Abstract
BackgroundOral mucosal diseases (OMDs) encompass a variety of different types of diseases. Our aim was to evaluate the prevalence and related risk factors of OMDs among residents in the Baoshan District of Shanghai, China, and provide a scientific basis for prevention and control strategies.MethodsA sample of 653 residents aged 17 to 92 years from the Baoshan community was investigated in 2014. Each resident was surveyed by questionnaire to evaluate their oral mucosa and oral mucosa examinations were conducted. We followed up with 607 residents in 2018. All data were statistically analyzed using the SPSS 25.0 software package (Chicago, IL, USA) at the general population, gender and age levels. A X2 test was used to compare rates of risk factors and logistic regression analysis was used to detect the correlation between disease and risk factors.ResultsThe prevalence rate of OMDs was found to be 9.19%–9.56% (2014–2018). The most common OMDs were atrophic glossitis (1.84%), recurrent aphthous ulcer (RAU, 1.68%), burning mouth syndrome (BMS, 1.38%), oral lichen planus (OLP, 1.23%) and traumatic ulcers (1.23%). The prevalence of RAU and BMS in different age groups was significantly different. Tobacco and alcohol use and psychological factors in the OMDs group were higher than the no-OMDs group. Systemic diseases including diabetes mellitus (DM) was significantly relevant to OLP.ConclusionAge, tobacco and alcohol use, and psychological factor correlated strongly with the occurrence and development of OMDs, and they should be the focus of primary prevention. General epidemiological studies suggested that OLP was closely related to DM.
Highlights
Oral mucosal diseases (OMDs) occur in the oral mucosa and most of them are associated with systemic diseases (Porter, Mercadante & Fedele, 2017)
We report on the epidemiological characteristics of OMDs in the Baoshan District of Shanghai, analyze the risk factors of the diseases to better understand prevalence and epidemic characteristics, and establish a scientific basis for the prevention and treatment of OMDs
We found burning mouth syndrome (BMS) more frequently in people over 40 years old, prevalence increased with age, and was significantly higher in the 70–79 age group than in the 40–49 group (p < 0.01)
Summary
Oral mucosal diseases (OMDs) occur in the oral mucosa and most of them are associated with systemic diseases (Porter, Mercadante & Fedele, 2017). Prevalence of and related risk factors in oral mucosa diseases among residents in the Baoshan District of Shanghai, China. Except for traumatic ulcers, the etiology of most OMDs is unknown Some of these diseases have potential malignancies that seriously affect quality of life and are even fatal. Our aim was to evaluate the prevalence and related risk factors of OMDs among residents in the Baoshan District of Shanghai, China, and provide a scientific basis for prevention and control strategies. The most common OMDs were atrophic glossitis (1.84%), recurrent aphthous ulcer (RAU, 1.68%), burning mouth syndrome (BMS, 1.38%), oral lichen planus (OLP, 1.23%) and traumatic ulcers (1.23%). Tobacco and alcohol use, and psychological factor correlated strongly with the occurrence and development of OMDs, and they should be the focus of primary prevention. General epidemiological studies suggested that OLP was closely related to DM
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