Oral varicose veins: Clinical features and its association with medical conditions. Issue 3 (May 2020)

• Record Type: Journal Article
• Authors: Lazos, Jerónimo; Rodríguez Marco, Eugenia; Brunotto, Mabel; Panico, Rene; Piemonte, Eduardo
• Is Part Of: Journal of oral and maxillofacial surgery, medicine, and pathology. Volume 32:Issue 3(2020)
• Page Start: 216
• Page End: 221
• Publication Date: 2020-05
• Subjects: OV oral varicosities -- G1 Grade 1 varices (only sublingual) -- G2 Grade 2 varices (sublingual plus one site) -- G3 Grade 3 varices (sublingual plus two or more sites); Oral varicosities -- Medical disorders -- Arterial hypertension -- Early diagnosis -- Clinical features; Mouth -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Maxilla -- Surgery -- Periodicals; Oral medicine -- Periodicals; Mouth -- Diseases -- Pathogenesis -- Periodicals; Surgery, Oral -- Periodicals; Oral Medicine -- Periodicals; Pathology, Oral -- Periodicals; Face -- Surgery; Maxilla -- Surgery; Mouth -- Diseases -- Pathogenesis; Mouth -- Surgery; Oral medicine; Electronic journals -- Sciences; Electronic journals -- Medicine; Periodicals; 617.522059
• DOI: 10.1016/j.ajoms.2019.11.007
• Languages: English
• ISSNs: 2212-5566

Abstract

Abstract: Objective: Oral venous varicosities (OV) are a common condition, increasing its incidence with age. They are also mentioned in association with several medical conditions, but the evidence is scarce and inconsistent. The aim was to describe OV clinical features and to analyze the association with medical conditions. Methods: An observational, cross-sectional study was carried out in the Oral Medicine Department from 2012 to 2016. Oral cavity was examined by calibrated professionals double blind (kappa >0.60) in a standard dental chair. Chi-square test and logistic regression analysis were used to assess variables. Results: The final sample was 672 individuals. OV were found in 46 %, (62 % = female and 38 % = male) and they were asymmetric (96.8 %, p < 0.0001). Age showed a statistically significant difference between OV and Control (p < 0.0001). Also, there was significant difference in mean age regarding extension (p < .0001, years): G1 (only sublingual OV) = 48.61; G2 (sublingual OV plus one site) = 63.56 and G3 (sublingual OV + 2 or more sites) = 75.13 (95 % CI: ±1.9763). The most frequent medical conditions were: lower limb varices (n = 162), tobacco consumption (n = 98), family history of varices (n = 81), hypertension (n = 50), Type 2 diabetes (n = 25). OV of advanced grades (G2 & G3) were more common in association to lower limb varices, heart failure, diabetes, arterial and portal hypertension. Conclusions: OV occurrence rises with age, and its presence could be a sign of certain medical conditions. Our study offers an insight into OV supporting the research of its potential use in primary health population screening.