İNFLAMATUVAR FİBRÖZ HİPERPLAZİ: 119 OLGULUK ÇALIŞMA

Amaç: İnflamatuvar Fibröz Hiperplazi (İFH) oluşumunun; yaş, cinsiyet, protez kullanım süresi, protezin konumu ve oral mukozayla ilişkisini araştırmaktır. Gereç ve Yöntem: Bu çalışma, çeşitli protez şikayetleri ile kliniğimize başvurmuş, ağız içerisinde İFH lezyonları tespit edilmiş 119 hasta üzerinde gerçekleştirildi. Cinsiyet, yaş, protez kullanım süresi, lezyonların ağız içerisinde görülme süresi, hasta şikayetleri ve lezyonların yerleşim yerleri gibi veriler istatistiksel olarak değerlendirildi. Bulgular: Değerlendirmeye alınan 119 İFH hastasının %31.9’unu erkekler, % 68.1’ini ise kadınlar oluşturuyordu. 60-80 yaş aralığındaki hastalarda İFH görülme sıklığı, (%68.1) 40-60 yaş aralığındaki hastalardan (%31.9) daha fazlaydı. Protez kullanım süresi arttıkça lezyonların görülme sıklığının da arttığı tespit edildi. İFH görülme sıklığının maksillada, mandibulaya oranla daha fazla olduğu saptandı (%53.8-%46.2). İFH lezyonlarının büyük çoğunluğunun çenelerin anterior ve antero-posterior sahalarında lokalize olduğu belirlendi. Sonuç: Protetik uygulamalar sonrasında hastalar, İFH gibi yumuşak doku reaksiyonları hakkında hekimleri tarafından bilgilendirilmelidirler. Aksi takdirde hastaların oral dokularına zarar verecek istenmeyen komplikasyonlar gelişebilir. Periyodik kontrollerin yapılması bu tip lezyonların önlenmesinde etkili olacaktır

İNFLAMATUVAR FİBRÖZ HİPERPLAZİ: 119 OLGULUK ÇALIŞMA

Purpose: The purpose of this study was to evaluate the incidence of Inflammatory Fibrous Hyperplasia (IFH), and its association with gender, age, denture use duration, location and involvement of dentures. Material and Methods: This study was carried on 119 patients with complaints of IFH due to various prosthetics reasons. Data such as gender, age, denture wearing period, patient complaints, location of the lesions were analyzed statistically.Results: Of the 119 analyzed cases of IFH, 31.9% occured in men, and 68.1% in women. The frequency of IFH in the age group of 60 to 80 years was higher than in the age group of 40 to 60 years (68.1%-31.9%). When the denture wearing period increased, the incidence of lesions were also increased. The incidence of IFH was higher in the maxilla than in the mandible (53.8% - 46.2%). Most IFH lesions were located in the anterior and antero-posterior region of the jaws (48.7% - 47.1%).Conclusion: After prosthetic applications, patients should be informed by their physicians about soft tissue reactions such as IFH. Otherwise, several insidious complications may develop and cause damage to the patients’ oral tissues. Periodic controls will be effective for the prevention of this type of lesion.

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  • Lin HC, Corbert EF, Lo EC. Oral mucosal lesions in adult Chinese. J Dent Res 2001;80(5):1486-90.
  • Carlsson GE. Clinical morbidity and sequal of treatment with complete dentures. J Prosthet Dent 1998;79(1):17-23.
  • Atashrazm P, Sadri D. Prevalence of oral mucosal lesions in a group of Iranian dependent elderly complete denture wearers. J Contemp Dent Pract 2013;14(2): 174Xie Q, Ainamo A, Tilvis R. Association of residual ridge resorption with systemic factors in home-living elderly subjects. Acta Odontol Scand 1997; 55(5):299-305.
  • Neville BW, Damm DD, Allen CM, Bouquot JE. Oral & maxillofacial pathology. 2nd ed., Philadelphia: Elsevier, 200 Kalavathy N, Sridevi J, Kumar PR, Sharmila MR Jayanthi. Denture induced fibrous hyperplasia: a case report. SRM University Journal of Dental Sciences 2010;1(3):256-8.
  • Castellanos JL, Díaz-Guzmán L. Lesions of the oral mucosa: an epidemiological study of 23785 Mexican patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;105(1):79-85.
  • Macedon Firoozmand L, Dias Almeida J, Guimarães Cabral LA. Study of denture-induced fibrous hyperplasia cases diagnosed from 1979 to 2001.Quintessence Int 2005;36(10): 825-9.
  • 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(2):97-103.
  • Bilhan H, Geckili O, Ergin S, Erdogan O, Ates G. Evaluation of satisfaction and complications in patients with existing complete dentures. J Oral Sci 2013;55(1):29-37.
  • Coelho CM, Sousa YT, Daré AM. Denture-related oral mucosal lesions in a Brazilian school of dentistry. J Oral Rehabil 2004;31(2):135-9.
  • Dorey JL, Blasberg B, MacEntee MI, Conklin RJ. Oral mucosal disorders in denture wearers. J Prosthet Dent 1985;53(2):210-3.
  • Nevalainen MJ, Närhi TO, Ainamo A. Oral mucosal lesions and oral hygiene habits in the home-living elderly. J Oral Rehabil 1997;24(5):332-7.
  • Naderi NJ, Eshghyar N, Esfehanian H. Reactive lesions of the oral cavity: A retrospective study on 2068 cases. Dent Res J (Isfahan) 2012;9(3):251-5.
  • Ben Aryeh H, Gottlieb I, Ish-Shalom S, David A, Szargel H, Laufer D. Oral complaints related to menopause. Maturitas 1996;24(3):185-9.
  • Streckfus CF, Baur U, Brown LJ, Bacal C, Metter J, Nick T. Effects of estrogen status and aging on salivary flow rates in healthy Caucasian women. Gerontology 1998;44(1):32-9.
  • Studen-Pavlovich D, Ranalli DN. Evolution of women’s oral health. Dent Clin North Am 2001;45(3):433-2.
  • Jeffcoat M. The association between osteoporosis and oral bone loss. J Periodontol 2005;76(11 Suppl):2125-32.
  • Mavropoulos A, Rizzoli R, Ammann P. Different responsiveness of alveolar and tibial bone to bone loss stimuli. J Bone Miner Res 2007;22(3):403-10.
  • Jeffcoat MK, Chesnut CH 3rd. Systemic osteoporosis and oral bone loss: evidence shows increased risk factors. J Am Dent Assoc 1993;124(11):49-56.
  • Buchner A, Calderon S, Ramon Y. Localized hyperplastic lesions of the gingiva: a clinicopathological study of 302 lesions. J Periodontol 1977;48(2):101-4.
  • Manderson RD, Ettinger RL. Dental status of the institutionalized elderly population of Edinburgh. Community Dent Oral Epidemiol 1975;3(3):100-7.
  • Jorge Jşnior 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(3):173-5.
  • Pindborg JJ. Pathology and treatment of diseases in oral mucous membranes and salivary glands. In: Pedersen PH, Loc H, (Ed). Geriatric dentistry: a textbook of oral gerontology. Denmark: Munksgaard, 1986, p.290-306.
  • Närhi TO, Ainamo A, Meurman JH. Salivary yeasts, saliva and oral mucosa in the elderly. J Dent Res 1993;72(6):1009
  • Moskona D, Kaplan I. Oral lesions in elderly denture wearers. Clin Prev Dent 1992; 14(5):11-4.
  • Reichart PA. Oral mucosal lesions in a representative cross-sectional study of aging Germans. Community Dent Oral Epidemiol 2000;28(5):390-8.
  • Jainkittivong A, Aneksuk V, Langlais RP. Oral mucosal conditions in elderly dental patients. Oral Dis 2002;8(4):218
  • Xie Q, Narhi TO, Nevenlainen JM, Wolf J, Ainamo A. Oral status and prosthetic factors related to residual ridge resorption in elderly subjects. Acta Odontol Scand 1997;55(5):306-13. de Baat C, van Aken AA, Mulder J, Kalk W. ‘‘Prosthetic condition’’ and patients judgment of complete dentures. J Prosthet Dent 1997;78(5):472-8.
  • Müller N, Pröschel P. Histologic investigation of tissue reactions in anterior and lateral alveolar ridges of the mandible induced by complete dentures. Quintessence Int 1989;20(1):37-42. Yazışma Adresi: Banu ÖZVERİ KOYUNCU Ege Üniversitesi
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European Oral Research-Cover
  • ISSN: 2630-6158
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 1967
  • Yayıncı: İstanbul Üniversitesi