Abstract
Objective: One of the most important alterations in elderly is the destruction and loss of teeth and oral mucosal lesions. The aim of this study was to determine the frequency of biopsed pathologic lesions in elderly registered in the pathology department of Isfahan University of Medical Sciences during 1989 to 2018 years. Material and Methods: This crosssectional descriptive-analytic study was performed on pathologic lesions in elderly archived in Faculty of Dentistry, Isfahan University of Medical Sciences. In this study, all archived information of elderly over 65 years including gender, age, location of lesion, clinical diagnosis, pathology diagnosis, and diagnosis year were evaluated in last three decades, and were analyzed statistically. Results: The age range of elderly patients was 65 to 90 years with a mean of 72.8 ± 4.9. The highest frequency for location of lesions was related to mandibular vestibule (21.1%). The most clinical diagnosed lesions were squamous cell carcinoma (24.5%) and Epulis Fissuratum (13.4%). The highest pathologic diagnosed lesions were related to reactive lesions group (35.6%). The squamous cell carcinoma malignancies and other malignancies were increased significantly in elderly patients with high age. Conclusion: According to the considerable frequency of oral lesions in elderly and increased frequency of squamous cell carcinoma and other malignancies, attention to oral lesions in elderly and periodic examinations are important to early diagnosis and treatment. KEYWORDS Pathology; Biopsy; Elderly; Oral lesions; Isfahan.
Highlights
Are exposed to various diseases due to physiological and pathological alterations
The present descriptive-analytic study was performed on pathologic lesions in elderly recorded in the Pathology Department, Faculty of Dentistry, Isfahan University of Medical Sciences, 1989-2018 years
The most frequent lesions were in the mandibular vestibule (21.1%) and the least in the oropharynx (0.3%).Except for cases without clinical diagnosis (29.4%), the most frequent pre-biopsy lesions were squamous cell carcinoma (24.5%), followed by Epulis fissuratum (13.4%)
Summary
Are exposed to various diseases due to physiological and pathological alterations. In addition to dental caries, various oral and dental problems are common among elderly, include dryness and thinning of oral mucosa, loss of taste, smooth and glossy tongue, gum resorption and reduction in oral tissue repair, as well as various gum diseases, infection, inappropriate artificial teeth, and malignant and benign oral lesions [3,4]. Use of removable prosthesis can cause some oral mucosal lesions such as osteomyelitis, angular cheilitis, inflammation, and traumatic ulcer. Vascular lesions such as varicose veins and pre-cancerous lesions such as leukoplakia and erythroplakia are more common in the elderly than in other ages [5, 6]
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