牙齿健康水平低是口腔黏膜恶性肿瘤的指标之一

E. Kochurova, V. N. Nikolenko, E. Kudasova, O. I. Panferova, O. S. Guiter, A. V. Sepp, A. V. Zotov
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摘要

介绍。牙医在诊疗过程中表现出的肿瘤警觉性是非常重要的。预防口腔黏膜恶性肿瘤的最便捷方法是保持口腔卫生、定期进行专业口腔清洁以及在医生和民众中开展教育工作。然而,尽管口腔组织和器官触目可及,但该部位的恶性肿瘤却逐年增加。在这种情况下,大多数患者被诊断为肿瘤晚期。头颈部恶性肿瘤需要特别关注,因为即使在早期阶段也有很高的致残风险。 目的评估口腔黏膜恶性肿瘤与患者牙齿负担状况之间的相关性。 材料和方法。进行了一项对照研究,纳入了 142 名口腔黏膜癌症患者,但未将患者按顺序或并行分组。按照计划,在求助阶段或临床检查期间,通过评估主要牙齿指数来评估牙齿状况。通过组织学验证确定形态学诊断。 结果大多数口腔肿瘤患者有硬牙菌斑(81.7% 的病例)。龋齿(26%)和活动义齿(82%)。 结论研究中对口腔黏膜鳞状细胞癌患者的参数值评估显示,其与全身状况的恶化有关。研究中的所有患者都需要接受牙科治疗和口腔卫生护理培训。
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Low level of the dental health as an indicator of malignant of the oral mucosa
   Introduction. The manifestation of oncological alertness during dispensary observation by a dentist is very important. The most accessible options for preventing malignancy of the oral mucosa are sanitation, regular professional oral hygiene, as well as educational work among doctors and the population. However, despite the visual accessibility of tissues and organs of the oral cavity, there is an annual increase in malignant neoplasms in this area. In this case, most patients are diagnosed with a tumor process of the last stage. malignant neoplasms of the head and neck organs require special attention due to high risk of disability even at an early stage.   Aim. To evaluate a correlation between malignancy of the oral mucosa and the burdened dental status of patients.   Materials and methods. A controlled study was conducted which included 142 patients with cancer of the oral mucosa without sequential or parallel inclusion of patients in groups. Dental status was assessed at help-seeking stage or during clinical examination, as planned, by evaluation of main dental indices. The morphological diagnosis was established using histological verification.   Results. The majority of patients with oral tumors had hard dental plaque (81.7 % of cases). The condition of the soft tissues, in addition to presence of the mucous membrane lesion, was characterized by bleeding (69 % of cases). moderate periodontal pathology was detected (19 % of cases). patients with the cavity tumors had an acute traumatic edge of hard tissues (70 % of cases), extensive caries (26 % of cases) and the presence of removable dentures (82 % of cases).   Conclusion. The values of parameters evaluated in patients in the study with squamous cell carcinoma of the oral mucosa show its relation to aggravation of general somatic status. All patients in the study required dental treatment and training in oral hygiene care.
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