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Analysis of risk factors for maxillary denture-related oral mucosal lesions: A cross-sectional study

BACKGROUND: To evaluate the frequency of maxillary dentures-related lesions and the possible associated risk factors. MATERIAL AND METHODS: Ninety-seven participants were selected, and a complete anamnesis, physical examination and tests of occlusion vertical dimension (OVD), retention and stability...

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Autores principales: Brantes, Michele F., Azevedo, Rebeca S., Rozza-de-Menezes, Rafaela E., Póvoa, Helvécio C., Tucci, Renata, Gouvêa, Adriele F., Takahama-Jr, Ademar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medicina Oral S.L. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6530958/
https://www.ncbi.nlm.nih.gov/pubmed/31011141
http://dx.doi.org/10.4317/medoral.22826
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author Brantes, Michele F.
Azevedo, Rebeca S.
Rozza-de-Menezes, Rafaela E.
Póvoa, Helvécio C.
Tucci, Renata
Gouvêa, Adriele F.
Takahama-Jr, Ademar
author_facet Brantes, Michele F.
Azevedo, Rebeca S.
Rozza-de-Menezes, Rafaela E.
Póvoa, Helvécio C.
Tucci, Renata
Gouvêa, Adriele F.
Takahama-Jr, Ademar
author_sort Brantes, Michele F.
collection PubMed
description BACKGROUND: To evaluate the frequency of maxillary dentures-related lesions and the possible associated risk factors. MATERIAL AND METHODS: Ninety-seven participants were selected, and a complete anamnesis, physical examination and tests of occlusion vertical dimension (OVD), retention and stability of the denture, biofilm quantification, cytopathology, sialometry, pH analysis and buffer capacity of the saliva were performed. Statistical analyses were performed with the Pearson’s chi-square, Mann-Whitney tests, and Pearson’s coefficient (p<0.05). RESULTS: In 78% of the participants at least one denture-related lesion was found. Denture-associated stomatitis (63%), inflammatory fibrous hyperplasia (19%) and traumatic ulceration (11%) were the 3 most frequent lesions. The habit of night use of the denture was considered an independent risk factor for the development of oral lesions [OR=3.0 (95% CI 1.09-8.56); p<0.05]. Furthermore, the longest period of use of the same denture and biofilm also had statistically significant relation to oral lesions. The biofilm seems to be more related to the prevalence of oral lesions according to the multiple logistic regression [OR=1.3 (95% CI: 1.01-1.83) p<0.05]. The lack of a dentures’ cleaning solution and detrition of the prothesis were independent risk factors for denture-associated stomatitis. Male gender, loss of OVD and bad buffer capacity were risk factors for angular cheilitis. Fractures of the base and repair of broken dentures were risk factors for traumatic ulcers. CONCLUSIONS: These results show a high frequency of denture-related lesions. Besides, participants hygiene habits and poor quality of the dentures were the main factors for the development of these lesions. Key words:Complete denture, oral health, oral hygiene, oral lesion, saliva.
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spelling pubmed-65309582019-05-28 Analysis of risk factors for maxillary denture-related oral mucosal lesions: A cross-sectional study Brantes, Michele F. Azevedo, Rebeca S. Rozza-de-Menezes, Rafaela E. Póvoa, Helvécio C. Tucci, Renata Gouvêa, Adriele F. Takahama-Jr, Ademar Med Oral Patol Oral Cir Bucal Research BACKGROUND: To evaluate the frequency of maxillary dentures-related lesions and the possible associated risk factors. MATERIAL AND METHODS: Ninety-seven participants were selected, and a complete anamnesis, physical examination and tests of occlusion vertical dimension (OVD), retention and stability of the denture, biofilm quantification, cytopathology, sialometry, pH analysis and buffer capacity of the saliva were performed. Statistical analyses were performed with the Pearson’s chi-square, Mann-Whitney tests, and Pearson’s coefficient (p<0.05). RESULTS: In 78% of the participants at least one denture-related lesion was found. Denture-associated stomatitis (63%), inflammatory fibrous hyperplasia (19%) and traumatic ulceration (11%) were the 3 most frequent lesions. The habit of night use of the denture was considered an independent risk factor for the development of oral lesions [OR=3.0 (95% CI 1.09-8.56); p<0.05]. Furthermore, the longest period of use of the same denture and biofilm also had statistically significant relation to oral lesions. The biofilm seems to be more related to the prevalence of oral lesions according to the multiple logistic regression [OR=1.3 (95% CI: 1.01-1.83) p<0.05]. The lack of a dentures’ cleaning solution and detrition of the prothesis were independent risk factors for denture-associated stomatitis. Male gender, loss of OVD and bad buffer capacity were risk factors for angular cheilitis. Fractures of the base and repair of broken dentures were risk factors for traumatic ulcers. CONCLUSIONS: These results show a high frequency of denture-related lesions. Besides, participants hygiene habits and poor quality of the dentures were the main factors for the development of these lesions. Key words:Complete denture, oral health, oral hygiene, oral lesion, saliva. Medicina Oral S.L. 2019-05 2019-04-24 /pmc/articles/PMC6530958/ /pubmed/31011141 http://dx.doi.org/10.4317/medoral.22826 Text en Copyright: © 2019 Medicina Oral S.L. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Brantes, Michele F.
Azevedo, Rebeca S.
Rozza-de-Menezes, Rafaela E.
Póvoa, Helvécio C.
Tucci, Renata
Gouvêa, Adriele F.
Takahama-Jr, Ademar
Analysis of risk factors for maxillary denture-related oral mucosal lesions: A cross-sectional study
title Analysis of risk factors for maxillary denture-related oral mucosal lesions: A cross-sectional study
title_full Analysis of risk factors for maxillary denture-related oral mucosal lesions: A cross-sectional study
title_fullStr Analysis of risk factors for maxillary denture-related oral mucosal lesions: A cross-sectional study
title_full_unstemmed Analysis of risk factors for maxillary denture-related oral mucosal lesions: A cross-sectional study
title_short Analysis of risk factors for maxillary denture-related oral mucosal lesions: A cross-sectional study
title_sort analysis of risk factors for maxillary denture-related oral mucosal lesions: a cross-sectional study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6530958/
https://www.ncbi.nlm.nih.gov/pubmed/31011141
http://dx.doi.org/10.4317/medoral.22826
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