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Prevalence of Recurrent Aphthous Stomatitis: An Institutional Study

Year 2015, Volume: 18 Issue: 3, 228 - 234, 12.08.2015

Abstract

Objective: Recurrent aphthous stomatitis (RAS) is an inflammatory condition, which is  characterized by recurrent painful, single or multiple  ulcers, appearing  in the oral mucosa. There is no particular curative treatment available for RAS. Prevalence data of RAS in general population of south India is lacking.  Hence, the purpose of this investigation was to determine the prevalence of RAS among patients reporting to a Dental Institution  in Mangaluru, India.

Methods: Study involved the patients reporting to the Dental hospital with various complaints.    Detailed case history was recorded and clinical examination was done by trained professionals.  Patients having RAS were recruited in the study. For RAS patients, a questionnaire was provided which contained a details about demographic characteristics, predisposing factors, nature of the ulcers, treatment received . Data obtained from the questionnaire was analysed using software  SPSS 16.0 for windows .

Results: A total of 11,618 patients reported to the dental hospital during study period. Out of these patients  221 patients were clinically diagnosed with RAS. The prevalence of RAS was 1.9%.   Study consisted of 114 females (51.6%) and 107 males (48.4%). The age of patients with RAS   was ranging from 13 to 58-years. The percentage of patients with frequency of recurrent ulcers   within one month was 24.4%, one to three months was 38.9%, three to six months was 21.3% and more than six months was 15.4%.  Duration for the   healing of ulcers was also recorded.  Less than 1week duration(46.2% of  patients), 1-2 weeks (38% of patients),  and more than two weeks (15.8% of patients) was reported. RAS was associated with  specific food intake in  21.3 % patients. Treatment for RAS was received by 54.8 % of patients.  

Conclusion: This study provides important information about the prevalence and pattern of recurrent aphthous stomatitis in south India in comparison to the data available in the current literature.  This study alludes to importance of thorough history to identify the predisposing factors, thus prevention can be accomplished.  Present study helps the dentists to know the patients outlook towards RAS, this would contribute to improve patient management and thus development of newer efficient therapeutics .

 

References

  • Natah SS, Konttinen YT, Enattah NS, Ashammakhi N, Sharkey KA, Hayrinen – Immonen R. Recurrent apthous ulcers today: a reveiew of growing knowledge. Int J Oral Maxillofac Surg. 2004;33:221-234.
  • Sawair FA. Recurrent apthous stomatitis : Do we know what patients are using to treat the ulcers? . J Altern Complement Med. 2010; 16(6):651-5.
  • Eisenberg E. Diagnosis and treatment of recurrent aphthous stomatitis. Oral Maxillofacial Surg Clin N Am. 2003; 15: 111 – 122.
  • Kutcher MJ, Ludlow JB, Samuelson AD, Campbell T, Pusek SN. Evaluation of a bioadhesive device for the management of aphthous ulcers. J Am Dent Assoc. 2011; 32(3):368-76.
  • Rivera-Hidalgo F, Shulman JD, Beach MM. The association of tobacco and other factors with recurrent aphthous stomatitis in an US adult population. Oral Dis. 2004;10:335–345.
  • Jurge S, Kuffer R, Scully C, Porter SR. Mucosal disease series: Number VI. Recurrent aphthous stomatitis. Oral Dis. 2006;12:1–21
  • Akintoye SO, Greenberg MS. Recurrent aphthous stomatitis. Dent Clin North Am 2005;49:31–47.
  • Volkov I, Rudoy I, Freud T, Sardal G, Naimer S, Peleg R, Press Y. Effectiveness of vitamin B12 in treating recurrent aphthous stomatitis: a randomized, double-blind, placebo-controlled trial. J Am Board Fam Med. 2009 ;22(1):9-16.
  • Pearce N. Effect Measures in Prevalence Studies. Environ Health Perspect. 2004; 112:1047–1050.
  • Kleinman DV, Swango PA, Pindborg JJ. Epidemiology of oral mucosal lesions in United States schoolchildren: 1986– 87. Community Dent Oral Epidemiol. 1994; 22: 243–53.
  • Shulman JD. An exploration of point, annual, and lifetime prevalence in characterizing recurrent aphthous stomatitis in USA children and youths. J Oral Pathol Med. 2004 ;33: 558–566.
  • Ship JA. Recurrent aphthous stomatitis. An update. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996; 81: 141 – 147. Mathew AL, Pai KM, Sholapurkar AA, Vengal M. The prevalence of oral mucosal lesions in patients visiting a dental school in southern India. Indian J Dent Res. 2008;19:99- 103
  • Mathew AL, Pai KM, Sholapurkar AA, Vengal M. The prevalence of oral mucosal lesions in patients visiting a dental school in southern India. Indian J Dent Res. 2008;19:99- 103
  • Patil S, Reddy SN, Maheshwari S, Khandelwal S, Shruthi D, Doni B.Prevalence of recurrent aphthous ulceration in the Indian Population. J Clin Exp Dent. 2014;6(1):e36-40
  • Khasbage SD, Khairkar PH, Degwekar SS, Bhowate RR, Bhake AS, Singh A et al. Prevalence of oral mucosal disorders in institutionalized and non-institutionalized psychiatric patients: a study from AVBR Hospital in central India. J Oral Sci. 2012: 54: 85-91.
  • Pratibha PK, Prerna J, Meena AK, Bhat KM,Chakravarthy PK, Bhat GS. Association of Recurrent Aphthous Ulcers With Stress Among Students In An Indian Dental Institution. NJIRM. 2012; 3(3) : 141-147.
  • Faleh A Sawair. Does smoking really protect from recurrent aphthous stomatitis?. Therapeutics and Clinical Risk Management 2010;6: 573–577.
  • Abdullah MJ. Prevalence of recurrent aphthous ulceration experience in patients attending Piramird dental speciality in Sulaimani City. J Clin Exp Dent. 2013;5(2):e89-94
  • Byahatti S.M Incidence of Recurrent Apthous ulcers in a group of student population in Libya:A Questionnaire Study. Arch Cran Oro Fac Sc. 2013;1(2):26-30.
  • Atai Z, Ansari M, Torabi N. Efficacy of Olive Leaf Extract in the Treatment of Minor Oral Aphthous Ulcers. American Journal of Infectious Diseases. 2007; 3 (1): 24-26.
  • Angeline Archana JP, Jesudoss Prabhakaran AC. Pharmacotherapy of recurrent aphthous ulcers. Chron Young Sci. 2011;2:134-8.
  • Belenguer-Guallar I, Jiménez-SorianoY, Claramunt-Lozano A. Treatment of recurrent aphthous stomatitis. A literature review. J Clin Exp Dent. 2014;6(2):e168-74.
  • Preti L, Magesh KT, Rajkumar K, Karthik R. Recurrent apthous stomatitis. J Oral Maxillofac Pathol. 2011; 15: 252-6.
  • Ghalayani P, Zolfaghary B, Farhad AR,Tavangar A, Soleymani B. The efficacy of Punica granatum extract in the management of recurrent aphthous stomatitis. J Res Pharm Pract. 2013; 2:88-92.

Official Publication of Cumhuriyet University Faculty of Dentistry

Year 2015, Volume: 18 Issue: 3, 228 - 234, 12.08.2015

Abstract

References

  • Natah SS, Konttinen YT, Enattah NS, Ashammakhi N, Sharkey KA, Hayrinen – Immonen R. Recurrent apthous ulcers today: a reveiew of growing knowledge. Int J Oral Maxillofac Surg. 2004;33:221-234.
  • Sawair FA. Recurrent apthous stomatitis : Do we know what patients are using to treat the ulcers? . J Altern Complement Med. 2010; 16(6):651-5.
  • Eisenberg E. Diagnosis and treatment of recurrent aphthous stomatitis. Oral Maxillofacial Surg Clin N Am. 2003; 15: 111 – 122.
  • Kutcher MJ, Ludlow JB, Samuelson AD, Campbell T, Pusek SN. Evaluation of a bioadhesive device for the management of aphthous ulcers. J Am Dent Assoc. 2011; 32(3):368-76.
  • Rivera-Hidalgo F, Shulman JD, Beach MM. The association of tobacco and other factors with recurrent aphthous stomatitis in an US adult population. Oral Dis. 2004;10:335–345.
  • Jurge S, Kuffer R, Scully C, Porter SR. Mucosal disease series: Number VI. Recurrent aphthous stomatitis. Oral Dis. 2006;12:1–21
  • Akintoye SO, Greenberg MS. Recurrent aphthous stomatitis. Dent Clin North Am 2005;49:31–47.
  • Volkov I, Rudoy I, Freud T, Sardal G, Naimer S, Peleg R, Press Y. Effectiveness of vitamin B12 in treating recurrent aphthous stomatitis: a randomized, double-blind, placebo-controlled trial. J Am Board Fam Med. 2009 ;22(1):9-16.
  • Pearce N. Effect Measures in Prevalence Studies. Environ Health Perspect. 2004; 112:1047–1050.
  • Kleinman DV, Swango PA, Pindborg JJ. Epidemiology of oral mucosal lesions in United States schoolchildren: 1986– 87. Community Dent Oral Epidemiol. 1994; 22: 243–53.
  • Shulman JD. An exploration of point, annual, and lifetime prevalence in characterizing recurrent aphthous stomatitis in USA children and youths. J Oral Pathol Med. 2004 ;33: 558–566.
  • Ship JA. Recurrent aphthous stomatitis. An update. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996; 81: 141 – 147. Mathew AL, Pai KM, Sholapurkar AA, Vengal M. The prevalence of oral mucosal lesions in patients visiting a dental school in southern India. Indian J Dent Res. 2008;19:99- 103
  • Mathew AL, Pai KM, Sholapurkar AA, Vengal M. The prevalence of oral mucosal lesions in patients visiting a dental school in southern India. Indian J Dent Res. 2008;19:99- 103
  • Patil S, Reddy SN, Maheshwari S, Khandelwal S, Shruthi D, Doni B.Prevalence of recurrent aphthous ulceration in the Indian Population. J Clin Exp Dent. 2014;6(1):e36-40
  • Khasbage SD, Khairkar PH, Degwekar SS, Bhowate RR, Bhake AS, Singh A et al. Prevalence of oral mucosal disorders in institutionalized and non-institutionalized psychiatric patients: a study from AVBR Hospital in central India. J Oral Sci. 2012: 54: 85-91.
  • Pratibha PK, Prerna J, Meena AK, Bhat KM,Chakravarthy PK, Bhat GS. Association of Recurrent Aphthous Ulcers With Stress Among Students In An Indian Dental Institution. NJIRM. 2012; 3(3) : 141-147.
  • Faleh A Sawair. Does smoking really protect from recurrent aphthous stomatitis?. Therapeutics and Clinical Risk Management 2010;6: 573–577.
  • Abdullah MJ. Prevalence of recurrent aphthous ulceration experience in patients attending Piramird dental speciality in Sulaimani City. J Clin Exp Dent. 2013;5(2):e89-94
  • Byahatti S.M Incidence of Recurrent Apthous ulcers in a group of student population in Libya:A Questionnaire Study. Arch Cran Oro Fac Sc. 2013;1(2):26-30.
  • Atai Z, Ansari M, Torabi N. Efficacy of Olive Leaf Extract in the Treatment of Minor Oral Aphthous Ulcers. American Journal of Infectious Diseases. 2007; 3 (1): 24-26.
  • Angeline Archana JP, Jesudoss Prabhakaran AC. Pharmacotherapy of recurrent aphthous ulcers. Chron Young Sci. 2011;2:134-8.
  • Belenguer-Guallar I, Jiménez-SorianoY, Claramunt-Lozano A. Treatment of recurrent aphthous stomatitis. A literature review. J Clin Exp Dent. 2014;6(2):e168-74.
  • Preti L, Magesh KT, Rajkumar K, Karthik R. Recurrent apthous stomatitis. J Oral Maxillofac Pathol. 2011; 15: 252-6.
  • Ghalayani P, Zolfaghary B, Farhad AR,Tavangar A, Soleymani B. The efficacy of Punica granatum extract in the management of recurrent aphthous stomatitis. J Res Pharm Pract. 2013; 2:88-92.
There are 24 citations in total.

Details

Primary Language English
Journal Section Original Research Articles
Authors

Shruthi Hegde

Publication Date August 12, 2015
Submission Date December 8, 2014
Published in Issue Year 2015Volume: 18 Issue: 3

Cite

EndNote Hegde S (August 1, 2015) Prevalence of Recurrent Aphthous Stomatitis: An Institutional Study. Cumhuriyet Dental Journal 18 3 228–234.

Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.


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