Distribution of cases encountered in Oral Medicine Undergraduate Clinic: A retrospective analysis
DOI:
https://doi.org/10.31436/ijohs.v5i1.242Keywords:
disease burden, oral medicine, retrospectiveAbstract
Oral medicine (OM) is a dental specialty concerning the diagnosis and non-surgical management of oral conditions closely related to medical disorders. This study aims to evaluate the distribution of OM cases at the International Islamic University Malaysia (IIUM) undergraduate dental polyclinic and to determine its relationship with sociodemographic background via disease category. Students’ OM logbooks across four academic years were used for convenient sampling. Disease categories were based on previously published studies. Total cases were classified into 22 diagnosis codes and analysed using SPSS version 23. A total of 1917 cases were recorded at the undergraduate dental polyclinic across four academic batches, from year 2010 until 2018. OM case with highest frequency was oral ulcer (31%), followed by temporomandibular disorder (23%), and pericoronitis (10%). In contrast, the least common cases were lichen planus (0.4%), oral potentially malignant disease (0.3%), and tumour (0.2%). With regards to age group, second decade age group was reported the most across the observation period. OM cases were higher in females across most disease categories and Malays were the highest ethnicity reported. The current study identified the most common OM cases encountered in IIUM undergraduate dental polyclinic. The findings may portray the disease burden in the Kuantan population in general. Knowledge of common cases is crucial to prepare clinicians with safe and competent management required in clinical practice.
References
Al-Mobeeriek, A., AlDosari, A.M. (2009) Prevalence of oral lesions among Saudi dental patients. Annals of Saudi Medicine, 29(5), 365-368. https://doi.org/10.4103/0256-4947.55166
Al-Omiri, M.K., Karasneh, J., & Lynch, E. (2012). Psychological profiles in patients with recurrent aphthous ulcers. International Journal of Oral and Maxillofacial Surgery, 41(3), 384–388. https://doi.org/10.1016/j.ijom.2011.12.024
American Academy of Oral Medicine (AAOM): Representing the Discipline of Oral Medicine Seattle: American Academy of Oral Medicine 2020. Retrieved 4 February 2020, from: https://www.aaom.com/
Axéll, T., Zain, R.B., Siwamogstham, P., Tantiniran, D., Thampipit, J. (1990) Prevalence of oral soft tissue lesions in out?patients at two Malaysian and Thai dental schools. Community Dentistry and Oral Epidemiology,18(2), 95–99.
Ayanbadejo, P.O., & Umesi-Koleoso, D.C. (2007). A retrospective study of some socio-demograhic factors associated with pericoronitis in Nigerians. West African Journal of Medicine, 26(4), 302–305. https://doi.org/10.4314/wajm.v26i4.28331
Balan, U., Gonsalves, N., Jose, M., & Girish, K.L. (2012). Symptomatic changes of oral mucosa during normal hormonal turnover in healthy young menstruating women. The Journal of Contemporary Dental Practice, 13(2), 178–181. https://doi.org/10.5005/jp-journals-10024-1117
Bhatt, S., Gething, P. W., Brady, O. J., Messina, J. P., Farlow, A. W., Moyes, C. L., et al., (2013). The global distribution and burden of dengue. Nature, 496(7446), 504–507. https://doi.org/10.1038/nature12060
Cebeci, A. R., Gül?ahi, A., Kamburoglu, K., Orhan, B.K., & Ozta?, B. (2009). Prevalence and distribution of oral mucosal lesions in an adult Turkish population. Medicina Oral, Patologia Oral Y Cirugia Bucal, 14(6), E272–E277.
Farah, C.S., Simanovic, B., & Savage, N.W. (2008). Scope of practice, referral patterns and lesion occurrence of an oral medicine service in Australia. Oral Diseases, 14(4), 367–375. https://doi.org/10.1111/j.1601-0825.2007.01392.x
Giannakopoulos, N.N., Keller, L., Rammelsberg, P., Kronmüller, K.T., & Schmitter, M. (2010). Anxiety and depression in patients with chronic temporomandibular pain and in controls. Journal of Dentistry, 38(5), 369–376. https://doi.org/10.1016/j.jdent.2010.01.003
Hazza'a, A.M., Bataineh, A.B., & Odat, A.A. (2009). Angulation of mandibular third molars as a predictive factor for pericoronitis. The Journal of Contemporary Dental Practice, 10(3), 51–58.
Kelloway, E., Ha, W.N., Dost, F., & Farah, C.S. (2014). A retrospective analysis of oral and maxillofacial pathology in an Australian adult population. Australian Dental Journal, 59(2), 215–220. https://doi.org/10.1111/adj.12175
Koay, C.L., Lim, J. A., & Siar, C.H. (2011). The prevalence of tongue lesions in Malaysian dental outpatients from the Klang Valley area. Oral Diseases, 17(2), 210–216. https://doi.org/10.1111/j.1601-0825.2010.01724.x
Lövgren, A., Häggman-Henrikson, B., Visscher, C. M., Lobbezoo, F., Marklund, S., & Wänman, A. (2016). Temporomandibular pain and jaw dysfunction at different ages covering the lifespan--A population based study. European Journal of Pain, 20(4), 532–540. https://doi.org/10.1002/ejp.755
Mozafari, P.M., Dalirsani, Z., Delavarian, Z., Amirchaghmaghi, M., Shakeri, M.T., Esfandyari, A., et al. (2012). Prevalence of oral mucosal lesions in institutionalized elderly people in Mashhad, Northeast Iran. Gerodontology, 29(2), e930–e934. https://doi.org/10.1111/j.1741-2358.2011.00588.x
Melchior, M., Caspi, A., Milne, B. J., Danese, A., Poulton, R., & Moffitt, T.E. (2007). Work stress precipitates depression and anxiety in young, working women and men. Psychological Medicine, 37(8), 1119–1129. https://doi.org/10.1017/S0033291707000414
Mumcu, G., Cimilli, H., Sur, H., Hayran, O., & Atalay, T. (2005). Prevalence and distribution of oral lesions: a cross-sectional study in Turkey. Oral Diseases, 11(2), 81–87. https://doi.org/10.1111/j.1601-0825.2004.01062.x
Suvinen, T. I., Reade, P. C., Kemppainen, P., Könönen, M., & Dworkin, S.F. (2005). Review of aetiological concepts of temporomandibular pain disorders: towards a biopsychosocial model for integration of physical disorder factors with psychological and psychosocial illness impact factors. European Journal of Pain, 9(6), 613–633. https://doi.org/10.1016/j.ejpain.2005.01.012