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Oral mucosal lesions and temporomandibular joint impairment of elderly people in the South East Local Government Area of Ibadan.

AbstractOBJECTIVE:
To determine the prevalence of oral mucosal lesions, temporomandibular joint (TMJ) impairment and oral health-related habits in the elderly people in South East Local Government Area (SELGA) in Ibadan.
BACKGROUND DATA:
SELGA is one of the largest local government areas in Oyo State, Nigeria and has a population of 225,800.
DESIGN:
A cross-sectional survey.
METHODOLOGY:
A randomly selected sample of 690 elderly people from 23 wards in SELGA were examined by two trained and calibrated examiners using mirror, probe and natural light.
RESULTS:
One hundred and fifty-five (22.46%) of the elderly examined had one or more oral pathology lesions, representing infection-related swelling, non-infection-related swelling, pre-malignant lesions, denture stomatitis, non-denture based ulcers, angular cheilitis, geographic tongue, scrotal tongue, lichen planus, hyper-pigmentation and TMJ impairment. Fifty-five (35.5%) of these pathologies were infection-related swellings. Six (3.9%) of the pathologies were denture-related stomatitis, 14(9.03%) were pre-malignant lesions, 14(9.03%) were non-infection-related swelling, while 27 (17.4%) were TMJ impairment. The rest of the lesions constituted the remaining 25.1%. Only 15.9% of the participants had tobacco-related habits, 10.7% drank alcohol, whilst 41.6% chewed kola nuts.
CONCLUSION:
Oral pathoses prevalence (22.46%) was similar to findings in developed countries (29.9%) but with a reversal of causal factors, infection-related swellings were more common, whereas pre-malignant lesions were less common. The infections were mostly complications from periodontal disease, which culminated in abscess formation. Tobacco-related habits were not highly prevalent among the elderly people in SELGA. However, oral pathoses resulting from nutritional deficiencies were the third most frequent lesions observed.
AuthorsJuliana O Taiwo, Bamidele Kolude, Victor Akinmoladun
JournalGerodontology (Gerodontology) Vol. 26 Issue 3 Pg. 219-24 (Sep 2009) ISSN: 1741-2358 [Electronic] England
PMID19371388 (Publication Type: Journal Article)
Topics
  • Aged
  • Aged, 80 and over
  • Cross-Sectional Studies
  • Dental Health Surveys
  • Female
  • Health Status
  • Humans
  • Male
  • Mouth Diseases (classification, epidemiology, pathology)
  • Mouth Mucosa (pathology)
  • Nigeria (epidemiology)
  • Oral Health
  • Oral Ulcer (epidemiology, pathology)
  • Prevalence
  • Temporomandibular Joint Disorders (epidemiology, pathology)

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