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Quintessence Int 38 (2007), No. 1     7. Dec. 2006
Quintessence Int 38 (2007), No. 1  (07.12.2006)

Page 23-29, PubMed:17216904


Prevalence of oral mucosal lesions in a representative population
Splieth, Christian H. / Sümnig, Wolfgang / Bessel, Frank / John, Ulrich / Kocher, Thomas
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.

Keywords: distribution, oral mucosal lesions, prevalence, representative survey