduğu hastaların %57.3’ü bu lezyonların farkında olmadıklarını ifade ettiler. Sonuç: Örneklemimizde hareketli protez kullanan hastalarda yüksek oranda (%48.2) POML mevcut olduğu ve POML saptanan hastaların da yarıdan fazlasının bu durumun farkında olmadıkları belirlenmiştir. Bu bulgular doğrultusunda hareketli protez kullanan hastaların protez kullanımına ilişkin önerilerin uygulanmasına ve düzenli kontrollerin önemine dair bilinçlendirilmesi gerektiği düşünülmektedir.

Anahtar Kelimeler:

ağız hastalıkları, ağız mukozası, parsiyel protez, tam protez, protez stomatiti

Removable denture-related oral mucosal lesions: descriptive clinical study

Objective: The aim of this study was to investigate whether there was a relationship between removable denture-related oral mucosal lesions and denture type, and demographic characteristics.Materials and Method: The age, sex, denture type, systemic condition and medication use, presence of denture-related oral mucosal lesions (DROML), their locations and patients’ awareness of above mentioned lesions were recorded for 199 patients. Pearson chi-square test was used to analyse the relationship between the DROML and denture type, and demographic characteristics of the patients.Results: Among the patients included to the study, 122 (61.3%) were female and 77 (38.7%) were male. Ninety-six patients (48.2%) exhibited DROML, whereas 103 patients (51.8%) had no DROML. No relationship was detected between DROML and age, and sex (p>0.05). The most commonly detected DROML was denture stomatitis (34.7%). Denture stomatitis was significantly more frequently seen in partial denture wearers (p<0.05), while epulis fissuratum and flabby ridge were statistically more frequent in complete denture wearers (p<0.001). Traumatic ulcer was more frequently found in mandibular complete denture wearers (p<0.05), while epulis fissuratum and flabby ridge were significantly more common in maxillary complete denture wearers (p<0.001). Among the patients with DROML, 57.3% stated that they were unaware of these lesions. Conclusion: In this study sample, the rate of DROML was high in patients wearing removable dentures (48.2%), and more than half of the patients with DROML were not aware of these lesions. Upon these findings, it is considered that removable denture wearers should follow the denture usage instructions and should be informed about the importance of periodic controls.

Keywords:

complete denture, partial denture, mouth diseases, mouth mucosa, denture stomatitis,

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Preshaw PM, Walls AW, Jakubovics NS, Moynihan PJ, Jepson NJ, Loewy Z. Association of removable partial denture use with oral and systemic health. J Dent 2011;39:711-9.
Petersen PE, Yamamoto T. Improving the oral health of older people: the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol 2005;33:81-92.
Laguzzi PN, Schuch HS, Medina LD, de Amores AR, Demarco FF, Lorenzo S. Tooth loss and associated factors in elders: results from a national survey in Uruguay. J Public Health Dent 2016;76:143-51.
Doğan BG, Gökalp S. Tooth loss and edentulism in the Turkish elderly. Arch Gerontol Geriatr 2012;54:162-6.
Douglass CW, Gammon MD, Atwood DA. Need and effective demand for prosthodontic treatment. J Prosthet Dent 1988;59:94-104.
Douglass CW, Shih A, Ostry L. Will there be a need for complete dentures in the United States in 2020? J Prosthet Dent 2002;87:5-8.
Al-Imam H, Özhayat EB, Benetti AR, Pedersen AM, Gotfredsen K. Oral health-related quality of life and complications after treatment with partial removable dental prosthesis. J Oral Rehabil 2016;43:23-30.
Freitas JB, Gomez RS, De Abreu MH, Ferreira E Ferreira E. Relationship between the use of full dentures and mucosal alterations among elderly Brazilians. J Oral Rehabil 2008;35:370-4.
Jainkittivong A, Aneksuk V, Langlais RP. Oral mucosal conditions in elderly dental patients. Oral Dis 2002;8:218-23.
Fleishman R, Peles DB, Pisanti S. Oral mucosal lesions among elderly in Israel. J Dent Res 1985;64:831-6.
Corbet EF, Holmgren CJ, Phillipsen HP. Oral mucosal lesions in 65-74-year-old Hong Kong Chinese. Community Dent Oral Epidemiol 1994;22:392-5.
Pantenero M, Broccoletti R, Carbone M, Conrotto D, Gandolfo S. The prevalence of oral mucosal lesions in adults from the Turin area. Oral Dis 2008;14:356-66.
Dundar N, Ilhan Kal B. Oral mucosal conditions and risk factors among elderly in a Turkish school of dentistry. Gerodontology 2007;53:165-72.
Shulman JD, Rivera-Hidalgo F, Beach MM. Risk factors associated with denture stomatitis in the United States. J Oral Pathol Med 2005;34:340-6.
Ercalik-Yalcinkaya S, Özcan M. Association between oral mucosal lesions and hygiene habits in a population of removable prosthesis wearers. J Prosthodont 2015;24:271-8.
Coelho CM, Sousa YT, Dare AM. Denture-related oral mucosal lesions in a Brazilian school of dentistry. J Oral Rehabil 2004;31:135-9.
Baran I, Nalçaci R. Self-reported denture hygiene habits and oral tissue conditions of complete denture wearers. Arch Gerontol Geriatr 2009;49:237-41.
Jorge Júnior J, de Almeida OP, Bozzo L, Scully C, Graner E. Oral mucosal health and disease in institutionalized elderly in Brazil. Community Dent Oral Epidemiol 1991;19:173-5.
MacEntee MI, Glick N, Stolar E. Age, gender, dentures and oral mucosal disorders. Oral Dis 1998;4:32-6.
Brunello DL, Mandikos MN. Construction faults, age, gender, and relative medical health: factors associated with complaints in complete denture patients. J Prosthet Dent 1998;79:545-54.
Milward P, Katechia D, Morgan MZ. Knowledge of removable partial denture wearers on denture hygiene. Br Dent J 2013;215:20.
Dorocka-Bobkowska B, Zozulinska-Ziolkiewicz D, Wierusz-Wysocka B, Hedzelek W, Szumala-Kakol A, Budtz-Jörgensen E. Candida-associated denture stomatitis in type 2 diabetes mellitus. Diabetes Res Clin Pract 2010;90:81-6.
Martori E, Ayuso-Montero R, Martinez-Gomis J, Vinas M, Peraire M. Risk factors for denture-related oral mucosal lesions in a geriatric population. J Prosthet Dent 2014;111:273-9.
Dutt P, Chaudhary S, Kumar P. Oral health and menopause: a comprehensive review on current knowledge and associated dental management. Ann Med Health Sci Res 2013;3:320-3.
Gendreau L, Loewy ZG. Epidemiology and etiology of denture stomatitis. J Prosthodont 2011;20:251-60.
Kossioni AE. The prevalence of denture stomatitis and its predisposing conditions in an older Greek population. Gerodontology 2011;28:85-90.
Talacko AA, Gordon AK, Aldred MJ. The patient with recurrent oral ulceration. Aust Dent J 2010;55 Suppl 1:14-22.
Vigild M. Oral mucosal lesions among institutionalized elderly in Denmark. Community Dent Oral Epidemiol 1987;15:309-13.
Langlais RP, Miller CS, Nield-Gehrig JS. Color atlas of common oral diseases, 4th edn. Philadelphia: Wolters Kluwer / Williams & Wilkins; 2009.
Jainkittivong A, Aneksuk V, Langlais RP. Oral mucosal lesions in denture wearers. Gerodontology 2010;27:26-32.
Mandali G, Sener ID, Turker SB, Ulgen H. Factors affecting the distribution and prevalence of oral mucosal lesions in complete denture wearers. Gerodontology 2011;28:97-103.
MacEntee MI. The prevalence of edentulism and diseases related to dentures-a literature review. J Oral Rehabil 1985;12:195-207.
Mikkonen M, Nyyssönen V, Paunio I, Rajala M. Prevalence of oral mucosal lesions associated with wearing removable dentures in Finnish adults. Community Dent Oral Epidemiol 1984;12:191-4.
Peltola MK, Raustia AM, Salonen MA. Effect of complete denture renewal on oral health--a survey of 42 patients. J Oral Rehabil 1997;24:419-25.
Pires FR, Santos EB, Bonan PR, De Almeida OP, Lopes MA. Denture stomatitis and salivary Candida in Brazilian edentulous patients. J Oral Rehabil 2002;29:1115-9.
Coelho CM, Zucoloto S, Lopes RA. Denture-induced fibrous inflammatory hyperplasia: a retrospective study in a school of dentistry. Int J Prosthodont 2000;13:148-51.
Valimaa H, Savolainen S, Soukka T, Silvoniemi P, Makela S, Kujari H, et al. Estrogen receptor-beta is the predominant estrogen receptor subtype in human oral epithelium and salivary glands. J Endocrinol 2004;180:55-62.
Divaris K, Ntounis A, Marinis A, Polyzois G, Polychronopoulou A. Loss of natural dentition: multi-level effects among a geriatric population. Gerodontology 2012;29:192-9.
Carlsson GE. Clinical morbidity and sequelae of treatment with complete dentures. J Prosthet Dent 1998;79:17-23.
Nevalainen MJ, Narhi TO, Ainamo A. Oral mucosal lesions and oral hygiene habits in the home-living elderly. J Oral Rehabil 1997;24:332-7.