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Quintessence Publishing: Journals: QI
Quintessence International

Edited by Eli Eliav

ISSN 0033-6572 (print) • ISSN 1936-7163 (online)

January 2007
Volume 38 , Issue 1

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Prevalence of oral mucosal lesions in a representative population

Christian H. Splieth, DDS, PhD / Wolfgang Sümnig, DDS, DMS, PhD / Frank Bessel, DDS / Ulrich John, DMS, PhD / Thomas Kocher, DDS, PhD

Pages: 23–29
PMID: 17216904

Objective: The aim of this study was to assess the prevalence and intraoral distribution of oral mucosal lesions in a representative adult population (Study of Health in Pomerania/Germany). Method and Materials: The study sample comprised 6,267 randomly selected subjects who were scheduled for examination from 1997 to 2001 (population-based cross-sectional study; response rate: 69%; age range 20 to 81 years). Results: The prevalence of oral mucosal lesions was age dependent (5.56% in 20- to 29-year-olds to 19.55% in 70- to 81-year-olds) with an overall prevalence of 11.83%. The prevalence in men (12.20%) was slightly higher than in women (11.40%). Exophytic neoplasia was the most prevalent alteration (3.00%), followed by leukoplakia simplex (prevalence 2.85%). Premalignant lesions were found in 0.57% of the participants, with lichen ruber mucosae contributing the major part (0.48%). Exophytic neoplasia was most often situated in the buccal mucosa, the hard palate, or the mucosa of the lower lip. Conclusion: These data stress the importance of screening for oral mucosal lesions, especially because of a predicted increase in the number of elderly persons in industrialized countries. (Quintessence Int 2007;38:23–29)

Key words: distribution, oral mucosal lesions, prevalence, representative survey

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