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Title: Risk factors for denture-related oral mucosal lesions in a geriatric population
Author: Martori López, Elisenda
Ayuso Montero, Raúl
Martínez Gomis, Jordi
Viñas, Miquel
Peraire Ardèvol, Maria
Keywords: Estomatologia
Factors de risc en les malalties
Mucosa oral
Pròtesis dentals
Odontologia geriàtrica
Ferides i lesions
Oral medicine
Risk factors in diseases
Oral mucosa
Dental prosthesis
Geriatric dentistry
Wounds and injuries
Issue Date: Apr-2014
Publisher: Elsevier
Abstract: Statement of problem: Denture-related mucosal lesions have been broadly studied. However, no consensus has been reached regarding the risk factors associated with these lesions, and few studies have used multivariable analysis to determine the relative significance of different risks. Purpose: The purpose of this study was to determine the relationship between systemic, local, and denture factors on the risk of denture-related oral mucosal lesions in an elderly population by using multivariable analysis. Material and methods: Eighty-four elderly denture wearers recruited from geriatric residences and day care centers participated in this cross-sectional study. All data were obtained by means of a questionnaire-interview, a physical examination, and complementary tests. Bivariate relationship and multiple logistic regression analyses were performed (α=.05). Results: Angular cheilitis (34%), traumatic ulcers (15%), and denture stomatitis (14%) were the 3 most common lesions, and the prevalence of at least 1 denture-related mucosal lesion was 54%. The presence of denture stomatitis was related to low saliva pH, never having smoked, and regular sugar consumption. Angular cheilitis was associated with age, complete edentulism, the presence of oral Candida, a lack of denture stability, and a reduced occlusal vertical dimension. The presence of traumatic ulcers was related to a resorbed residual alveolar ridge. The presence of at least 1 lesion was associated with poor masticatory efficiency, being resident in a care facility, oral Candida, and a lack of denture stability. Conclusions: Several systemic, local, and denture-related characteristics are independent risk factors for denture-related mucosal lesions in an elderly population
Note: Versió postprint del document publicat a:
It is part of: Journal of Prosthetic Dentistry, 2014, vol. 111, num. 4, p. 273-279
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ISSN: 0022-3913
Appears in Collections:Articles publicats en revistes (Odontostomatologia)
Articles publicats en revistes (Patologia i Terapèutica Experimental)

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