CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2022; 26(04): e671-e675
DOI: 10.1055/s-0042-1742328
Original Research

Prevalence of Oral Normal Variance in Healthy Elderly Patients: A Descriptive Study on Oral Pseudo-Lesions

1   Department of Oral Medicine, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia.
,
1   Department of Oral Medicine, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia.
,
1   Department of Oral Medicine, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia.
,
Vint Erawati Suryanijaya
2   Bachelor of Dental Science, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia.
,
Candrika Ramya Inastu
2   Bachelor of Dental Science, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia.
,
1   Department of Oral Medicine, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia.
,
1   Department of Oral Medicine, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia.
,
1   Department of Oral Medicine, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia.
,
Aulya Setyo Pratiwi
1   Department of Oral Medicine, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia.
,
Riyan Iman Marsetyo
1   Department of Oral Medicine, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia.
› Author Affiliations
Funding Kementerian Riset Teknologi Dan Pendidikan Tinggi Republik Indonesia. 4/AMD/E1/KP.PTNBH/2020

Abstract

Introduction The aging process in the elderly can change the condition of the oral cavity, regarding both clinical appearance and function. The oral mucosa becomes more susceptible to mechanical damage and irritant agents. Any changes in the oral mucosa, including normal variance, should be examined. This is especially true for the elderly, to improve oral health and prevent any abnormalities.

Objective To describe the prevalence of oral normal variance in healthy elderly patients.

Methods An observational descriptive study with a cross-sectional design with total sampling conducted from March to April 2020.

Results Among the 117 elderly patients who participated in this study, 58 were described as healthy without any comorbidities. From those subjects, there were 117 cases of normal variance in the oral mucosa. The three most prevalent issues were fissured tongue (93.1%), coated tongue (58.62%), and crenated tongue (27.59%).

Conclusion Fissured tongue is a normal variance of the oral mucosa that is commonly found in healthy elderly patients.

Author's Contribution

All authors declare that they contributed to the critical review of intellectual content and approval of the final version to be published.




Publication History

Received: 15 May 2021

Accepted: 17 October 2021

Article published online:
20 April 2022

© 2022. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Kusdhany LS, Sundjaja Y, Fardaniah S, Ismail RI. Oral health related quality of life in Indonesian middle-aged and elderly women. Med J Indones 2011; 20 (01) 62-65
  • 2 Cheruvathoor DD, Thomas V, Kumar NR, Jose M. High prevalence of oral mucosal lesions in elderly: Call for revolutionizing geriatric dental care strategies. J Family Med Prim Care 2020; 9 (08) 4375-4380
  • 3 Pai A, Deverashetty A. Changing Trends in the Oral Mucosa of Geriatric Population - An Epidemiological Study. J Indian Acad Geriatr. 2017; 13 (01) 10-17
  • 4 Ali M, Joseph B, Sundaram D. Prevalence of oral mucosal lesions in patients of the Kuwait University Dental Center. Saudi Dent J 2013; 25 (03) 111-118
  • 5 Mahdani FY, Radithia D, Parmadiati AE, Ernawati DS. Prevalence of oral mucosal lesions in geriatric patients in Universitas Airlangga Dental Hospital. Acta Med Philipp 2019; 53 (05) 407-411
  • 6 Shinde SB, Sheikh NN, Sr A. Prevalence of tongue lesions in western population of Maharashtra. Int J Appl Dent Sci. 2017; 3 (03) 104-108
  • 7 Al-Maweri SA, Al-Jamaei AA, Al-Sufyani GA, Tarakji B, Shugaa-Addin B. Oral mucosal lesions in elderly dental patients in Sana'a, Yemen. J Int Soc Prev Community Dent 2015; 5 (Suppl. 01) S12-S19
  • 8 della Vella F, Lauritano D, Lajolo C. et al. The Pseudolesions of the Oral Mucosa: Differential Diagnosis and Related Systemic Conditions. Appl Sci (Basel) 2019; 9 (12) 2412
  • 9 Razak PA, Richard KMJ, Thankachan RP, Hafiz KAA, Kumar KN, Sameer KM. Geriatric oral health: a review article. J Int Oral Health 2014; 6 (06) 110-116
  • 10 Lynge Pedersen AM, Nauntofte B, Smidt D, Torpet LA. Oral mucosal lesions in older people: relation to salivary secretion, systemic diseases and medications. Oral Dis 2015; 21 (06) 721-729
  • 11 Madani FM, Kuperstein AS. Normal variations of oral anatomy and common oral soft tissue lesions: evaluation and management. Med Clin North Am 2014; 98 (06) 1281-1298
  • 12 Kaminska-Pikiewicz K, Chalas R, Bachanek T. The condition of oral mucosa in the elderly (over 65 years) of Lublin. Curr Issues Pharm Med Sci 2017; 30 (01) 39-42
  • 13 Bhattacharya PT, Sinha R, Pal S. Prevalence and subjective knowledge of tongue lesions in an Indian population. J Oral Biol Craniofac Res 2016; 6 (02) 124-128 DOI: 10.1016/j.jobcr.2015.12.007. [Internet]
  • 14 Järvinen J, Mikkonen JJW, Kullaa AM. Fissured tongue: a sign of tongue edema?. Med Hypotheses 2014; 82 (06) 709-712
  • 15 Maloth S, Padmashree S, Shilpa PS, Sultana N. The Prevalence of Fissured Tongue in 2050 Indian Patients : a Cross Sectional Study. Int J Dental Res Development 2015; 5 (04) 5-14
  • 16 Mangold AR, Torgerson RR, Rogers III RS. Diseases of the tongue. Clin Dermatol 2016; 34 (04) 458-469
  • 17 Omor RA, Arabeyat MA, Hiasat AN. et al. Prevalence and Factors Related to Tongue Coating among a Sample of Jordanian Royal Medical Services Dental Outpatients Rana. J R Med Serv. 2015; 22 (01) 35-40
  • 18 Patil S, Kaswan S, Rahman F, Doni B. Prevalence of tongue lesions in the Indian population. J Clin Exp Dent 2013; 5 (03) e128-e132
  • 19 Surboyo M, Ernawati D, Parmadiati A. Glossitis mimicking median rhomboid glossitis induced by throat lozenges and refreshment candies. J Int Oral Health 2019; 11 (05) 323-328
  • 20 Kumar S, Kumar T, Rani V. Linea Alba Buccalis a Normal Anatomic Variation of Oral Cavity, Not an Oral Cancer, Awareness among Patients and Professionals: A Case Report. Scholars Journal of Dental Sciences 2016; 3 (04) 124-125
  • 21 Sharmila R. Prevalance of linea alba buccalis in Chennai population. J Pharm Sci Res. 2016; 8 (08) 835-837