جستجوی مقالات مرتبط با کلیدواژه « تظاهرات دهانی » در نشریات گروه « پزشکی »

Oral cavity as a mirror of health could reflect the health of the entire body. Early diagnosis and treatment of lesions can play an effective role in their prognosis.Comparing the frequency of oral and maxillofacial lesions in different regions is highly valuable in health policy making. Therefore, the present study was conducted to prepare the profile (Full details of records) of oral and maxillofacial lesions in patients referred to Yazd Dental School, Iran, from 2010 to 2021.

In this cross-sectional study, 15,779 patients’ records of oral and maxillofacial legions in the Oral Medicine and Oral and Maxillofacial Pathology Departments of Yazd were examined. Demographic data composed of age and gender, and clinical information such as type of lesion, location, and side of the lesion were gathered over a period of 12 years, from 19 February to 16 March. The collected data were analyzed using SPSS software (version 25) and the Chi-square test.

The overall frequency of profiles of oral and maxillofacial lesions among all oral and dental problems referred to the Dental School in the time frame investigated in this survey was 35%. The mean age of the patients was 34.8±13.8, and the lesions were more frequent among 20-39.9 years old age group. Moreover, lesions were more common in females. The most frequent type of lesions was epithelial lesions, followed by developmental defects, and soft tissue tumors and reactive lesions. Facial skin, tongue, and buccal mucosa were the most common sites.

The findings of this research could be beneficial for educational purposes and in planning for the prevention and treatment of these lesions.

Oral cavity is the entrance gate of respiratory and gastrointestinal tract. Therefore, oral health could be as mirror of global health. Timely diagnosis & early treatment of oral lesions, especially in susceptible admitted patients in infectious disease department have a vital role in health policy. Therefore, this study was designed to assess the frequency of oral soft tissue lesions in patients admitted to the Infectious department of Yazd Shahid Sadoughi of Medical Sciences.

This cross-sectional study was carried from January 2018 to March 2018. Eighty-nine who were admitted to the department of infectious diseases were eligible to participate. Clinical data regarding age, sex, type & site of lesions, oral hygiene status, smoking, and dental prostheses were documented. Data were analyzed by SPSS 19 using Chi-square and Fisher exact tests. The significance level was set at 0.05 with a 95% confidence interval.

49 men and 40 women with the age of 53.4± 14.3 years were examined. The frequency of oral lesions in hospitalized patients in the department of infectious diseases reported 30%. Red-white lesions (57.78%) and vesiculo-bullose lesions (40%) were the most frequent lesions, respectively. Among studied variables, frequency of oral soft tissue lesions based on age (P=0.001), smoking (P=0.034) and oral health status ((P=0.042) had a meaningful difference.

This rate of frequency due to known side effects is a matter of concern and it is considered by experts

Chronic renal failure, as it affects different systems of the body, can cause major changes in the oral cavity. Therefore, the aim of this study was to compare oral manifestations in diabetic and non-diabetic patients undergoing hemodialysis. 60 patients under hemodialysis treatment referred to the dialysis departments of the teaching hospitals of Shahid Sadougi University of Medical Sciences, Yazd were examined.

In this descriptive cross-sectional study, 60 patients undergoing hemodialysis in the dialysis wards of teaching hospitals of Shahid Sadoughi University of Medical Sciences were studied. Patients were divided into two groups of diabetic and non-diabetic (n=30). The oral cavity was examined with a mirror, explorer and flashlight. Gender, age, duration of hemodialysis, oral signs and symptoms were recorded in the patients' checklists. Data analysis was run by SPSS17 statistical software, T-tests, Fisher Exact and Chi-square.

37 (61.7%) of the patients were male and 23 (38.3%) were female. The mean age of the patients was 57.17 ±16.15 years (age range 15-88 years). Dry mouth (76.7%) and dental erosion (50%) were the highest frequency in diabetic and non-diabetic patients, respectively. There was a statistically significant difference between the two groups in dry mouth and candidiasis (P <0.05).

The combined effect of diabetes and renal failure in diabetic patients undergoing hemodialysis has increased oral complications in these individuals, so close collaboration between the patient and health care team to rapid diagnosis of oral lesions could lead to promotion of the patient’s oral health and quality of life and also a decrease in the burden of disease.

Nephropathy, which is one of the main complications of diabetes, is the most common cause of irreversible renal failure. Diabetic and dialysis patients are prone to some oral dental problems, such as periodontal disease, increased plaque, gingivitis, candidiasis, dry mouth, premature loss of teeth. And mobility of teeth. Due to the high prevalence of diabetes and the increase in patients with chronic renal failure, the present study aimed to evaluate the frequency distribution of oral and dental signs and symptoms.

This cross-sectional descriptive study was performed on 118 diabetic patients in ESRD (End Stage Renal disease) and non-ESRD groups. The patients assessed the symptoms of pain or burning sensation in the oral mucosa and dry mouth using the Visual Analogue Scale (VAS) and Fox questionnaire, respectively. Oral symptoms, including coated tongue, mucosal ulcers, candidiasis, and dental erosion, as well as CPITN (community periodontal index of treatment needs) and DMFT (decayed, missing, and filled permanent teeth), were evaluated and recorded by the researcher. Data were analyzed in SPSS software (version17) using T-test, Chi-squre, ANOVA, and Mann-Whitney tests.

Mucosal pallor, mucosal pain sensation, and CPITN index were significantly higher in the non-ESRD group, as compared to those inthe group of dialysis patients with p-values reported as 0, 0, and 0.04, respectively. Age demonstrated a direct and significant correlation with DMFT and CPITN index in both groups.

Some oral manifestations are more common in kidney and dialysis patients. As illustrated by the obtained results, mucosal pallor, mucosal pain sensation, as well as periodontal problems according to CPITN index, were significantly lower in the group of dialysis patients than in the other group.

Considering the importance of oral health as a part of general health and the role of physicians in community health, the present study was conducted to investigate the relationship between common oral diseases and general body health from the perspective of medical students in Yazd City in 2018.

In this descriptive cross-sectional study, 210 internship and pre-internship students of Shahid Sadoughi University of Medical Sciences in Yazd Cityin 2018 were selected randomly and their knowledge about common oral and dental diseases and its relationship with general body health was assessed through a valid and reliabile questionnaire consisted of 10 questions. Data were entered into SPSS version 16 statistical software and analyzed using descriptive statistics and T-test.

In the present study, 191 internship and pre-internship students completed the research questionnaire, of which 101 were female (52.8 %) and 90 were male (47.1%). The mean age of the students was 24.07 ±1.92. Their mean grade point average at the time of the study was 15/95±1/28. The mean score of their knowledge of oral diseases was 9.79 ± 3.27 with a range of 1 to 19. There was no statistically significant relationship between the mean score of knowledge in terms of age, sex, semester and grade point average (p˃0/05).

The results showed that the mean score of knowledge of the internship and pre-internship students about common oral diseases and its relationship with general health is low. Therefore, it seems necessary to improve the level of knowledge of medical students in this regard by adding the mentioned topics to the educational curriculum of medical students.

Diabetes mellitus is a set of metabolic disorders caused by a set of factors that impair insulin synthesis or reduce sensitivity to it. The aim of this study was to evaluate the prevalence of intraoral lesions in patients with type 1 and type 2 diabetes mellitus.

In this descriptive study, patients referred to the internal ward of Imam Khomeini Hospital, and Alborz Dental Clinic in Urmia in 2020 were selected. Patients with controlled diabetes and HbA1C less than 7.5 and FBS less than 150 were included in the study. These patients were first asked about their history of diabetes, and their medication regimen by a final year dental student and oral and maxillofacial medicine specialist. Data were analyzed using Chi-square test and SPSS 16.0 software.

Of 369 patients, 62.1% were male and 37.9% with a mean age of 50.4 years participated. Chi-square test showed that there was a significant difference between dry mouth and inflammation of the labia in women and men (001/0 > p). But there is no significant difference between dry mouth in subjects with type 1 diabetes and type 2 diabetes (p <0.05).

Due to the higher prevalence of oral inflammation and candidiasis in patients with type 2 diabetes, it is possible to link the pathophysiology of the disease with the prevalence of these manifestations. In other words patients with type 2 diabetes are among the high-risk groups with these lesions.

Kidney problems occur in the body due to many disorders such as diabetes mellitus or high blood pressure, and hemodialysis, peritoneal dialysis, and kidney transplantation can help patients. With increased patient survival, oral problems will result in a reduction of the quality of life and affect the health of the individual. In this study, the frequency of the different types of oral manifestation in patients with chronic renal failure undergoing hemodialysis referred to the Imam Reza hospital was compared with oral manifestation in healthy subjects referred to the specialized clinic of the Tabriz faculty of dentistry.

In this prospective cross-sectional study, the study population included patients with chronic renal failure undergoing hemodialysis referred to the dialysis department of the Imam Reza hospital and healthy subjects referred to the specialized clinic of the Tabriz faculty of dentistry in 2019. Chi-square test or Fisher test were used to examine the relationship between oral manifestations in patients and healthy subjects. Statistical analysis was performed using SPSS 17 software with a significant level of p <0.05.

The results demonstrated that the prevalence rate of many oral manifestations, including dry mouth, uremic smell, dental caries, geographic tongue, petechiae and ecchymosis, mass gathering and coated tongue was higher in patients with chronic renal failure (ESRD) undergoing hemodialysis than healthy people.

According to the findings, the prevalence of most surveyed oral manifestations in hemodialysis patients was higher than healthy ones. We need a close collaboration between the patient, doctors, and dentists, so that we can improve the general and oral health status in patients with kidney disease.

Oral manifestations and their prevalence are of great importance in patients with HIV infection due to their diagnostic value and role on prognosis and monitoring patients’ immunity. All these influence patients' quality of life. The goal of this study was to investigate oral manifestations in patients with HIV/AIDS infection.

This descriptive-cross sectional study was conducted in patients attending counseling center for behavioral diseases in Sari, Iran 2019. Data analysis was done in SPSS V25.

Oral manifestations were observed in the majority of patients (96%) ranging from one to six oral lesions.  The most common lesions were coated tongue (80.4%), mucosal hyper pigmentation (38.9%), periodontitis (26.8%), frictional hyper keratosis and fissure tongue (24.3%), and gingivitis and erythomatous candidiasis (19.5%).

In this study, the prevalence of oral lesions in patients with HIV/AIDS was relatively low, but there were poor periodontal conditions. Hence, appropriate oral hygiene, providing high quality dental services, and prosthodontic care are needed in these patients.

Diabetes Mellitus (DM) is considered as one of the most frequent chronic disease, which have numerous physical effects and a varity of manifestation in oral region but limited and contaversied research done in this field. Thus, this study was aimed to determine the comparison of oral manifestation frequency in diabetic patients and nondiabetic persons.

In this cross-sectional Study, after obtaining consent form, 140 diabetic patients which refered to Hamedan diabetic research center and 140 non-diabetic (control subjects), were evaluated. Oral lesions (White plaque, Erythematous lesions, white and red lesions, Median Rhamboid Glossitis, Geographic tongue, Xrestomia, angular cheilitis, Trush) were diagnosed besed on clinical creteria.  Data regarding oral lesions were recorded and analyzed by Chi Squaire, Fischer and T-test.

Prevalence of oral lesions doesn’t show significantl relation with sex and location. Xrestomia, white and red lesions and Geographic tongue were manifestaed significantly greater in DM patients. Only trush lesions had related with longer duration of diabete. (p=0.024)

prevalence of oral lesions was significantly higher in diabetic patients than controlled group. Close collaboration between the patient and health care team to rapid diagnosis of oral lesions could lead to promotion of the patient’s oral health and quality of life and also a decrese in the burden of disease.

Inflammatory bowel disease (IBD) is a term that refers to crohn's disease (CD) and ulcerative colitis (UC). Oral manifestations in this disease category precedes the onset of gastrointestinal symptoms. In many patients, intestinal symptoms may be minimal or remain undiagnosed. In this paper, two cases of Pyostomatitis vegetans have been investigated.

 The first case was a 29 year old man who was referred with complaints of diffuse oral lesions. According to the clinical diagnosis and oral lesions of the patient, he was referred to a gastroenterologist with possible diagnosis of ulcerative colitis. The second case was a 28 year old woman with painful gingival lesions who stated that she has been diagnosed with ulcerative colitis since three years ago and has not received appropriate treatment.

Chronic renal failure is caused by irreversible damage to the nephrons, in which the body fails to maintain water balance and electrolytes, thereby resulting in the incidence of uremia. Various oral manifestations are associated with renal failure and can have a significant effect on the quality of life in these people. Identification and evaluation of the prevalence of these oral manifestations in patients with renal insufficiency can facilitate the implementation of appropriate interventions targeted toward the elimination of such manifestations in this group of patients. Therefore, the present study aimed to evaluate the prevalence of oral manifestations in end stage renal disease (ESRD) patients. Materials &

In this cross-sectional study, 120 ESRD patients that were under hemodialysis in Imam Reza Hospital in Kermanshah, Iran, were evaluated. Oral manifestations were recorded after the examination of the oral cavity.

In this study, out of 120 patients, 74 (61.7%) cases were male, and 46 (38.3%) cases were female. The most common underlying causes of renal failure were hypertension (35.8%) and diabetes (24.2%). The most common oral manifestations were dry mouth (66.7%), uremic odor (45.8%), white tongue (37.5%), and petechial/purpura/ecchymosis (35%). Aging was associated with dry mouth. Furthermore, diabetes showed a statistically significant relationship with dry mouth (P=0.04), taste changes (P=0.007), and petechia, purpura and ecchymosis (P=0.022).

Renal failure leads to a variety of manifestations in oral cavity. With regard to the various oral manifestations, conditions inherent to the disease, as well as the side effects of their medications and treatments, these patients need careful evaluation, oral care, and special considerations during dental treatment.

One of the most important signs of general health is oral health. Many systemic diseases have oral manifestations that could be appeared in the oral cavity at first. Therefore, considering the importance of timely diagnosis and treatment of oral lesions. This study was conducted to determine the prevalence of oral lesions in the patients admitted to Yazd ShahidSadoughi Hospital.

In this cross sectional study, 443 hospitalized patients were clinically evaluated for oral mucosal lesions. All of the abnormal variations in oral mucosa in these patients, demographic data, type & location of oral lesion, existence of denture & smoking were documented. Data were analyzed by SPSS Inc., Chicago, IL; Version 19 was analyzed using Chi-square and Fisher exact tests.

Oral lesions were observed in 37.7% of patients. The most common type of lesion was related to red and white lesions, which was seen in 19.1% of patients.  Palate was the common location for red and white lesions. Most of vesiculobollous lesions were observed in the hard palate and tongue. The lesions rate increased with aging. Among the lesions, only pigmented lesions were significantly higher in males.

Regarding the high prevalence of oral mucosal lesions in admitted patients, the importance of more attention to oral cavity for timely diagnosis and referral in the routine examination is emphasized.

Diabetes results in several oral complications. Many last studies about risk factors effect on oral manifestations has been controversial. Therefore, according to its importance, the purpose of this study was to evaluate the risk factors in diabetic patients with oral complications. In this cross-sectional study 257 subjects out of 600 diabetic patients were presented to Yazd (Iran) diabetic research center and was chosen with convenience sampling method in 2016. Inclusion criteria were mentioned, then according to each oral manifestation (candidiasis, oral lichen planus, periodontitis, gingivitis, oral dryness, delayed wound healing, geographic tongue, gingival hyperplasia, fissured tongue and burning tongue) patients were divided into two groups and risk factors (smoking, age, gender, denture, duration of diabetes, HbA1c, type of drugs) were compared. Prevalence of candidiasis in older age and denture users and oral lichen planus and burning tongue in smokers were higher than other groups. Patients suffering from gingivitis was older and the use of denture was more common in people with gingival hyperplasia and insulin use was significantly higher in patients with poor wound healing. Our study showed that that aging, use of denture and smoking can increase the risk of oral manifestations in diabetic patients, so more education and attention about these cases and timely referral to oral medicine specialists are necessary in these patients

Oral manifestations of endocrine disorders may lead to early diagnosis and proper treatment of these disorders. In addition, many of these patients need special care in dental office; therefore, it is mandatory for dentists to be familiar with oral manifestations of these disorders regarding diagnosis and observing the special care they require. To date no study has been performed on the knowledge of dentists about oral manifestations of endocrine disorders. The aim of this study was to evaluate the knowledge of dentists in Esfahan about oral manifestations of endocrine disorders.
This descriptive‒analytical study was performed on 94 general dental practitioners in Esfahan in 2015‒2016. A 20-score self-made questioner with a Cronbach's alpha value of 2 was used. Data were analyzed with t-test using SPSS (α = 0.05).
The mean knowledge score of the subjects was 11.138 ± 3.23, which was significantly less than the maximum score (p value The knowledge of dentists about the oral manifestations of endocrine disorders was significantly less than what was expected. It seems it is necessary to include oral manifestations of endocrine disorders in the syllabus of dental schools and in continuous dental education programs.

Renal disorders can occur due to several conditions such as diabetes mellitus and hypertension, thus hemodialysis, dialysis, and renal transplantation are the ways that can help patients. Considering increasing rate of survival rate in these patients, disorders of oral cavity can lead to low quality of life and can affect the patient’s general health. The aim of this study was to evaluate, frequencies of manifestations like, xerostomia, uremic fetor, mucosal ulcers, dental decays, dental erosions and candidiasis in patients under hemodialysis in Urmia Imam Khomeini hospital.
In a descriptive study, 80 consecutive End Stage Renal Disease patients that were under hemodialysis in Urmia Imam Khomeini Hospital were evaluated. Disease related data such as length of disease, length of dialysis and underlying cause of disease were gathered. Thus, the patients went under specific oral examinations for oral manifestations of the disease.
Among patients, in 35% of cases diabetes,40% hypertension,0% glomerulonephritis, 5% pyelonephritis, 2.5% polycystic kidney disease, and 17.5% others were counted as the underlying disease. During the specific examinations, in 62.5% of patients, xerostomia, 67.5% uremic fetor, 25% mucosal ulcer, 50% dental decay, 60% dental erosion and 5% candidiasis were found. Also, the relation between the oral manifestations and underlying disease were evaluated and P-value for xerostomia was 0.234, uremic fetor 0.05, mucosal ulcer 0.264, dental decay 0.003, erosion 0.082 and candidiasis 0.839.
Chronic and advanced dysfunction of kidney can lead to changes in oral cavity such as, xerostomia, uremic fetor, mucosal ulcers, dental decays, dental erosions and candidiasis. Though, ESRD patients should go under periodical examinations for aforementioned oral manifestations and in the cases of occurred complications, concise treatment should be considered. Further studies for finding other oral manifestations of ESRD patients are suggested.

Pregnancy is a specific condition that may affected the oral mucosa. The knowledge from intra & extra oral manifestation is necessary for medical doctor and dentists for diagnosis and treatment.
The aim of this study was determination of intra & extra oral manifestations frequency of pregnant women in Rasht city.
This descriptive-cross sectional study was conducted on 300 pregnant women referring to Alzahra and Tamin Ejtemaei Hospital in Rasht city in 2013. A questionnaire was designed that included biographical characteristics, month of pregnancy, oral hygiene, frequency of dental visits, systemic diseases, nausea and vomiting and entered the data in questionnaire after patients’ examination. The data was analyzed by student's t-test, and chi-square test.
Findings: The average of age of studied women was 26.6±4.5 year (16-43 years old) and the frequency of intra and extra oral manifestation was 80.3% and 7.3% respectively. Pregnancy gingivitis (59%), and halitosis (37.7%) were the most intra oral manifestation, and choloasma (6.7%) was the most extra oral manifestations. The most oral manifestations were seen in third trimester (8th and 9th month of pregnancy). The frequency of pregnancy tumor was 1%. Fifty-nine percent of women had gingival bleeding during tooth brushing. The correlation between nausea, vomiting and sialorhea was significant.
As the relative high frequency of intra oral manifestations in pregnant women, it is necessary to alert the physicians to refer these people to dentists, and training pregnant women for oral hygiene, and preventing incidence of oral and dental diseases and pregnancy gingivitis.

Diabetes mellitus (DM) is one of the most important metabolic diseases and also a major public health alarm, characterized by hyperglycemia. DM can produce several complications on heart tissue, vascular disease, kidney, eyes and oral cavity by hyperglycemia condition. The periodontal diseases are the most prevalence chronic infectious inflammatory diseases and oral manifestations of diabetes in human. Also, it has been shown one risk factor for diabetes mellitus. The other oral manifestations of diabetes are oral and dental infections, erythema, inflammation of gingiva and dilation of ulcer repaired that deficiency of blood to the tissues can be expressed its causes. Therefore, current research aimed to review the available evidence regarding the relation between diabetes and its complications and oral manifestation. In this regards, it will be important all dentists recognize every aspects of disease, and their management outcome to provide low risk treatments and well control to patients with DM.

Hematologic malignancies are caused by impaired proliferation of blood cells. These diseases like some other systemic disorders have some manifestations in the oral cavity. The purpose of this study is to review the literature on oral signs and symptoms of malignant hematologic disorders in order to familiarize the dentists with these manifestations and assisting in early detection of the diseases. Subjects and This study is based on a review of oral manifestations of hematological malignancies on reliable scientific databases. In this study “Oral manifestation”, “Lymphoma”, “Leukemia” and “Multiple myeloma” (single or double) were employed as keywords. Several papers on oral manifestations of hematologic malignancies (including leukemia, lymphoma and multiple myeloma) are available. Their results show that the oral signs and symptoms caused by these malignancies (e.g. pallor of the mucosa, gingival enlargement, bleeding, trismus, and bone changes) can be important evidence in identifying them and even in some cases may be the first sign of illness. Oral signs and symptoms can be seen in a variety of hematologic malignancies, which even in some cases are the first signs of disease. So the dentist can play an important role in early detection and referral of patients to the relevant specialists.

Chronic renal failure is regarded as one of the main serious problems of general health worldwide. In fact, it is associated with different oral manifestations. Therefore, this study aimed to evaluate the frequency of clinical oral findings of dialysis patients in Yazd in 2012.

This descriptive cross-sectional study was conducted among 95 dialysis patients who were selected via convenience sampling method from Apr 2012 to Jun 2012 in three Yazd hospitals. The required study data were collected by clinical examinations and a checklist involving the frequency of oral manifestations (dry mouth, unpleasant mouth taste, the coated tongue, history of systemic disease and previous prescription of systemic medications). The statistical analyses were performed using SPSS Software (ver 17) via descriptive statistics and the significance level was set at 5% (P-value<0.05).

The patients’ mean and age range were 59.04, 19-77 years old, respectively. There were a total of 42 females (44.2%) and 53 males (55.8 %) in the study. Dry mouth, coated tongue and unpleasant mouth taste frequency were reported to be observed in 89.6%, 56.3% and 89.6% of patients, respectively. All the patients had a history of a systemic disease and cardiovascular disease was the most common systemic diseases after the urological and nephrological disease. The cardiac and anti-hypertensive medications (91.6%) were regarded as the most common among the participants after 100% vitamin  usage.

The findings of the present study showed a high frequency of oral manifestations among dialysis patients which can affect patients’ quality of life as a secondary condition. As a result, these oral manifestations are recommended to be monitored among dialysis patients and the relevant treatments need to be applied.

AIDS-associated oral lesions are important, in terms of diagnostic-prognostic role and monitoring patients; moreover some of them may reduce patient’s quality of life. The aim of this study was to determine the prevalence of oral lesions in HIV patients. This descriptive cross-sectional study was carried out among a total of 62 HIV+ patients who attended a counseling and treatment center in Rasht. Demographic information, drugs and laboratory status were extracted from patients’ files. Data were analyzed using univariate and multivariate logistic regressions with multiple linear regressions. From 62 cases, 50 were male and 12 female and the mean age was 40.5±11.3 years. 59 patients had oral lesions including periodontal disease (95%). The most prevalent oral lesions included: periodontitis (67.7%), oral candidiasis (41.9%) of erythematous (35.4%) and pseudomembranous types (6.45%) and angular cheilitis (12.9%). Patients with removable denture presented a higher rate of erythematous candidiasis and angular cheilitis (P=0.001). In this study, periodontal diseases were rosed by the post-diagnosis years (P=0.024) and the antiretroviral medications (P=0.002). Patients on the prophylactic medications (P=0.043) were less likely to have erythematous candidiasis; age may caused angular cheilitis (P=0.041). Pseudomembranous candidiasis was inversely correlated with CD4 + L levels (P=0.052). The majority of the cases in this study were IV drug user males within the 4th decade of life. Although oral lesions were not common, but the dental and periodontal statuses exhibited poor oral hygiene which need more attention.