Volume 14, Issue 11 (January 2021)                   Qom Univ Med Sci J 2021, 14(11): 30-37 | Back to browse issues page


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Barakian Y, Nekooei Samani M, Mohammadbeigi A. Assessment of the Prevalence and Related Factors of Oral Mucosal Pigmentation in Patients Referring to Dental School and Salamat Clinic of Qom. Qom Univ Med Sci J 2021; 14 (11) :30-37
URL: http://journal.muq.ac.ir/article-1-2931-en.html
1- Department of Oral and Maxillofacial Medicine, Faculty of Dentistry, Qom University of Medical Sciences, Qom, Iran.
2- Faculty of Dentistry, Qom University of Medical Sciences, Qom, Iran. , m.nekooei92@gmail.com
3- Department of Epidemiology and Biostatistics, Faculty of Health, Qom University of Medical Sciences, Qom, Iran.
Abstract:   (1948 Views)
Background and Objectives: Since the pathology of pigmented lesions varies from benign to malignant, the availability of data on the prevalence and clinical features and factors associated with pigmented oral lesions can assist dentists in the diagnosis. Nevertheless, no study has been conducted on oral mucosal pigmentation in Qom; therefore, the present study was performed to investigate the prevalence and factors associated with oral mucosal pigmentation.
 
Methods: This study was performed on 2000 patients referring to Qom Dental School and Salamat Clinic. All subjects were evaluated for the presence or absence of pigmented lesions, and information form, including demographic characteristics, clinical features of the pigmented lesion, and medical history were completed. Afterward, the data were analyzed using SPSS software (version 20) and Chi-squared and independent t-tests.
 
Results: In total, 496 (24.8%) patients had oral pigmentation which was mostly caused by physiological pigmentation (46.4%), followed by inflammatory pigmentation (28.2%), smoker melanosis (11.1%), amalgam tattoo (2%), drug melanosis (1.8%), systemic disease pigmentation (1%), and pregnancy (0.4%). There was a statistically significant relationship between smoking and drug use with oral pigmentation (P<0.05).
 
Conclusion: The frequency of pigmented lesions in this study was estimated to be 24.8%. The prevalence of diffuse pigmentation was higher than focal pigmentation and the prevalence of macular pigmented lesions was higher than nodular pigmented lesions. Moreover, the most common site of pigmentation was the gingiva, especially in the area of the attached gingiva.
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Type of Study: Original Article | Subject: دندانپزشکی
Received: 2020/09/17 | Accepted: 2021/02/14 | Published: 2021/01/29

References
1. 1. Eisen D. Disorders of pigmentation in the oral cavity. Clin Dermatol 2000;18(5):579-87. DOI: 10.1016/s0738-081x(00)00148-6 [DOI:10.1016/S0738-081X(00)00148-6]
2. Sbirkova T, Kisselov S, Cholakova R, Pechalova P, Konstantinova D. Focal oral pigmentation on the gingiva of mandible-a case report. J IMAB Ann Proc Sci Papers 2018;24(4):2193. DOI: 10.5272/jimab.2018244.2193 [DOI:10.5272/jimab.2018244.2193]
3. Mallikarjuna K, Gupta S, Shukla S, Chaurasia S. Unusual extensive physiologic melanin pigmentation of the oral cavity: a clinical presentation. J Indian Soc Pedod Prev Dent 2013;31(2):121-5. DOI: 10.4103/0970-4388.115718 [DOI:10.4103/0970-4388.115718]
4. Ponnaiyan D, Gomathy L, Anusha J. The correlation of skin color and gingival pigmentation patterns in a group of South Indians in Tamil Nadu, India. SRM J Res Dent Sci 2013;4(2):54-8. DOI: 10.4103/0976-433X.120178 [DOI:10.4103/0976-433X.120178]
5. Rosa DSA, Aranha ACC, de Paula Eduardo C, Aoki A. Esthetic treatment of gingival melanin hyperpigmentation with Er: YAG laser: short-term clinical observations and patient follow-up. J Periodontol 2007;78(10):2018-25. DOI: 10.1902/jop.2007.070041 [DOI:10.1902/jop.2007.070041]
6. Rabiei M, Nasrin R. Frequency of oral mucosal pigmentation among patients referred to the faculty of dentistry, Guilan University of Medical Sciences. J Islam Dent Assoc Iran 2005;17(3):95-100. Link
7. Sarrafan N. Evaluation of the prevalence of oral pigmentation in patients referred to Urmia dental faculty in 2017. Stud Med J 2018;29(8):614-20. Link
8. Glick M. Burket's oral medicine. Shelton: PMPH USA; 2015. P. 133. Link
9. Gondak RO, da Silva-Jorge R, Jorge J, Lopes MA, Vargas PA. Oral pigmented lesions: Clinicopathologic features and review of the literature. Med Oral Patol Oral Cir Bucal 2012;17(6):e919-24. DOI: 10.4317/medoral.17679 [DOI:10.4317/medoral.17679]
10. Hassona Y, Sawair F, Al-Karadsheh O, Scully C. Prevalence and clinical features of pigmented oral lesions. Int J Dermatol 2016;55(9):1005-13. DOI: 10.1111/ijd.13133 [DOI:10.1111/ijd.13133]
11. Firoozi P, Noormohammadi R, Rafieyan S. Effect of environmental tobacco smoke on oral pigmentation: A systematic review. J Oral Health Oral Epidemiol 2020;9(1):1-6. Link
12. Alawi F. Pigmented lesions of the oral cavity: an update. Dent Clin North Am 2013;57(4):699-710. DOI: 10.1016/j.cden.2013.07.006 [DOI:10.1016/j.cden.2013.07.006]
13. Babaee N. Frequency of oral pigmentation in patients referred to Babol Dental School (2008-2009). J Inflamm Dis 2011;15(3):87-90. Link
14. Barrett A, Scully C. Human oral mucosal melanocytes: a review. J Oral Pathol Med 1994;23(3):97-103. DOI: 10.1111/j.1600-0714.1994.tb01095.x [DOI:10.1111/j.1600-0714.1994.tb01095.x]
15. Sreeja C, Ramakrishnan K, Vijayalakshmi D, Devi M, Aesha I, Vijayabanu B. Oral pigmentation: a review. J Pharm Bioallied Sci. 2015;7(Suppl 2):S403-8. DOI: 10.4103/0975-7406.163471 [DOI:10.4103/0975-7406.163471]
16. Amini S, Hoseini N, Farhad SZ, Mohammadi F. Effect of environmental tobacco smoke on gingival pigmentation in children and young adults. J Isfahan Dent Sch 2017;12(4):43744. Link
17. Nwhator SO, Winfunke-Savage K, Ayanbadejo P, Jeboda SO. Smokers' melanosis in a Nigerian population: a preliminary study. J Contemp Dent Pract 2007;8(5):68-75. Link [DOI:10.5005/jcdp-8-5-68]
18. Hanioka T, Tanaka K, Ojima M, Yuuki K. Association of melanin pigmentation in the gingiva of children with parents who smoke. Pediatrics 2005;116(2):e186-90. DOI: 10.1542/peds.2004-2628 [DOI:10.1542/peds.2004-2628]
19. Ünsal E, Paksoy C, Soykan E, Elhan AH, Şahin M. Oral melanin pigmentation related to smoking in a Turkish population. Community Dent Oral Epidemiol 2001;29(4):272-7. DOI: 10.1034/j.1600-0528.2001.290406.x [DOI:10.1034/j.1600-0528.2001.290406.x]
20. Meleti M, Vescovi P, Mooi WJ, van der Waal I. Pigmented lesions of the oral mucosa and perioral tissues: a flow-chart for the diagnosis and some recommendations for the management. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;105(5):606-16. DOI: 10.1016/j.tripleo.2007.07.047 [DOI:10.1016/j.tripleo.2007.07.047]
21. Stoopler ET, Alawi F. Pigmented lesions of the oral mucosa. Farah CS, Balasubramaniam R, McCullough MJ, editors. Contemporary oral medicine: a comprehensive approach to clinical practice. Berlin, Germany: Springer International Publishing; 2019. P. 1-31. Link [DOI:10.1007/978-3-319-72303-7_17]
22. Ghapanch J, Marvishi D, Tadbir A, Derafshi R, Jokar S. Prevalence of oral pigmented lesions: a prospective study. Aust J Basic Appl Sci 2012;6(8):417-20. Link
23. Govender S. Oral physiological pigmentation in a Western Cape sample. Cape Town, South Africa: University of the Western Cape; 2018. Link
24. Tavares TS, Meirelles DP, de Aguiar MCF, Caldeira PC. Pigmented lesions of the oral mucosa: a cross‐sectional study of 458 histopathological specimens. Oral Dis 2018;24(8):1484-91. DOI: 10.1111/odi.12924 [DOI:10.1111/odi.12924]
25. Masilana A, Khammissa RAG, Lemmer J, Feller L. Physiological oral melanin pigmentation in a South African sample: a clinical study. J Investig Clin Dent 2017;8(4):12258. DOI: 10.1111/jicd.12258 [DOI:10.1111/jicd.12258]

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