Turkiye Klinikleri Journal of Dermatology

.: ORIGINAL RESEARCH
Oral Mucosal Lesions in Turkish Adolescents Admitted to a Dermatology Outpatient Clinic-A Tertiary Hospital-Based Study: Cross-Sectional Study
Dermatoloji Polikliniğine Başvuran Türk Adölesanlardaki Oral Mukoza Lezyonları-Bir Üçüncü Basamak Hastane Çalışması: Kesitsel Araştırma
Atiye AKBAYRAKa, Tuba KASAPb, Zennure TAKÇIa, Havva YILDIZ SEÇKİNa, Osman DEMİRc, Sercan SEZGİNa, Cemre YAZARa
aDepartment of Dermatology and Venereology, Tokat Gaziosmanpaşa University Faculty of Medicine, Tokat, TURKEY
bDepartment of Pediatrics, Tokat Gaziosmanpaşa University Faculty of Medicine, Tokat, TURKEY
cDepartment of Biostatistics, Tokat Gaziosmanpaşa University Faculty of Medicine, Tokat, TURKEY
Turkiye Klinikleri J Dermatol. 2021;31(3):217-23
doi: 10.5336/dermato.2021-86286
Article Language: EN
Full Text
ABSTRACT
 Objective: Adolescence is a period of transition from childhood to adulthood, which has unique physical and psychological characteristics. This study aims to evaluate oral mucosal lesions and possible related factors in adolescents. Material and Methods: This study was carried out in four months duration and included 700 individuals between the ages of 10-19. Detailed oral examinations were performed, demographic characteristics and personal habits of the participants were recorded. Results: In this study 700 adolescents were included, 437 (62.4%) were female, 263 (37.6%) were male. A total of 26 different oral lesion types were detected. At least one oral mucosal lesion was detected in 52% (n=364) of the study population. The most common lesions were fissured tongue (19.6%), morsicatio buccarum (8%), and linea alba (7.9%), respectively. Oral aphthae were significantly more common in males, cheilitis simplex in females (p=0.027; p=0.047, respectively). Oral mucosal lesions were significantly related with drug use (p=0.010). The logistic regression analysis for the factors affecting the presence of oral mucosal lesions revealed that the drug use and age higher than 18 years increase the risk. Conclusion: The prevalence of oral mucosal lesions in adolescents is quite high and drug use and older age increase the risk. The most common lesions are fissured tongue, morsicatio buccarum, and linea alba. Oral aphthae are significantly more common in males, cheilitis simplex in females. The high prevalence of oral mucosal lesions in adolescents indicates the need to raise awareness for these lesions and identify probable risk factors.

Keywords: Adolescent; oral mucosal lesion; mucosal alteration; oral hygiene; drug use
ÖZET
 Amaç: Adölesan dönem, farklı fiziksel ve psikolojik özellikleriyle çocukluktan erişkinliğe geçiş periyodudur. Bu çalışmanın amacı, adölesan dönemdeki oral mukozal lezyonları ve olası ilişkili olduğu faktörleri değerlendirmektir. Gereç ve Yöntemler: Çalışma, 4 aylık sürede, yaşları 10-19 arasındaki 700 birey ile yürütüldü. Detaylı oral muayene yapıldı, hastaların demografik özellikleri ve kişisel alışkanlıkları kaydedildi. Bulgular: Bu çalışmada; 437'si (%62,4) kadın, 263'ü (%37,6) erkek olmak üzere 700 adölesan vardı. Toplam 26 farklı oral lezyon tipi tespit edildi. Hastaların %52'sinde (n=364) en az bir oral mukozal lezyon saptandı. En sık görülen lezyonlar sırasıyla fissürlü dil (%19,6), morsicatio buccarum (%8) ve linea alba (%7,9) idi. Oral aft erkeklerde, keilitis simpleks kadınlarda anlamlı oranda yüksekti (sırasıyla p=0,027; p=0,047). Oral mukozal lezyon varlığı ilaç kullanımıyla anlamlı oranda ilişkiliydi (p=0,010). Oral mukozal lezyon varlığını etkileyen faktörlere yönelik yapılan regresyon analizinde ilaç kullanımı ve 18 yaştan büyük olmanın lezyon olasılığını artırdığı saptandı. Sonuç: Oral mukozal lezyonların prevalansı adölesan dönemde oldukça yüksek olup, ilaç kullanımı ve ileri yaş bu riski artırmaktadır. En sık oral mukozal lezyonlar fissürlü dil, morsicatio buccarum ve linea albadır. Oral aft erkeklerde, keilitis simpleks kadınlarda anlamlı oranda daha sıktır. Adölesan dönemde oral mukozal lezyonların yüksek prevalansı, lezyonlar konusunda farkındalığın artmasına ve olası risk faktörlerinin belirlenmesine ihtiyaç olduğunu göstermektedir.

Anahtar Kelimeler: Adölesan; oral mukoza lezyonu; mukozal değişiklik; oral hijyen; ilaç kullanımı
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