RSS-Feed abonnieren
PDF herunterladen
DOI: 10.1055/s-0042-1748523
Predisposing Factors for Recurrent Aphthous Stomatitis among Undergraduate Dental Students
Funding This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Abstract
Objectives The prevalence of recurrent aphthous stomatitis (RAS) among the general population worldwide is 20%. This study aims to discover any correlations between RAS predisposing factors and the gender and year of study of undergraduate dental students at the Faculty of Dental Medicine at Airlangga University.
Methods A cross-sectional analytical study using simple random sampling was performed. The respondents answered seven questions on a self-reported online questionnaire set up using Google Forms. Chi-square analyses were conducted to determine any correlation between RAS predisposing factors and the gender and year of study of the students.
Results The highest predisposing factors for RAS in undergraduate dental students were local trauma (77.7%) followed by stress (71.3%) and nutritional deficiencies (41.5%). Stress correlated strongly with the year of study (p = 0.015). There was no correlation between gender and RAS predisposing factors (p > 0.05).
Conclusion There was a correlation between stress, one of the predisposing factors for RAS, and the year of study, but there was no correlation between gender and RAS predisposing factors including local trauma, stress, nutritional deficiency, genetics, allergies, and systemic diseases.
Ethical Approval
This study has received an ethical clearance certificate from the Faculty of Dental Medicine Health Research Ethical Clearance Commission at Airlangga University under the registered number 344/HRECC.FODM/VII/2020 on 30th July, 2020.
Author Contributions
I.P.R. designed the study, conducted the experiment, analyzed and interpreted data, and wrote the original draft of the article. F.Y.M. designed the study, supervised, analyzed, interpreted data, and wrote the original draft of the article. M.D.C.S. designed the study, supervised, analyzed, interpreted data, and revised the final article. A.E.P. supervised and revised the final article. P.H.C. and N.F.S. revised the final article.
All authors have critically reviewed and approved the final draft and are responsible for the content and similarity index of the manuscript.
Publikationsverlauf
Artikel online veröffentlicht:
20. Juni 2022
© 2022. Nitte (Deemed to be University). 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 commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Glick M. Burket's Oral Medicine. 12th ed. Hamilton:: BC Decker Inc;; 2015: 60
- 2 Chiang C-P, Chang JY-P, Wang Y-P, Wu Y-H, Wu Y-C, Sun A. Recurrent aphthous stomatitis – etiology, serum autoantibodies, anemia, hematinic deficiencies, and management. J Formos Med Assoc 2019; 118 (09) 1279-1289 [Internet]
- 3 Sharma M, Gupta R, Singh S. Correlation of psychological stress with recurrent aphthous stomatitis among dental students in an educational institution. Int J Appl Dent Sci 2017; 3 (04) 455-458
- 4 Thevara MC, Shilpashree K, Murthy AK, Madhusudha S, Khond M, Coutinho DA. Prevalence of recurrent apthous stomatitis and its association with stress among undergraduate students in a dental institution– a cross sectional study. Int J Appl Dent Sci 2020; 6 (03) 458-462
- 5 Dudău DP, Sfeatcu IR, Funieru C, Dumitrache MA. Professional stress in relation to anxiety, depression and irrational beliefs among dental and psychotherapy students. Procedia Soc Behav Sci 2015; 187: 158-162
- 6 Sunarjo L, Hendari R, Rimbyastuti H. Manfaat Xanthone Terhadap Kesembuhan Ulkus Rongga Mulut dilihat dari Jumlah Sel PMN dan Fibroblast. Odonto Dent J 2016; 2 (01) 14
- 7 Yao K, Yao Y, Shen X, Lu C, Guo Q. Assessment of the oral health behavior, knowledge and status among dental and medical undergraduate students: a cross-sectional study. BMC Oral Health 2019; 19 (01) 26
- 8 Mortazavi H, Safi Y, Baharvand M, Rahmani S. Diagnostic features of common oral ulcerative lesions: an updated decision tree. Int J Dent 2016; 2016
- 9 Ghom A, Ghom SA. Text Book of Oral Medicine. New Delhi:: Jaypee Brother;; 2014: 358
- 10 Sharma D, Garg R. A comprehensive review on aphthous stomatitis, its types, management and treatment available. J Dev Drugs 2018; 7 (02) 1000188
- 11 Shi L, Wan K, Tan M. et al. Risk factors of recurrent aphthous ulceration among university students. Int J Clin Exp Med 2015; 8 (04) 6218-6223
- 12 Dewi AGP, Herawati E, Wahyuni IS. Penilaian Faktor Predisposisi Recurrent Aphthous Stomatitis dengan Menggunakan Kessler Psychological Distress Scale, Food Recall, dan Food Frequency Questionnaire. J Kedokt Gigi Univ Padjadjaran 2017;29(03)
- 13 Darmanta AY. Angka kejadian lesi yang diduga sebagai Stomatitis Aftosa Rekuren pada mahasiwa Program Studi Kedokteran Gigi Fakultas Kedokteran Universitas Sam Ratulangi. e-GIGI 2013; 1 (02)
- 14 Rodríguez-Archilla A, Raissouni T. Clinical Study of 200 Patients with Recurrent Aphthous Stomatitis. Gac MeXico 2019; 154 (02) 122-128
- 15 Sulistiani A, Hernawati S, Mashartini P A. Prevalensi dan Distribusi Penderita Stomatitis Aftosa Rekuren (SAR) di Klinik Penyakit Mulut RSGM FKG Universitas Jember pada Tahun 2014. e-Jurnal Pustaka Kesehatan. 2017; 5 (01) 169-176
- 16 Abdullah MJ. Prevalence of recurrent aphthous ulceration experience in patients attending Piramird dental speciality in Sulaimani City. J Clin Exp Dent 2013; 5 (02) e89-e94
- 17 George S, Baby Joseph B. A study on aphthous ulcer and its association with stress among medical students of an Indian medical institution. Int J Contemp Med Res 2016; 3 (06) 1692-1695
- 18 Cawson RA, Odell EW. Cawson's Essentials of Oral Pathology and Oral Medicine. 8th ed. London, UK:: Churchill Livingstone;; 2008: 472
- 19 Patil S, Reddy SN, Maheshwari S, Khandelwal S, Shruthi D, Doni B. Prevalence of recurrent aphthous ulceration in the Indian Population. J Clin Exp Dent 2014; 6 (01) e36-e40
- 20 Sacks D. Age limits and adolescents. Paediatr Child Health 2003; 8 (09) 577
- 21 Tarigan RC, Pratomo B. Analisis Faktor Risiko Gastroesofageal Refluks di RSUD Saiful Anwar Malang Gastroesophageal Reflux Risk Factor Analysis at Saiful Anwar Hospital in Malang. Jurnal Penyakit Dalam Indonesia 2019; 6 (02) 78-81
- 22 Rajmane Y, Ashwinirani S, Suragimath G, Nayak A, Rajmane V, Lohana M. Prevalence of recurrent aphthous stomatitis in western population of Maharashtra, India. J Oral Res Rev 2017; 9 (01) 25-28
- 23 Rathod U, Kulkarni S, Agrawal V. Prevalence of Recurrent Aphthous Ulcers in Dental Student: A Questionnaire Based Study. Int J Heal Sci Res 2017; 7 (December) 12
- 24 Rao AK, Vundavalli S, Sirisha NR, Jayasree CH, Sindhura G, Radhika D. The association between psychological stress and recurrent aphthous stomatitis among medical and dental student cohorts in an educational setup in India. J Indian Assoc Public Health Dent 2015; 13 (02) 133-137
- 25 Bhatnagar D. Oral health: a gateway to overall health. Contemp Clin Dent 2021; 12 (03) 211-212
- 26 Deo PN, Deshmukh R. Oral microbiome: unveiling the fundamentals. J Oral Maxillofac Pathol 2019; 23 (01) 122-128
- 27 Scully C, Porter S. Oral mucosal disease: recurrent aphthous stomatitis. Br J Oral Maxillofac Surg 2008; 46 (03) 198-206
- 28 Kadir AKMS, Islam AHMM, Ruhan M, Mowla A, Nipun JN, Phil M. Recurrent aphthous stomatitis: an overview. Int J Oral Health Dent 2018; 4 (01) 6-11
- 29 Ruiz Beguerie J, Sabas M. Recurrent aphthous stomatitis. J Dermatol Nurses Assoc 2015; 7 (01) 8-12
- 30 Wowor YP, Munayang H, Supit A. Hubungan Stres dengan Stomatitis Aftosa Rekuren pada Mahasiswa Program Studi Pendidikan Dokter Gigi Universitas Sam Ratulangi. e-GIGI 2019; 7 (02) 71-75
- 31 Shirzaiy M, Sarabadani J. Recurrent aphthous stomatitis and related factors among 12–17-year-old students in Zahedan, Iran. J Res Dental Maxillofacial Sci 2020; 5 (01) 34-39
- 32 Violeta BV, Hartomo BT. Tata Laksana Perawatan Ulkus Traumatik pada Pasien Oklusi Traumatik: Laporan Kasus. e-GiGi 2020; 8 (02) 86-92
- 33 Wicaksono DW. Analisis Faktor Dominan Yang Berhubungan Dengan Kualitas Tidur Pada Lansia Fakultas Keperawatan Universitas Airlangga. Crit Med Surg Nurs J 2012; 1 (02) 92-101
- 34 Lohitashwa R, Kadli N, Kisan RAS, Deshpande D. Effect of stress on sleep quality in young adult medical students: a cross sectional study. Int J Res Med Sci 2015; 3 (12) 3519-3523
- 35 Ohayon M, Wickwire EM, Hirshkowitz M. et al. National Sleep Foundation's sleep quality recommendations: first report. Sleep Health 2017; 3 (01) 6-19
- 36 Brookie KL, Mainvil LA, Carr AC, Vissers MCM, Conner TS. The development and effectiveness of an ecological momentary intervention to increase daily fruit and vegetable consumption in low-consuming young adults. Appetite 2017; 108: 32-41
- 37 Benham G. Stress and sleep in college students prior to and during the COVID-19 pandemic. Stress Health 2021; 37 (03) 504-515
- 38 Fan C-W, Drumheller K, Chen I-H, Huang H-H. College students' sleep difficulty during COVID-19 and correlated stressors: a large-scale cross-sessional survey study. Sleep Epidemiol 2021; 1: 100004
- 39 Schroeder K, Gurenlian JR. Recognizing poor sleep quality factors during oral health evaluations. Clin Med Res 2019; 17 (1–2): 20-28
- 40 Ajmal M, Ibrahim L, Mohammed N, Al-Qarni H. Prevalence and psychological stress in recurrent aphthous stomatitis among female dental students in Saudi Arabia. Clujul Med 2018; 91 (02) 216-221
- 41 Du Q, Ni S, Fu Y, Liu S. Analysis of dietary related factors of recurrent aphthous stomatitis among college students. Evid Based Complement Alternat Med 2018;2018;
- 42
Xu K,
Zhou C,
Huang F.
et al.
Relationship between dietary factors and recurrent aphthous stomatitis in China: a
cross-sectional study. J Int Med Res 2021; 49 (05) 3000605211017724
MissingFormLabel
- 43 Sun A, Chen HM, Cheng SJ. et al. Significant association of deficiencies of hemoglobin, iron, vitamin B12, and folic acid and high homocysteine level with recurrent aphthous stomatitis. J Oral Pathol Med 2015; 44 (04) 300-305
- 44 Prithi R, Dharman S. Study on prevalence of recurrent aphthous ulcer among college students. Res J Pharm Biol Chem Sci 2016; 7 (06) 1391-1398
- 45 Queiroz SIML, Silva MVAD, Medeiros AMC, Oliveira PT, Gurgel BCV, Silveira ÉJDD. Recurrent aphthous ulceration: an epidemiological study of etiological factors, treatment and differential diagnosis. An Bras Dermatol 2018; 93 (03) 341-346