Dental and oral condition in leprosy patients from Serra, Brazil
Identifieur interne : 005D67 ( Main/Exploration ); précédent : 005D66; suivant : 005D68Dental and oral condition in leprosy patients from Serra, Brazil
Auteurs : Vania A. Souza [Brésil] ; Adauto Emmerich [Brésil] ; Elizabeth M. Coutinho [Brésil] ; Margareth G. Freitas [Brésil] ; Eraci H. Silva [Brésil] ; Flavia G. Mercon [Brésil] ; Aline C. Souza [Brésil] ; Viviane A. C. Balla [Brésil] ; Eliana Zandonadi [Brésil] ; Rebeca R. G. Peixoto [Brésil] ; Patricia D. Deps [Brésil]Source :
- Leprosy review [ 0305-7518 ] ; 2009.
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Abstract
Objectives To describe dental and periodontal diseases and oral lesions in newly diagnosed leprosy patients. Design Cohort study with 99 leprosy patients carried out at the Leprosy Control Programme Outpatient Clinic, Serra-ES, Brazil. A questionnaire about demographic and clinical data was used. Clinical oral examination was performed through the decayed, missing and filled teeth index (DMFT index), the use and need of prosthesis, periodontal disease and the presence of mucous membrane oral lesions. Skin and oral mucous biopsies were also undertaken. Results Decayed teeth were present in 73% of the patients, at least one lost tooth was present in 71.4%, the mean of the number of lost teeth among the patients in this survey was 8.8; and 60.3% of the patients did not have their teeth filled. Periodontal disease was present in 80.8%, and gingival bleeding in 92% of the patients. DMFT index average was 14.4. Nine out of the 63 patients presented with oral clinical lesions, however, most of them presented with unspecific chronic inflammation and typical epithelial hyperplasia. Conclusions These newly diagnosed leprosy patients were similar in respect of oral health to the normal Brazilian population. Serious dental loss and edentulism were observed, as were a high DMFT index and frequency of periodontal diseases. These data highlight a lack of oral health prevention and treatment and poor access even when available.
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G." last="Peixoto">Rebeca R. G. Peixoto</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Federal University of Espírito Santo</s1><s2>Vitória-ES</s2><s3>BRA</s3><sZ>2 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Espírito Santo</region></placeName></affiliation></author><author><name sortKey="Deps, Patricia D" sort="Deps, Patricia D" uniqKey="Deps P" first="Patricia D." last="Deps">Patricia D. 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Souza</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Leprosy Control Programme, US Carapina</s1><s2>Serra-ES</s2><s3>BRA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Espírito Santo</region></placeName></affiliation></author><author><name sortKey="Emmerich, Adauto" sort="Emmerich, Adauto" uniqKey="Emmerich A" first="Adauto" last="Emmerich">Adauto Emmerich</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Federal University of Espírito Santo</s1><s2>Vitória-ES</s2><s3>BRA</s3><sZ>2 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Espírito Santo</region></placeName></affiliation></author><author><name sortKey="Coutinho, Elizabeth M" sort="Coutinho, Elizabeth M" uniqKey="Coutinho E" first="Elizabeth M." last="Coutinho">Elizabeth M. Coutinho</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Leprosy Control Programme, US Carapina</s1><s2>Serra-ES</s2><s3>BRA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Espírito Santo</region></placeName></affiliation></author><author><name sortKey="Freitas, Margareth G" sort="Freitas, Margareth G" uniqKey="Freitas M" first="Margareth G." last="Freitas">Margareth G. Freitas</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Leprosy Control Programme, US Carapina</s1><s2>Serra-ES</s2><s3>BRA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Espírito Santo</region></placeName></affiliation></author><author><name sortKey="Silva, Eraci H" sort="Silva, Eraci H" uniqKey="Silva E" first="Eraci H." last="Silva">Eraci H. Silva</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Leprosy Control Programme, US Carapina</s1><s2>Serra-ES</s2><s3>BRA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Espírito Santo</region></placeName></affiliation></author><author><name sortKey="Mercon, Flavia G" sort="Mercon, Flavia G" uniqKey="Mercon F" first="Flavia G." last="Mercon">Flavia G. Mercon</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Federal University of Espírito Santo</s1><s2>Vitória-ES</s2><s3>BRA</s3><sZ>2 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Espírito Santo</region></placeName></affiliation></author><author><name sortKey="Souza, Aline C" sort="Souza, Aline C" uniqKey="Souza A" first="Aline C." last="Souza">Aline C. Souza</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Federal University of Espírito Santo</s1><s2>Vitória-ES</s2><s3>BRA</s3><sZ>2 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Espírito Santo</region></placeName></affiliation></author><author><name sortKey="Balla, Viviane A C" sort="Balla, Viviane A C" uniqKey="Balla V" first="Viviane A. C." last="Balla">Viviane A. C. Balla</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Federal University of Espírito Santo</s1><s2>Vitória-ES</s2><s3>BRA</s3><sZ>2 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Espírito Santo</region></placeName></affiliation></author><author><name sortKey="Zandonadi, Eliana" sort="Zandonadi, Eliana" uniqKey="Zandonadi E" first="Eliana" last="Zandonadi">Eliana Zandonadi</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Federal University of Espírito Santo</s1><s2>Vitória-ES</s2><s3>BRA</s3><sZ>2 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Espírito Santo</region></placeName></affiliation></author><author><name sortKey="Peixoto, Rebeca R G" sort="Peixoto, Rebeca R G" uniqKey="Peixoto R" first="Rebeca R. G." last="Peixoto">Rebeca R. G. Peixoto</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Federal University of Espírito Santo</s1><s2>Vitória-ES</s2><s3>BRA</s3><sZ>2 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Espírito Santo</region></placeName></affiliation></author><author><name sortKey="Deps, Patricia D" sort="Deps, Patricia D" uniqKey="Deps P" first="Patricia D." last="Deps">Patricia D. Deps</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Federal University of Espírito Santo</s1><s2>Vitória-ES</s2><s3>BRA</s3><sZ>2 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Espírito Santo</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Leprosy review</title><title level="j" type="abbreviated">Lepr. rev.</title><idno type="ISSN">0305-7518</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Leprosy review</title><title level="j" type="abbreviated">Lepr. rev.</title><idno type="ISSN">0305-7518</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Brazil</term><term>Dermatology</term><term>Human</term><term>Leprosy</term><term>Oral administration</term><term>Tooth</term><term>Tropical medicine</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Lèpre</term><term>Dent</term><term>Voie orale</term><term>Brésil</term><term>Homme</term><term>Dermatologie</term><term>Médecine tropicale</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Brésil</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objectives To describe dental and periodontal diseases and oral lesions in newly diagnosed leprosy patients. Design Cohort study with 99 leprosy patients carried out at the Leprosy Control Programme Outpatient Clinic, Serra-ES, Brazil. A questionnaire about demographic and clinical data was used. Clinical oral examination was performed through the decayed, missing and filled teeth index (DMFT index), the use and need of prosthesis, periodontal disease and the presence of mucous membrane oral lesions. Skin and oral mucous biopsies were also undertaken. Results Decayed teeth were present in 73% of the patients, at least one lost tooth was present in 71.4%, the mean of the number of lost teeth among the patients in this survey was 8.8; and 60.3% of the patients did not have their teeth filled. Periodontal disease was present in 80.8%, and gingival bleeding in 92% of the patients. DMFT index average was 14.4. Nine out of the 63 patients presented with oral clinical lesions, however, most of them presented with unspecific chronic inflammation and typical epithelial hyperplasia. Conclusions These newly diagnosed leprosy patients were similar in respect of oral health to the normal Brazilian population. Serious dental loss and edentulism were observed, as were a high DMFT index and frequency of periodontal diseases. These data highlight a lack of oral health prevention and treatment and poor access even when available.</div></front></TEI><affiliations><list><country><li>Brésil</li></country><region><li>Espírito Santo</li></region></list><tree><country name="Brésil"><region name="Espírito Santo"><name sortKey="Souza, Vania A" sort="Souza, Vania A" uniqKey="Souza V" first="Vania A." last="Souza">Vania A. Souza</name></region><name sortKey="Balla, Viviane A C" sort="Balla, Viviane A C" uniqKey="Balla V" first="Viviane A. C." last="Balla">Viviane A. C. Balla</name><name sortKey="Coutinho, Elizabeth M" sort="Coutinho, Elizabeth M" uniqKey="Coutinho E" first="Elizabeth M." last="Coutinho">Elizabeth M. Coutinho</name><name sortKey="Deps, Patricia D" sort="Deps, Patricia D" uniqKey="Deps P" first="Patricia D." last="Deps">Patricia D. Deps</name><name sortKey="Emmerich, Adauto" sort="Emmerich, Adauto" uniqKey="Emmerich A" first="Adauto" last="Emmerich">Adauto Emmerich</name><name sortKey="Freitas, Margareth G" sort="Freitas, Margareth G" uniqKey="Freitas M" first="Margareth G." last="Freitas">Margareth G. Freitas</name><name sortKey="Mercon, Flavia G" sort="Mercon, Flavia G" uniqKey="Mercon F" first="Flavia G." last="Mercon">Flavia G. Mercon</name><name sortKey="Peixoto, Rebeca R G" sort="Peixoto, Rebeca R G" uniqKey="Peixoto R" first="Rebeca R. G." last="Peixoto">Rebeca R. G. Peixoto</name><name sortKey="Silva, Eraci H" sort="Silva, Eraci H" uniqKey="Silva E" first="Eraci H." last="Silva">Eraci H. Silva</name><name sortKey="Souza, Aline C" sort="Souza, Aline C" uniqKey="Souza A" first="Aline C." last="Souza">Aline C. Souza</name><name sortKey="Zandonadi, Eliana" sort="Zandonadi, Eliana" uniqKey="Zandonadi E" first="Eliana" last="Zandonadi">Eliana Zandonadi</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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