ABSTRACT
Background: To analyze the association between the OHIP-14 and the different subtypes making up the clinical and psychological axis obtained using the RDC/TMD. Material and Methods: 407 patients treated at the TMD unit of the Andalusian Healthcare Service were administered the Spanish version of the Research Diagnostic Criteria for Temporomandibular Disorders questionnaire (RDC/TMD), together with the Oral Health Impact Profile questionnaire (OHIP-14). The degree of association between the patients' score in the OHIP-14 and the clinical and biopsychosocial variables was analyzed through bivariate and multivariate analyses, specifically through linear regression. Results: 89.4% of the treated patients were women, while 10.6% were men, with an average age of 42.08 ± 14.9 years. The mean score and standard deviation for the OHIP-14 was 20.57 ± 10.73. A significant association (p < 0.05) was observed with the following variables: Axis I, jaw disability checklist, depression, somatization, perceived pain duration, and pain interference with activities of daily living Conclusions: The analysis of the relation between self-perceived health in patients with TMD, as measured by the OHIP-14, showed a R2 of 0.3979, with a higher Beta value for the association between the OHIP and patients with both myofascial pain and arthopathy, jaw disability, depression, a higher pain duration and a higher pain interference with activities of daily living (AU)
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Subject(s)
Humans , Temporomandibular Joint Disorders/complications , Temporomandibular Joint Disorders/psychology , Quality of Life/psychology , Oral Health , Surveys and Questionnaires , Public Health/methodsABSTRACT
BACKGROUND: The main objective of this paper is to analyze the prevalence of each of the different clinical subtypes of temporomandibular disorders (TMD) in a sample of patients with this pathology. In addition, a second objective was to analyze their distribution according to gender. MATERIAL AND METHODS: To this end, the results of 1603 patients who went to the Unit of Temporomandibular Disorders in the Córdoba Healthcare District because they suffered from this pathology were analyzed. In order to diagnose them, the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) were applied, analyzing the different Axis I subtypes (myopathy, discopathy and arthropathy) and obtaining the combined Axis I for each patient and the relation of all these variables according to gender. The null-hypothesis test confirmed the lack of connection between the gender variable and the different subtypes in the clinical analysis, and between the former and the combined Axis I of the RDC/TMD. RESULTS: The prevalence was high for the muscle disorders subtype in general, showing an 88.7% prevalence, while the presence of discopathies or arthropathies was much lower. Among discopathies, the most frequent ones were disc displacements with reduction, with 39.7% and 42.8% for the left and right temporomandibular joints (TMJ), respectively, while the prevalence of arthropathies was 26.3% for the right TMJ and 32.9% for the left TMJ. The bivariate analysis on the connection with gender reveals a pmore or equal 0.05 value for the muscle and arthralgia subtypes. CONCLUSIONS: The patients seen at the TMD Unit where mostly middle-aged women whose main clinical axis subtype was the muscle disorder subtype. For their part, both discopathies and arthropathies, although present, are much less prevalent
Subject(s)
Humans , Temporomandibular Joint Disorders/epidemiology , Facial Pain/epidemiology , Joint Diseases/epidemiology , Temporomandibular Joint Disc/physiopathology , Arthralgia/epidemiology , Myalgia/epidemiology , Risk Factors , Age and Sex DistributionABSTRACT
BACKGROUND: The main objective of this paper is to analyze the prevalence of each of the different clinical subtypes of temporomandibular disorders (TMD) in a sample of patients with this pathology. In addition, a second objective was to analyze their distribution according to gender. MATERIAL AND METHODS: To this end, the results of 1603 patients who went to the Unit of Temporomandibular Disorders in the Córdoba Healthcare District because they suffered from this pathology were analyzed. In order to diagnose them, the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) were applied, analyzing the different Axis I subtypes (myopathy, discopathy and arthropathy) and obtaining the combined Axis I for each patient and the relation of all these variables according to gender. The null-hypothesis test confirmed the lack of connection between the gender variable and the different subtypes in the clinical analysis, and between the former and the combined Axis I of the RDC/TMD. RESULTS: The prevalence was high for the muscle disorders subtype in general, showing an 88.7% prevalence, while the presence of discopathies or arthropathies was much lower. Among discopathies, the most frequent ones were disc displacements with reduction, with 39.7% and 42.8% for the left and right temporomandibular joints (TMJ), respectively, while the prevalence of arthropathies was 26.3% for the right TMJ and 32.9% for the left TMJ. The bivariate analysis on the connection with gender reveals a p≥ 0.05 value for the muscle and arthralgia subtypes. CONCLUSIONS: The patients seen at the TMD Unit where mostly middle-aged women whose main clinical axis subtype was the muscle disorder subtype. For their part, both discopathies and arthropathies, although present, are much less prevalent.
Subject(s)
Facial Pain/classification , Facial Pain/epidemiology , Temporomandibular Joint Disorders/classification , Temporomandibular Joint Disorders/epidemiology , Adolescent , Adult , Aged , Aged, 80 and over , Facial Pain/diagnosis , Female , Health Services , Humans , Male , Middle Aged , Prevalence , Sex Distribution , Spain , Temporomandibular Joint Disorders/diagnosis , Young AdultABSTRACT
OBJECTIVES: To examine whether patients who report orofacial pain (OP) and temporomandibular disorders (TMD) have a poorer perception of their oral health-related quality of life and, if so, to what extent, and to analyze the association between oral health perception, sociodemographic variables and reported pain duration. Study DESIGN: 407 patients treated at the OP and TMD units in the Healthcare District of Cordoba, Spain, diagnosed following the standard criteria accepted by the scientific community - the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) - were administered the Spanish version of the Oral Health Impact Profile questionnaire (OHIP-14). Bivariate and logistic regression analyses were performed to determine the degree of association between the patients' OHIP-14 score and pain duration, pain intensity, and various sociodemographic variables. RESULTS: The observed distribution was 89.4% women and 10.6% men. The mean OHIP-14 score was 20.57 ± 10.73 (mean ± standard deviation). A significant association (p < 0.05) was found for gender, age, marital status, chronic pain grade, self-perceived oral health status and pain duration. CONCLUSIONS: The analysis of self-perceived oral health status in patients with OP and TMD, as measured by the OHIP-14, showed that oral health is perceived more negatively by women. Moreover, a one-point increase in the Chronic Pain Grade indicator increases the OHIP-14 indicator by 4.6 points, while chronic pain, defined as pain suffered by patients for one year or more, increases the OHIP-14 indicator by 3.2 points
Subject(s)
Humans , Temporomandibular Joint Disorders/complications , Facial Pain/complications , Quality of Life , Sickness Impact Profile , Surveys and Questionnaires , Risk FactorsABSTRACT
Objective: A study is made of the influence of gender, educational level, marital status, income, social support, and perceived general and oral health upon pain intensity in a sample of patients with temporomandibular joint disorders (TMJD) explored in primary care (AP).Design: A review was made of 899 patients from Córdoba Healthcare District (Spain) referred to the primary care TMJD Unit by their primary care physician and/or dentist. Of these subjects, 151 failed to meet the inclusion criteria. The remaining 748 subjects were explored according to the corresponding research diagnostic criteria (RDC/TMJD). A bivariate analysis was made the association of pain intensity to the demographic and psychological characteristics of the patients, and to perceived general and oral health, followed by a multivariate linear regression analysis to explain pain intensity as a function of the rest of the variables. The SPSS version 19.0 statistical package was used.Results: The patient age ranged from 18-86 years, with a mean of 45.8 years (± 15.8), and a female predominance of 5:1. The characteristic pain intensity (CPI) score was almost 15 points higher on average in women than in men (p<0.05). A lower educational level, and separation or divorce, were correlated to an increased intensity of pain. Social support, depression and general and oral health also explained part of pain intensity. The regression model established with these variables accounted for 13.3% of the variability of pain (R2 = 0.133).Conclusions: Women suffer more intense pain than men. Perceived health partially explains the variability of the CPI score. However, it is empirically seen that the variables gender, educational level and marital status exert an important and independent influence upon pain intensity (AU)
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Subject(s)
Humans , Male , Female , Temporomandibular Joint Dysfunction Syndrome/epidemiology , /methods , Primary Health Care/statistics & numerical data , Risk Factors , Age and Sex DistributionABSTRACT
OBJECTIVE: A study is made of the influence of gender, educational level, marital status, income, social support, and perceived general and oral health upon pain intensity in a sample of patients with temporomandibular joint disorders (TMJD) explored in primary care (AP). DESIGN: A review was made of 899 patients from Córdoba Healthcare District (Spain) referred to the primary care TMJD Unit by their primary care physician and/or dentist. Of these subjects, 151 failed to meet the inclusion criteria. The remaining 748 subjects were explored according to the corresponding research diagnostic criteria (RDC/TMJD). A bivariate analysis was made the association of pain intensity to the demographic and psychological characteristics of the patients, and to perceived general and oral health, followed by a multivariate linear regression analysis to explain pain intensity as a function of the rest of the variables. The SPSS version 19.0 statistical package was used. RESULTS: The patient age ranged from 18-86 years, with a mean of 45.8 years (± 15.8), and a female predominance of 5:1. The characteristic pain intensity (CPI) score was almost 15 points higher on average in women than in men (p<0.05). A lower educational level, and separation or divorce, were correlated to an increased intensity of pain. Social support, depression and general and oral health also explained part of pain intensity. The regression model established with these variables accounted for 13.3% of the variability of pain (R2 = 0.133). CONCLUSIONS: Women suffer more intense pain than men. Perceived health partially explains the variability of the CPI score. However, it is empirically seen that the variables gender, educational level and marital status exert an important and independent influence upon pain intensity.
Subject(s)
Facial Pain/etiology , Temporomandibular Joint Disorders/complications , Adolescent , Adult , Demography , Female , Humans , Male , Middle Aged , Pain Measurement , Primary Health Care , Severity of Illness Index , Socioeconomic Factors , Young AdultABSTRACT
OBJECTIVE: A study was made of heart transplant patient perception of the influence of oral health upon quality of life, based on the Oral Health Impact Profile (OHIP-49) questionnaire validated for Spanish speaking subjects. DESIGN: A cross-sectional evaluation was made of the heart transplant patients followed-up on in the Heart Transplantation Unit of Reina Sofía University Hospital (Spain), using the OHIP-49 questionnaire. The included patients were all over age 18 and signed the corresponding informed consent to participation in the study. The data were entered in a database and analyzed using the SPSS statistical package. RESULTS: A total of 150 heart transplant patients (118 males and 32 females, with a mean age of 54.94 years; range 19-79) were studied. The subjects showed a poor perceived influence of oral health upon quality of life, with a mean score of 24.43 out of a possible total of 196 points. Women showed significantly improved perception of the influence of oral health upon quality of life versus men. CONCLUSIONS: The subjects in our study showed a poor perceived influence of oral health upon quality of life.
Subject(s)
Attitude to Health , Heart Transplantation/psychology , Oral Health , Quality of Life , Adult , Aged , Cross-Sectional Studies , Female , Humans , Male , Middle Aged , Young AdultABSTRACT
Objectives: To document the clinical and histopathological characteristics of basaloid squamous cell carcinoma(BSCC). To add five new cases to the literature and compare them with another published series.Cases: retrospective review of five cases with the diagnosis of BSCC of the larynx. Results: all the patients weremale. They were heavy smokers and drinkers. Most of the tumours were supraglottic. Three patients presentedwith stage-IV disease and the other two with stage-I disease. Surgery supplemented with radiation was used inthree patients, partial surgery was used in another case and radiation and associated chemotherapy in the otherone. Eight neck dissections were performed, six of them were functional and the other two radical dissections.Two cases were found to have metastatic lymph nodes. There were not any distant metastases but two patients hadtumoral relapse.Conclusions: BSCC has well defined histological features. Central comedonecrosis within the cells nests, cell withnuclear palisading and high-grade dysplasia in overlaying mucosa are the main characteristics (AU)
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Subject(s)
Humans , Carcinoma, Basosquamous/pathology , Carcinoma, Basosquamous/therapy , Laryngeal Neoplasms/pathology , Laryngeal Neoplasms/therapy , Retrospective StudiesABSTRACT
OBJECTIVES: To document the clinical and histopathological characteristics of basaloid squamous cell carcinoma (BSCC). To add five new cases to the literature and compare them with another published series. CASES: retrospective review of five cases with the diagnosis of BSCC of the larynx. RESULTS: all the patients were male. They were heavy smokers and drinkers. Most of the tumours were supraglottic. Three patients presented with stage-IV disease and the other two with stage-I disease. Surgery supplemented with radiation was used in three patients, partial surgery was used in another case and radiation and associated chemotherapy in the other one. Eight neck dissections were performed, six of them were functional and the other two radical dissections. Two cases were found to have metastatic lymph nodes. There were not any distant metastases but two patients had tumoral relapse. CONCLUSIONS: BSCC has well defined histological features. Central comedonecrosis within the cells nests, cell with nuclear palisading and high-grade dysplasia in overlaying mucosa are the main characteristics.
Subject(s)
Carcinoma, Squamous Cell , Laryngeal Neoplasms , Aged , Carcinoma, Squamous Cell/diagnosis , Carcinoma, Squamous Cell/therapy , Humans , Laryngeal Neoplasms/diagnosis , Laryngeal Neoplasms/therapy , Male , Middle Aged , Retrospective StudiesABSTRACT
Papular-Purpuric Glove-and-Sock Syndrome is a rare, infectious disease, of viral etiology, characterized by the presence of pruritus, edema and symmetrical erythema, very well defined at the wrists and ankles with a gloves-and-socks distribution. Other areas can be affected, with a moderate erythema appearing in cheeks, elbows, knees, armpits, abdomen, groin, external genitalia, internal face of the thighs and the buttocks. Erosions, small ulcers, enanthema and blisters can be observed in the oral cavity and lips, and less frequently in other mucous membranes. Complications are rare, although they can be severe, 50% of the published cases are related with the Parvovirus B19. Due to its oral involvement stomatologists should be aware of this syndrome in order to carry out a correct diagnosis of the disease.
Subject(s)
Edema/virology , Erythema Infectiosum , Foot Dermatoses/virology , Hand Dermatoses/virology , Mouth Diseases/virology , Parvovirus B19, Human , Pruritus/virology , Skin Diseases, Papulosquamous/virology , Child , Edema/pathology , Foot Dermatoses/pathology , Hand Dermatoses/pathology , Humans , Male , Mouth Diseases/pathology , Parvovirus B19, Human/isolation & purification , Pruritus/pathology , Skin Diseases, Papulosquamous/pathology , SyndromeABSTRACT
El Síndrome Papular Purpúrico en Guante y Calcetín es un síndrome raro, infeccioso, de etiología, viral que se caracteriza por la presencia de prurito, edema y eritema simétricos, muy bien delimitadas a nivel de las muñecas y de los tobillos con el aspecto en guante y calcetín. Pueden afectarse otras áreas apareciendo un eritema moderado en mejillas, codos, rodillas, axilas, abdomen, ingles, genitales externos, cara interna de muslos y glúteos. En la cavidad oral y labios y menos frecuentemente en otras membranas mucosas se pueden observar erosiones , pequeñas úlceras, enantema y vesículas. Las complicaciones son raras aunque pueden ser severas El 50 por ciento de los casos publicados están relacionados con el Parvovirus B19. La afectación oral en este síndrome hace que deba ser conocido por los estomatologos para realizar un correcto diagnostico de esta enfermedad
Papular-Purpuric Glove-and-Sock Syndrome is a rare, infectious disease, of viral etiology, characterized by the presence of pruritus, edema and symmetrical erythema, very well defined at the wrists and ankles with a gloves-and-socks distribution.Other areas can be affected, with a moderate erythema appearing in cheeks, elbows, knees, armpits, abdomen, groin, external genitalia, internal face of the thighs and the buttocks. Erosions, small ulcers, enanthema and blisters can be observed in the oral cavity and lips, and less frequently in other mucous membranes. Complications are rare, although they can be severe, 50 percents of the published cases are related with the Parvovirus B19. Due to its oral involvement stomatologists should be aware of this syndrome in order to carry out a correct diagnosis of the disease
Subject(s)
Male , Child , Humans , Edema/virology , Erythema Infectiosum , Foot Dermatoses/virology , Hand Dermatoses/virology , Mouth Diseases/virology , Parvovirus B19, Human/isolation & purification , Pruritus/virology , Skin Diseases, Papulosquamous/virology , Edema/pathology , Foot Dermatoses/pathology , Hand Dermatoses/pathology , Mouth Diseases/pathology , Pruritus/pathology , Skin Diseases, Papulosquamous/pathology , SyndromeABSTRACT
Cowden's disease, or multiple hamartoma syndrome, is an autosomal dominant genodermatosis, characterized by the presence of multiple cutaneous hamartomas, oral fibromas and benign acral keratosis. It affects multiple organs (breast, thyroids, stomach, colon), with the strong possibility of malignant neoplasia developing in these organs. We present a case of this rare syndrome, highlighting the presentation of some clinical characteristics that, in suspected cases, can help to establish an early diagnosis of this disease, this being of great importance given the high frequency of tumors in people with this clinical picture.
Subject(s)
Hamartoma Syndrome, Multiple/pathology , Mouth Neoplasms/pathology , Female , Gingiva/pathology , Humans , Middle Aged , Mouth Mucosa/pathologyABSTRACT
El Síndrome de Cowden o síndrome de hamartomas múltiples es una genodermatosis que se hereda de forma autosómicadominante, caracterizada por la presencia de múltiples hamartomas cutáneos, fibromas orales y queratosis acras benignas. Afecta a múltiples órganos (mama, tiroides, estómago o colon), pudiéndose presentar en estos órganos neoplasiasmalignas.Presentamos un caso de este síndrome, por su rareza y por presentar unas características clínicas que se deben conocer para que a partir de un diagnóstico de sospecha podamos llegar a un diagnóstico precoz de esta enfermedad, hecho este de gran importancia pues son frecuentes los tumores en las personas que padecen este cuadro clínico
Cowdens disease, or multiple hamartoma syndrome, is an autosomal dominant genodermatosis, characterized by the presence of multiple cutaneous hamartomas, oral fibromas and benign acral keratosis. It affects multiple organs (breast, thyroids, stomach, colon), with the strong possibility of malignant neoplasia developing in these organs.We present a case of this rare syndrome, highlighting the presentation of some clinical characteristics that, in suspected cases, can help to establish an early diagnosis of this disease, this being of great importance given the high frequency of tumors in people with this clinical picture
Subject(s)
Female , Middle Aged , Humans , Hamartoma Syndrome, Multiple/pathology , Mouth Neoplasms/pathology , Gingiva/pathology , Mouth Mucosa/pathologyABSTRACT
La hiperplasia epitelial focal es una afección benigna asintomática y de muy baja frecuencia en nuestro medio. Aparece como pápulas en labio inferior principalmente, aunque se pueden localizar en mucosa retrocomisural y lengua y con menos frecuencia en labio superior, encía y paladar. Presentamos un caso clínico de una niña de 9 años, saharaui con lesiones que clínica e histológicamente se corresponden con una hiperplasia epitelial focal
Focal epithelial hyperplasia is a benign, asymptomatic disease, occurring with very low frequency within our population. It appears as papules, principally on the lower lip, although it canalso be found on the retro-commissural mucosa and tongue, and less frequently on the upper lip, gingiva and palate. We present the clinical case of a 9-year-old Saharan girl with lesions that clinically and histologically corresponded to a focal epithelial hyperplasia
Subject(s)
Female , Child , Humans , Focal Epithelial Hyperplasia/epidemiology , Focal Epithelial Hyperplasia/history , Focal Epithelial Hyperplasia/pathology , Mouth Diseases/pathology , Rare Diseases , Warts , Papillomavirus Infections/pathology , Diagnosis, Differential , Biopsy , Anesthesia, Local , Ethnicity , Incidence , Gingival NeoplasmsABSTRACT
Focal epithelial hyperplasia is a benign, asymptomatic disease, occurring with very low frequency within our population. It appears as papules, principally on the lower lip, although it can also be found on the retro-commissural mucosa and tongue, and less frequently on the upper lip, gingiva and palate. We present the clinical case of a 9-year-old Saharan girl with lesions that clinically and histologically corresponded to a focal epithelial hyperplasia.