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Varlas VN, Parlatescu I, Epistatu D, Neagu O, Varlas RG, Bălănescu L. Mixed Heterotopic Gastrointestinal/Respiratory Oral Cysts in Newborns: From Prenatal Diagnosis to Histopathological and Therapeutic Management: A Case Report and Literature Review. Diagnostics (Basel) 2024; 14:339. [PMID: 38337855 PMCID: PMC10855558 DOI: 10.3390/diagnostics14030339] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2023] [Revised: 01/21/2024] [Accepted: 01/31/2024] [Indexed: 02/12/2024] Open
Abstract
Fetal lingual tumors are very rare, and their early prenatal diagnosis is important for defining the subsequent therapeutic strategy. In this study, we aimed to describe a case of a congenital septate lingual cyst and perform an extensive literature review on two main databases (PubMed, Web of Science), analyzing the clinical manifestations, the imaging appearance, the differential diagnosis, and particularities regarding the treatment of these tumors. The electronic search revealed 17 articles with 18 cases of mixed heterotopic gastrointestinal/respiratory oral epithelial cysts that met the eligibility criteria and were included in this review. The clinical case was diagnosed prenatally during second-trimester screening. On the eighth day of life, the fetus underwent an MRI of the head, which revealed an expansive cystic process on the ventral side of the tongue with the greatest diameter of 21.7 mm, containing a septum of 1 mm inside. On the 13th day of life, surgery was performed under general anesthesia, and the lingual cystic formation was completely excised. The postoperative evolution was favorable. The histopathological examination revealed a heterotopic gastric/respiratory-mixed epithelial cyst with non-keratinized respiratory, gastric squamous, and foveolar epithelium. The lingual cyst diagnosed prenatally is an accidental discovery, the differential diagnosis of which can include several pathologies with different degrees of severity but with a generally good prognosis.
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Affiliation(s)
- Valentin Nicolae Varlas
- Department of Obstetrics and Gynecology, Filantropia Clinical Hospital, 011132 Bucharest, Romania; (V.N.V.); (R.G.V.)
- Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy, 010221 Bucharest, Romania
| | - Ioanina Parlatescu
- Department of Oral Pathology, Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy, 17-21, Calea Plevnei Street, 020021 Bucharest, Romania
| | - Dragos Epistatu
- Department of Radiology, Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy, 17-21, Calea Plevnei Street, 020021 Bucharest, Romania
| | - Oana Neagu
- Department of Anatomopathology, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania;
| | - Roxana Georgiana Varlas
- Department of Obstetrics and Gynecology, Filantropia Clinical Hospital, 011132 Bucharest, Romania; (V.N.V.); (R.G.V.)
| | - Laura Bălănescu
- Department of Pediatric Surgery, Children Emergency Hospital “Grigore Alexandrescu”, 011743 Bucharest, Romania;
- Faculty of General Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania
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Mihai LL, Parlatescu I, Calin A, Burcea A. Gingival overgrowth approached using recent mechanical and laser technologies: A case report. Exp Ther Med 2024; 27:84. [PMID: 38274335 PMCID: PMC10809356 DOI: 10.3892/etm.2024.12374] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Accepted: 11/23/2023] [Indexed: 01/27/2024] Open
Abstract
Gingival enlargement is a side effect of different drug classes, with calcium channel blockers being among the most often cited examples. Most often accompanied by a disruption in the oral biofilm, this form of gingival overgrowth, with histological signs of hyperplasia and hypertrophy, becomes a chronic inflammatory condition with the oral biofilm a primary cause. This periodontal disease is now classified as 'dental biofilm-induced gingivitis', and its preferred name is drug-influenced gingival expansion. The present study presented the case of a patient with gingival enlargement while being treated with nifedipine for cardiac disease. This patient had factors that contributed to the retention of bacteria, ranging from poor oral hygiene practices to poorly adapted prosthodontics. After reducing these factors, a multimodal treatment was conducted, including bacterial mechanical decontamination through guided biofilm therapy protocol, laser bacterial decontamination, and surgical laser gingivectomy. The patient was referred to their cardiologist for substituting the calcium channel blocker medication. Clinical evaluations followed each treatment step. At 12 months, the patient presented positive, stable results, with an improvement in gingival status (no gingival overgrowth in the area where all risk factors were eliminated and minimal overgrowth in the area where old poorly marginally adapted prosthodontics were kept in place and no/minimal signs of gingival inflammation).
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Affiliation(s)
- Laurenta Lelia Mihai
- Department of Oral Pathology, Faculty of Dental Medicine, Titu Maiorescu University of Bucharest, Bucharest 031593, Romania
| | - Ioanina Parlatescu
- Department of Oral Pathology, Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy, Bucharest 050037, Romania
| | - Anca Calin
- Department of Materials Science and Engineering, Polytechnic University of Bucharest, Bucharest 060042, Romania
| | - Alexandru Burcea
- Department of Medical and Surgical Emergencies in Dental Medicine, Anesthesia and Sedation, Faculty of Dental Medicine, Titu Maiorescu University of Bucharest, Bucharest 031593, Romania
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Parlatescu I, Tovaru S, Tofan C, Perlea P, Milanesi E, Dobre M, Mihai LL. Gingival Manifestations in Oral Chronic Autoimmune Bullous Diseases: A Retrospective Study. Medicina (Kaunas) 2024; 60:167. [PMID: 38256427 PMCID: PMC10818461 DOI: 10.3390/medicina60010167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/19/2023] [Revised: 01/04/2024] [Accepted: 01/15/2024] [Indexed: 01/24/2024]
Abstract
Background and Objectives: Desquamative gingivitis (DG) is a clinical term indicating "peeling gums" and is associated with different oral manifestations. In this study, we aimed to assess the association between DG and autoimmune blistering mucocutaneous diseases (ABMD) with oral manifestations. Materials and Methods: A retrospective study including 88 patients diagnosed between 1998 and 2019 with ABMD (intraepithelial and subepithelial autoimmune blistering diseases) was performed at the Oral Medicine Department, Faculty of Dentistry, "Carol Davila" University of Medicine and Pharmacy in Bucharest. For each patient, the sociodemographic and anamnestic data, as well as clinical features of oral lesions (location), histological evaluation, and direct immunofluorescence data were collected. Results: Most of the patients involved in the study were female (78.4%). In total, 34 patients (38.63%) were diagnosed with subepithelial autoimmune diseases (SAD) and 54 (61.36%) had intraepithelial autoimmune diseases (IAD). Differences in the anatomic distribution of oral involvement were found between SAD and IAD. The presence of DG was significantly more common in patients with SAD compared to those with a diagnosis of IAD. Conclusions: Specific anatomical locations of the oral lesions are significantly associated with different subtypes of ABMD, with gingiva and hard palate mucosa being more involved in SAD and the soft palate and buccal mucosa in IAD. Desquamative gingivitis is a clinical sign that raises diagnostic challenges for several conditions in oral medicine.
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Affiliation(s)
- Ioanina Parlatescu
- Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania; (I.P.); (S.T.); (P.P.)
| | - Serban Tovaru
- Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania; (I.P.); (S.T.); (P.P.)
| | - Cristina Tofan
- Private Dental Practice, Dimitrie Cantemir Street, no 11, bl. 8, ap. 46, 040233 Bucharest, Romania
| | - Paula Perlea
- Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania; (I.P.); (S.T.); (P.P.)
| | - Elena Milanesi
- Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania;
- Victor Babeș National Institute of Pathology, 050096 Bucharest, Romania;
| | - Maria Dobre
- Victor Babeș National Institute of Pathology, 050096 Bucharest, Romania;
| | - Laurenta Lelia Mihai
- Faculty of Dental Medicine, “Titu Maiorescu” University of Bucharest, 031593 Bucharest, Romania;
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Serban AE, Nicolae C, Parlatescu I, Tovaru S. Oral Leukoplakia. A Five-Year Follow-Up Study. Maedica (Bucur) 2023; 18:645-650. [PMID: 38348072 PMCID: PMC10859208 DOI: 10.26574/maedica.2023.18.4.645] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 02/15/2024]
Abstract
Background: Oral leukoplakia (OLK) is the most studied oral potentially malignant disorders in the scientific literature. Its malignant transformation (MT) rate varies between 1.1% and 40.8%, depending on the type of study and population group studied. There is no universal agreement to treat or manage these lesions, so it is up to each clinician's experience and expertise in how he/she manages these patients. Objective:The aim of this retrospective study was to assess the clinical aspects and pattern of evolution of OLK in 30 patients five years or more after the initial diagnosis. Material and methods:We selected 30 OLK patients from our database. Demographic, clinical and evolutive data was retrieved from the medical files. The following variables were analysed: age and sex, smoking habits, clinical features (form, dimension, site of the lesion), result of mycological examination, treatment and outcomes of the lesions over a follow-up of more than five years. Results:For a follow-up of 119.63 months, we detected a value of 0.2% MT rate per year. Outcomes varied from the complete disappearance of the lesion to recurrence and malignant transformation with a variety of treatment methods applied. Conclusion:Despite the low MT rate for a long follow-up, it is hard to say which treatment method is the best, due to the heterogeneity of the clinical aspects of the lesions and because there is no standardised test method, either genetic testing or immunohistochemical testing. We recommend a varied approach, suitable for each patient's needs and medical context, always when possible histopathological confirmation for grading epithelial dysplasia, which remains the most reliable method of checking the process of malignant transformation.
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Affiliation(s)
- Andrei-Eduard Serban
- Doctoral School of "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
| | - Carmen Nicolae
- Department of Oral Pathology, Faculty of Dentistry, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
| | - Ioanina Parlatescu
- Department of Oral Pathology, Faculty of Dentistry, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
| | - Serban Tovaru
- Department of Oral Pathology, Faculty of Dentistry, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
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Parlatescu I, Dugan C, Popescu BO, Tovaru S, Dobre M, Milanesi E. Non-Communicable Diseases and Associated Risk Factors in Burning Mouth Syndrome Patients. Medicina (Kaunas) 2023; 59:2085. [PMID: 38138188 PMCID: PMC10744480 DOI: 10.3390/medicina59122085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/26/2023] [Revised: 11/21/2023] [Accepted: 11/26/2023] [Indexed: 12/24/2023]
Abstract
Background and Objectives: Noncommunicable diseases (NCDs) are a group of non-transmissible conditions that tend to be of long duration and are the result of a combination of genetic, physiological, environmental, and behavioral factors. Although an association between oral disorders and NCDs has been suggested, the relationship between Burning Mouth Syndrome (BMS) and NCDs and their associated risk factors has not been deeply investigated. In this study, we aim to identify associations between BMS and NCDs in the Romanian population. Materials and Methods: Ninety-nine BMS patients and 88 age-matched controls (aged 50 and over) were clinically evaluated for the presence of eight noncommunicable diseases (NCDs) and their most common risk factors, including hypertension, dyslipidemia, smoking, and obesity. Results: The results of our study showed that the BMS in the Romanian population seems to be significantly associated with cardiovascular diseases (CVDs) (p < 0.001) and two of their risk factors, hypertension (p < 0.001) and dyslipidemia (p < 0.001). Moreover, evaluating the Framingham Risk Score (FRS) in the individuals not affected by CVDs (73 CTRL and 38 BMS), we found that 13.2% of BMS patients reported a moderate risk of developing CVDs in ten years, compared to the controls, all of whom presented a low risk (p = 0.002). Conclusions: Our findings suggest that a multidisciplinary clinical approach, which also includes a cardiovascular evaluation, is essential for the successful management of BMS. Moreover, these data highlighted the importance of introducing an integrated strategy for the prevention and care of NCDs in BMS patients.
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Affiliation(s)
- Ioanina Parlatescu
- Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania; (I.P.); (S.T.)
| | - Cosmin Dugan
- Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania; (C.D.); (B.O.P.); (E.M.)
| | - Bogdan Ovidiu Popescu
- Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania; (C.D.); (B.O.P.); (E.M.)
- Victor Babeș National Institute of Pathology, 050096 Bucharest, Romania
| | - Serban Tovaru
- Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania; (I.P.); (S.T.)
| | - Maria Dobre
- Victor Babeș National Institute of Pathology, 050096 Bucharest, Romania
| | - Elena Milanesi
- Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania; (C.D.); (B.O.P.); (E.M.)
- Victor Babeș National Institute of Pathology, 050096 Bucharest, Romania
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Dugan C, Parlatescu I, Popescu BO, Pop CS, Marin M, Dinculescu A, Nistorescu AI, Vizitiu C, Varlas VN. Applications for oral research in microgravity - lessons learned from burning mouth syndrome and ageing studies. J Med Life 2023; 16:381-386. [PMID: 37168310 PMCID: PMC10165527 DOI: 10.25122/jml-2022-0285] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2022] [Accepted: 02/07/2023] [Indexed: 05/13/2023] Open
Abstract
The negative consequences of microgravity for the human body are central aspects of space travel that raise health problems. Altered functions of the same systems and treatment options are common points of spaceflight physiology, age-related diseases, and oral medicine. This work emphasizes the convergence of knowledge between pathophysiological changes brought on by aging, physiological reactions to microgravity exposure, and non-pharmacological and non-invasive treatment methods that can be used in spaceflight. Sarcopenia, peripheral nerves alterations, neuromotor plaque in the masticatory muscles, lingual, labial, and buccal weakness, nociplastic pain in oral mucosal diseases, and microgravity, as well as soft tissue changes and pathologies related to chewing and swallowing, corticomotor neuroplasticity of tongue, and swallowing biomechanics, are of particular interest to us. Neurologic disease and other pathologies such as recovery from post-stroke dysphagia, nociplastic pain in glossodynia, sleep bruxism, and obstructive sleep apnea have been studied and, in some cases, successfully treated with non-invasive direct and transcranial magnetic stimulation (TMS) methods in recent decades. An interdisciplinary team from medical specialties, engineering, and biophysics propose an exploratory study based on the parallelism of ageing and space physiology, along with experiment scenarios considering TMS and non-invasive direct methods.
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Affiliation(s)
- Cosmin Dugan
- Internal Medicine Department, Bucharest University Emergency Hospital, Bucharest, Romania
- Faculty of General Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
| | - Ioanina Parlatescu
- Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
- Corresponding Author: Ioanina Parlatescu, Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania. E-mail:
| | - Bogdan Ovidiu Popescu
- Faculty of General Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
| | - Corina Silvia Pop
- Internal Medicine Department, Bucharest University Emergency Hospital, Bucharest, Romania
- Faculty of General Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
| | - Mihaela Marin
- Space Applications for Health and Safety Laboratory, Institute of Space Science, Magurele, Romania
| | - Adrian Dinculescu
- Space Applications for Health and Safety Laboratory, Institute of Space Science, Magurele, Romania
| | - Alexandru Ion Nistorescu
- Space Applications for Health and Safety Laboratory, Institute of Space Science, Magurele, Romania
| | - Cristian Vizitiu
- Space Applications for Health and Safety Laboratory, Institute of Space Science, Magurele, Romania
- Department of Automatics and Information Technology, Faculty of Electrical Engineering and Computer Science, Transilvania University of Brasov, Brasov, Romania
| | - Valentin Nicolae Varlas
- Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
- Department of Obstetrics and Gynaecology, Clinical Hospital of Obstetrics and Gynecology Filantropia, Bucharest, Romania
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Selaru CA, Parlatescu I, Milanesi E, Dobre M, Tovaru S. Impact of Altered Lipid Profile in Oral Lichen Planus. Maedica (Bucur) 2023; 18:12-18. [PMID: 37266475 PMCID: PMC10231171 DOI: 10.26574/maedica.2023.18.1.19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Background:Oral lichen planus (OLP) is a chronic inflammatory disease that affects the oral mucosa. This disorder has been suggested to be related to an impairment of lipid metabolism and profile. A number of studies indicate a higher incidence of dyslipidemia in OLP patients compared to not-affected individuals. Objectives: The aim of this study was to investigate the correlations between lipid profile alterations and clinical features of oral lichen planus. Patients and methods:A total of 52 patients diagnosed with OLP were enrolled in this study. Data regarding the demography, symptoms, severity of lesions assesed by Thongprasom score and lipid profile status were collected from the medical charts. The study group was divided into two sub-cohorts: Group 1, which included OLP patients with lipid profile within the normal range, and Group 2 comprising OLP patients with alterations of the lipid status. Results:The comparative analysis between the two groups found a statistically significant association between the lipid profile and OLP symptoms. Thus, the most frequent symptom was pain, in OLP patients with normal lipid status (Group 1), and burning, in those with altered lipid status (Group 2) (p=0.050). Moreover, the presence of symptoms was reported by a higher percentage of patients from Group 2 (75%) than Group 1 (68.25%). Patients reporting burning symptomatology showed higher triglyceride levels than those who reported pain (p=0.032). Furthermore, we found that male OLP patients have higher levels of LDL compared with female subjects (p=0.021). Conclusion:Lipid profile changes are not associated with an increased severity of OLP lesions. A statistically significant association was found between burning sensation and higher lipid profile parameters.
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Affiliation(s)
- Corina Andreea Selaru
- "Doctoral School of "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
| | - Ioanina Parlatescu
- "Faculty of Dentistry, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
| | - Elena Milanesi
- "Victor Babes" National Institute of Pathology, Bucharest, Romania
| | - Maria Dobre
- "Victor Babes" National Institute of Pathology, Bucharest, Romania
| | - Serban Tovaru
- Faculty of Dentistry, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
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Dugan C, Parlatescu I, Dobre M, Pîrvu RE, Milanesi E. Insights on brain functions in burning mouth syndrome. Front Syst Neurosci 2022; 16:975126. [PMID: 36118600 PMCID: PMC9478342 DOI: 10.3389/fnsys.2022.975126] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2022] [Accepted: 08/15/2022] [Indexed: 11/26/2022] Open
Affiliation(s)
- Cosmin Dugan
- Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
| | - Ioanina Parlatescu
- Department of Oral Pathology, Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
- *Correspondence: Ioanina Parlatescu
| | - Maria Dobre
- Victor Babes National Institute of Pathology, Bucharest, Romania
| | - Raluca Ema Pîrvu
- Department of Oral Pathology, Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
| | - Elena Milanesi
- Victor Babes National Institute of Pathology, Bucharest, Romania
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Balgiu BA, Sfeatcu R, Mihai C, Ilici RR, Parlatescu I, Tribus L. Validity and Reliability of the Dental Neglect Scale among Romanian Adults. J Pers Med 2022; 12:jpm12071035. [PMID: 35887532 PMCID: PMC9323145 DOI: 10.3390/jpm12071035] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Revised: 06/15/2022] [Accepted: 06/22/2022] [Indexed: 01/24/2023] Open
Abstract
The Dental Neglect Scale (DNS) is a well-known measure for assessing behaviours and attitudes related to oral health. However, the factor inconsistency revealed by the literature involves further investigations. The study focuses on the validation of the DNS in the case of a sample of the adult population from Romania. In this regard, data were collected online from 872 adults (616 females and 256 males). DNS reliability was examined from the perspective of internal consistency. Convergent validity was performed by associating DNS with different scales from the oral health field. In order to examine and confirm the factorial structure, the sample was broken down into two subsamples which made the subject of the exploratory factorial analysis (EFA) and confirmatory factorial analysis (CFA), respectively. DNS-RO is positively associated with the scale which measures the values related to oral health (OHVS) and negatively with those that assess the impact of the oral health on life quality (OHIP-14), the distrust of the benefits of oral health services (R-DBS), and reduced need for oral care (DIS). The Cronbach’s α = 0.70, McDonald’s ω = 0.70 and CR = 0.77 are acceptable. Both EFA and CFA (χ2/df = 1.13; CFI = 0.99; RMSEA = 0.017; SRMR = 0.059) support the unifactorial structure of the scale. The gender differences show that females evince greater care for oral health than male subjects. The study shows that the DNS-RO can be used to assess the behaviours and attitudes towards oral health in the case of the Romanian adult population in epidemiological studies and health promotion programs through health education.
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Affiliation(s)
- Beatrice Adriana Balgiu
- Department of Career and Educational Training, University Politehnica of Bucharest, 313 Splaiul Independenţei, 060042 Bucharest, Romania;
| | - Ruxandra Sfeatcu
- Department of Oral Health and Community Dentistry, Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, 17–21 Calea Plevnei Street, 010221 Bucharest, Romania
- Correspondence: (R.S.); (R.R.I.)
| | - Christina Mihai
- Department of Preventive Dentistry, Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, 17–21 Calea Plevnei Street, 010221 Bucharest, Romania;
| | - Roxana Romanița Ilici
- Department of Prosthesis Technology and Dental Materials, Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, 17–21 Calea Plevnei Street, Sector 1, 010221 Bucharest, Romania
- Correspondence: (R.S.); (R.R.I.)
| | - Ioanina Parlatescu
- Department of Oral Pathology, Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, 17–21, Calea Plevnei Street, 020021 Bucharest, Romania;
| | - Laura Tribus
- Department of Internal Medicine, Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, 17–21, Calea Plevnei Street, 020021 Bucharest, Romania;
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Tovaru S, Costache M, Perlea P, Caramida M, Totan C, Warnakulasuriya S, Parlatescu I. Oral leukoplakia: A clinicopathological study and malignant transformation. Oral Dis 2022; 29:1454-1463. [PMID: 34982498 DOI: 10.1111/odi.14123] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2021] [Revised: 12/02/2021] [Accepted: 12/16/2021] [Indexed: 12/19/2022]
Abstract
OBJECTIVES To assess the clinicopathological characteristics of a cohort of patients with oral leukoplakia (OL) managed in a Romanian dental hospital and to evaluate the risk of malignant transformation (MT). MATERIALS AND METHODS We conducted a hospital-based retrospective study using the clinical charts of patients diagnosed with OL that had complete clinical and histopathological evaluation followed up for 1-16 years. RESULTS From 120 included patients, 68 (56.7%) were females, and 71 (59.2%) were current smokers. The homogeneous form was present in 60% of cases; the buccal mucosa was the most frequently involved site. MT was observed in 9 cases, which was more common in females and in those with dysplastic leukoplakia. A significant statistical association was found between MT and dysplasia grade (χ2 test: p = 0.007). MT occurred during a mean interval of time 75 months in both treated and non-treated patients. CONCLUSIONS In this leukoplakia cohort, most of the lesions encountered were in smokers, clinically homogeneous and 62.5% proved histologically benign. But despite the clinically benign appearance of leukoplakia, tissue diagnosis of some cases was carcinoma. The results of the current study advocate the necessity for biopsy even in apparently homogeneous, clinically benign lesions. The malignization rate was 7.5%; two-thirds were nonhomogeneous lesions.
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Affiliation(s)
- Serban Tovaru
- Department of Oral Medicine, Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
| | - Mariana Costache
- Department of Pathology, Faculty of General Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
| | - Paula Perlea
- Department of Endodontics, Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
| | - Mariana Caramida
- Department of Oral Health and Community Dentistry, Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
| | - Cosmin Totan
- Oral and Maxillofacial Department, Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
| | - Saman Warnakulasuriya
- Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London and WHO Collaborating Center for Oral Cancer, London, UK
| | - Ioanina Parlatescu
- Department of Oral Medicine, Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
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Parlatescu I, Nicolae C, Tovaru S, Radu L, Penes O, Varlas V. The Implication of Candida Infection in Oral Lichen Planus Lesions. Maedica (Bucur) 2021; 16:585-589. [PMID: 35261657 PMCID: PMC8897806 DOI: 10.26574/maedica.2021.16.4.585] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Objectives: The purpose of this study is to determine if superimposed infection with Candida species in oral lichen planus exacerbates the clinical symptoms and lesions. Methodology:We conducted a retrospective study on the medical charts of oral lichen planus (OLP) patients diagnosed by clinical and histopathological criteria. A baseline demographic, anamnestic, clinical data, results of the oral candida investigations were analyzed and recorded for all patients. Results:From a total number of 203 OLP patients, oral candidiasis was diagnosed in 75 (36.94%) cases. There was no statistical significance between the clinical forms of lichen planus and the presence of Candida infection. Of all encountered Candida species, Candida albicans was most commonly detected, followed by Candida krusei, Candida lusitaniae, and Candida tropicalis. Conclusion:Although our study is limited regarding the sample size and no statistically significant difference has been found between clinical features of OLP and oral candidiasis, a routine screening of OLP patients for oral candidiasis and a preventive antifungal strategy in the OLP treatment schedule is needed.
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Affiliation(s)
- Ioanina Parlatescu
- Oral Medicine Department, Faculty of Dental Medicine, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
| | - Carmen Nicolae
- Oral Medicine Department, Faculty of Dental Medicine, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
| | - Serban Tovaru
- Oral Medicine Department, Faculty of Dental Medicine, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
| | - Lavinia Radu
- "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
| | - Ovidiu Penes
- Department of Anesthesiology and Intensive Care, University Clinical Hospital, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
| | - Valentin Varlas
- Department of Obstetrics and Gynecology, Faculty of Dental Medicine, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
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Sfeatcu R, Balgiu BA, Parlatescu I. New psychometric evidences on the Dental Environment Stress questionnaire among Romanian students. J Educ Health Promot 2021; 10:296. [PMID: 34667796 PMCID: PMC8459854 DOI: 10.4103/jehp.jehp_4_21] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/01/2021] [Accepted: 03/18/2021] [Indexed: 06/13/2023]
Abstract
BACKGROUND The academic environment is a challenge for dental students due to the multiple sources of stress they face. For this reason, the present study analyzes the psychometric properties of the Dental Environment Stress (DES) questionnaire. The secondary objective was to identify the specific sources of stress perceived by dental students related to gender and years of study. MATERIALS AND METHODS A cross-sectional study was conducted among dental students (n = 340; Mage= 22.45) from the Romanian University of Medicine and Pharmacy in October- December 2019. The factorial structure of the questionnaire was performed by means of the confirmatory factor analysis (CFA) and the multi group-CFA. The convergent and divergent validities were measured by associating DES with scales that measure depression, anxiety, and tension/stress (Depression Anxiety Stress Scale-21-R), perceived stress (Perceived Stress Scale-14), and life satisfaction (Satisfaction with Life Scale). RESULTS New measure obtained supported a five-factor and thirty-item structure, which is gender invariant. All the factors within DES have a significant positive correlation with depression, anxiety, tension/stress, and perceived stress and a negative correlation with life satisfaction. The Cronbach's α coefficients are acceptable (range: 0.67-0.89). The female students perceive aspects related to performance, the relations with the faculty, clinical responsibilities, and personal life to be more stressful than males. Senior students perceive more stressed aspects related to personal life, while freshmen have higher scores on stress associated with clinical responsibilities. CONCLUSIONS The present results show that DES has psychometric properties which are adequate for the assessment of dental stress in the case of Romanian students; nevertheless, it is necessary to extend the use of DES to students attending other universities and to dental practitioners.
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Affiliation(s)
- Ruxandra Sfeatcu
- Department of Oral Health and Community Dentistry, Faculty of Dental Medicine, “Carol Davila“ University of Medicine and Pharmacy, Bucharest, Romania
| | - Beatrice Adriana Balgiu
- Department of Career and Educational Training, Polytechnic University of Bucharest, Bucharest, Romania
| | - Ioanina Parlatescu
- Department of Oral Medicine, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
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Sundberg J, Öhman J, Korytowska M, Wallström M, Kjeller G, Andersson M, Horal P, Lindh M, Giglio D, Kovács A, Sand L, Hirsch JM, Magda Araújo Ferracini L, de Souza ACMF, Parlatescu I, Dobre M, Hinescu ME, Braz-Silva PH, Tovaru S, Hasséus B. High-risk human papillomavirus in patients with oral leukoplakia and oral squamous cell carcinoma-A multi-centre study in Sweden, Brazil and Romania. Oral Dis 2020; 27:183-192. [PMID: 32568421 DOI: 10.1111/odi.13510] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2020] [Revised: 05/29/2020] [Accepted: 06/04/2020] [Indexed: 12/11/2022]
Abstract
OBJECTIVES Although causal associations between oral leukoplakia (OL), oral squamous cell carcinoma (OSCC) and high-risk human papillomavirus (HR-HPV) have been speculated upon in several reports, conclusive evidence has not been presented. This study investigates whether the number of cases of HR-HPV in OL has increased over time and whether the prevalence of HR-HPV-positive OL differs in various parts of the world. PATIENTS AND METHODS A total of 432 patients with OL from Sweden, Brazil and Romania were analysed. Patients were divided into historical (1992-2002) and contemporary (2011-2017) cohorts from the respective countries. Seventeen patients with OL developed oral squamous cell carcinoma (OSCC). A real-time PCR assay, targeting HPV sub-types 6,11,16,18,31,33,35,39,45,52,56,58 and 59, was performed to detect HR-HPV in patients with OL. RESULTS In the Swedish and Romanian cohorts, none of the investigated HPV sub-types were detected. In the Brazilian cohorts, five patients with OL (3%) were positive for HR-HPV, including four patients from the contemporary cohort (HPV 16, 31, 33) and one from the historical cohort (HPV 11). All the cases of OL that transformed into OSCC were HR-HPV-negative, as were the corresponding tumours. CONCLUSIONS In summary, the prevalence of HR-HPV in OL is low in all the tested countries, and the incidence has not changed over time. HR-HPV in OL does not seem to be a driver of oncogenesis.
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Affiliation(s)
- Jonas Sundberg
- Department of Oral Medicine and Pathology, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Jenny Öhman
- Department of Oral Medicine and Pathology, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Magdalena Korytowska
- Clinic of Oral Medicine, Public Dental Service, Region Västra Götaland, NÄL Hospital, Trollhättan, Sweden
| | - Mats Wallström
- Department of Oral and Maxillofacial Surgery, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Göran Kjeller
- Department of Oral and Maxillofacial Surgery, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Maria Andersson
- Department of Infectious Medicine, Institute of Biomedicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Peter Horal
- Department of Infectious Medicine, Institute of Biomedicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Magnus Lindh
- Department of Infectious Medicine, Institute of Biomedicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Daniel Giglio
- Department of Oncology, Institute of Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Anikó Kovács
- Department of Clinical Pathology, Sahlgrenska University Hospital, Gothenburg, Sweden
| | - Lars Sand
- Department of Oral Biology, Faculty of Odontology, University of Oslo, Oslo, Norway
| | - Jan-Michaél Hirsch
- Department of Surgical Sciences, Oral and Maxillofacial Surgery, Uppsala University, Uppsala, Sweden
| | | | | | - Ioanina Parlatescu
- Faculty of Dental Medicine, Oral Pathology Discipline, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
| | - Maria Dobre
- Victor Babes Institute of Pathology, Bucharest, Romania
| | - Mihail-Eugen Hinescu
- Faculty of Dental Medicine, Oral Pathology Discipline, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.,Victor Babes Institute of Pathology, Bucharest, Romania
| | - Paulo Henrique Braz-Silva
- Department of Stomatology, School of Dentistry, University of São Paulo, São Paulo, Brazil.,Laboratory of Virology, School of Medicine, Institute of Tropical Medicine of São Paulo, São Paulo, Brazil
| | - Serban Tovaru
- Faculty of Dental Medicine, Oral Pathology Discipline, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
| | - Bengt Hasséus
- Department of Oral Medicine and Pathology, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.,Clinic of Oral Medicine, Gothenburg, Public Dental Service, Region Västra Götaland, Gothenburg, Sweden
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14
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Parlatescu I, Tovaru M, Nicolae CL, Sfeatcu R, Didilescu AC. Oral health-related quality of life in different clinical forms of oral lichen planus. Clin Oral Investig 2019; 24:301-308. [PMID: 31098713 DOI: 10.1007/s00784-019-02951-8] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2019] [Accepted: 05/03/2019] [Indexed: 12/21/2022]
Abstract
OBJECTIVES The aim of the study was to determine the prevalence of clinical forms in a group of oral lichen planus (OLP) patients and to investigate whether the oral health-related quality of life (OHRQoL) of patients with common clinical OLP forms differs significantly from that of other clinical forms of OLP and healthy patients, respectively. METHODS OHRQoL was assessed using the Romanian version of the short form of the Oral Health Impact Profile (OHIP-14). OLP patients rated the pain they were currently experiencing on a visual analog scale (VAS). Statistics was performed using parametric and non-parametric tests and multiple linear regression. RESULTS Eighty OLP patients and 80 healthy controls were enrolled. The most prevalent OLP clinical form was keratotic form (n = 39, 48.75%, group 1), followed by atrophic (31.25%), erosive-ulcerative (17.5%), and bullous (2.5%) forms, which were included in group 2 (n = 41). The OHRQoL did not differ significantly between group 1 and the other two groups. A negative social impact was reported on psychological discomfort domain for both OLP groups, as compared with healthy controls. VAS scores were significantly associated with OHIP total scores in group 1 (rho = 0.41, n = 39, p = 0.009, Spearman's correlation coefficient). Within the same group, significantly higher OHIP total scores were recorded in patients lacking academic education (p = 0.0086, Mann-Whitney U test). CONCLUSIONS Overall, the most common clinical OLP form did not impact significantly the OHRQoL of OLP patients. CLINICAL RELEVANCE Psychological therapy and meeting the educational needs might improve the OHRQoL of patients with common clinical forms of OLP.
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Affiliation(s)
- Ioanina Parlatescu
- Department of Oral Medicine, Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
| | - Mihaela Tovaru
- Department of Dermatology, Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
| | - Carmen Larisa Nicolae
- Department of Oral Medicine, Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
| | - Ruxandra Sfeatcu
- Department of Oral Health and Community Dentistry, Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Eforiei Street no. 4-6, district 5, 050037, Bucharest, Romania.
| | - Andreea Cristiana Didilescu
- Department of Embryology, Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
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Abstract
There are few reports concerning the potential for clinical application of oxidative stress (OS) and collagen degradation markers in oral lichen planus (OLP) patients. We investigated the possibility of using some disease-related biomarkers in saliva and serum of OLP patients. Our study included 30 patients with OLP and 30 controls. We evaluated serum and salivary OS biomarkers including 8-OHdG, MDA, uric acid, TAC and GPx. We also investigated collagen degradation markers such as CTX I and MMP-8. We found significantly increased salivary levels of MMP-8 and CTX I in the OLP group compared to controls and significant differences between the OLP and control groups in serum and saliva for 8-OHdG, MDA (significantly increased), uric acid, TAC and GPx (significantly reduced). Currently there are no criteria for evaluating which OLP patients have a greater risk of malignant transformation. In addition to clinical surveillance, the serum and salivary biomarkers that we evaluated may be useful biomarkers for monitoring OLP patients in the future.
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Affiliation(s)
- A Totan
- a Biochemistry Department, Faculty of Dental Medicine , University of Medicine Carol Davila , Bucharest , Romania
| | - D Miricescu
- a Biochemistry Department, Faculty of Dental Medicine , University of Medicine Carol Davila , Bucharest , Romania
| | - I Parlatescu
- b Oral Pathology Department, Faculty of Dental Medicine , University of Medicine Carol Davila , Bucharest , Romania
| | - M Mohora
- a Biochemistry Department, Faculty of Dental Medicine , University of Medicine Carol Davila , Bucharest , Romania
| | - M Greabu
- a Biochemistry Department, Faculty of Dental Medicine , University of Medicine Carol Davila , Bucharest , Romania
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Parlatescu I, Gheorghe C, Coculescu E, Tovaru S. Oral leukoplakia - an update. Maedica (Bucur) 2014; 9:88-93. [PMID: 25553134 PMCID: PMC4268300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 01/29/2013] [Accepted: 12/18/2013] [Indexed: 06/04/2023]
Abstract
The main purpose of this paper was to assess the current state of science on oral leukoplakia. Although it is considered a potentially malignant disorder the overall malignant progression of oral leukoplakia is of the order of 5% and even more. Nowadays there are no currently accepted markers to distinguish those that may progress to cancer from those that may not. The current golden standard is considered the presence of epithelial dysplasia on the tissue biopsy of the lesion. Proliferative verrucous leukoplakia is a rare form of OL which has multiple recurrences, is refractory to treatment and has malignant transformation in a short period. It is considered a true premalignant lesion. The management of oral leukoplakia varies from a "wait and see" attitude and topical chemopreventive agents to complete surgical removal.
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Affiliation(s)
- Ioanina Parlatescu
- Faculty of Dentistry, "Carol Davila" University of Medicine and Pharmacy Bucharest, Romania
| | - Carmen Gheorghe
- Faculty of Dentistry, "Carol Davila" University of Medicine and Pharmacy Bucharest, Romania
| | - Elena Coculescu
- Committee of Public Health of the Senate, Bucharest, Romania
| | - Serban Tovaru
- Faculty of Dentistry, "Carol Davila" University of Medicine and Pharmacy Bucharest, Romania
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Gheorghe C, Mihai L, Parlatescu I, Tovaru S. Association of oral lichen planus with chronic C hepatitis. Review of the data in literature. Maedica (Bucur) 2014; 9:98-103. [PMID: 25553136 PMCID: PMC4268302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 04/09/2013] [Accepted: 03/03/2014] [Indexed: 06/04/2023]
Abstract
ABSTRACT The relationship between chronic hepatitis C virus infection (HCV) and oral lichen planus (OLP) is a current topic in the field of oral medicine. Many studies of this association have been made over time. The geographic variation of the hepatitis C prevalence proved to be an important factor influencing the statistical results of the studies analyzing the association of the oral plan lichen with the hepatitis C virus. Approaching this issue is not to be neglected. Treatment outcomes in patients with oral lichen planus associated with chronic hepatitis C virus are often unsatisfactory compared to patients suffering from idiopathic oral lichen planus. Also, the evolution of oral lesions is often fluctuating, with repeated periods of relapse according to the degree of liver function decompensation. Background therapy for liver disease itself may influence lichen planus lesions. Thus, during therapy with interferon and ribavirin oral lesions may appear or become acute.
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Affiliation(s)
- Carmen Gheorghe
- Faculty of Dentistry, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
| | - Lelia Mihai
- Faculty of Dentistry, "Titu Maiorescu" University of Medicine, Bucharest, Romania
| | - Ioanina Parlatescu
- Faculty of Dentistry, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
| | - Serban Tovaru
- Faculty of Dentistry, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
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Tovaru S, Parlatescu I, Gheorghe C, Tovaru M, Costache M, Sardella A. Oral lichen planus: a retrospective study of 633 patients from Bucharest, Romania. Med Oral Patol Oral Cir Bucal 2013; 18:e201-6. [PMID: 23229244 PMCID: PMC3613870 DOI: 10.4317/medoral.18035] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2011] [Accepted: 06/27/2012] [Indexed: 02/03/2023] Open
Abstract
Objective: In this retrospective study, patients’ medical records were reviewed to investigate the profiles of 633 OLP cases in a group of Romania.
Material and Methods: In this retrospective study, the following clinical data were obtained from the medical charts of patients: gender, age, clinical presentation of OLP, site affected, presence of symptoms, extraoral manifestations of lichen planus, presence of systemic diseases, and history of medications.
Results: Most (78.67%) OLP patients were female and the mean age at presentation was 52 years. The white type of the disease (reticular/papular/plaque lesions) was the main form encountered in this sample (48.97%). Among patients with available hepatitis C virus test results, 9.6% were serum-positive. OLP was associated with gallbladder disease (i.e. cholecystitis, cholelithiasis) in 19% of patients. Six patients (0.95%) developed squamous cell carcinoma at a site with confirmed OLP lesions.
Conclusions: To the best of our knowledge, no similar study has been conducted in a Romanian population. The present investigation revealed the predominance of OLP among middle-aged white women and the prevalence of bilateral involvement of the buccal mucosa with reticular white lesions. Anti-HCV circulating antibodies were more common in patients with OLP than in the general population and, notably, OLP was associated with gallbladder disease (cholecystitis, cholelithiasis) in 19% of patients.
Key words:Oral lichen planus, oral mucosal diseases, retrospective study.
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Affiliation(s)
- Serban Tovaru
- Department of Oral Medicine and Oral Pathology, Faculty of Dental Medicine, Carol Davila University of Bucharest, Calea Plevnei. Nr. 19 sector 1, 010221, Bucharest, Romania.
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Tovaru S, Parlatescu I, Tovaru M, Cionca L, Arduino PG. Recurrent intraoral HSV-1 infection: A retrospective study of 58 immunocompetent patients from Eastern Europe. Med Oral Patol Oral Cir Bucal 2011; 16:e163-9. [PMID: 20711124 DOI: 10.4317/medoral.16.e163] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2010] [Accepted: 05/13/2010] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVES To revise the clinical features of the recurrent intraoral herpetic infection (RIOH) with respect to precipitating factors, demographic, clinical features and outcome. STUDY DESIGN Fifty-eight, unrelated Caucasian, immunocompetent patients with positive laboratory test for intraoral Herpes simplex virus infection were studied. RESULTS The mean age in the women's group (n=42) was 41.23 years (± 21.73) and in the men's group was 32.25 years (±15.68). Possible trigger factors were identified in 9 cases (15.5%). General symptoms were noted in 20 cases (34.48%). Most of patients in this study presented multiple lesions. 14 patients had vermillion lesions associated with intraoral lesions. In most of the cases both fixed and mobile mucosa was concomitantly involved. Treatment was prescribed in order to control the symptoms and to shorten the evolution with minimal side effects. CONCLUSIONS Intraoral secondary herpetic infection could be polymorphous and sometimes associated with general symptoms. The recognition of its atypical features may prevent unnecessary and costly investigations and treatments for unrelated though clinically similar-appearing disorders.
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Affiliation(s)
- Serban Tovaru
- Department of Oral Medicine Oral Pathology, Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
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Calenic B, Ishkitiev N, Yaegaki K, Imai T, Costache M, Tovaru M, Tovaru S, Parlatescu I. Characterization of oral keratinocyte stem cells and prospects of its differentiation to oral epithelial equivalents. Rom J Morphol Embryol 2010; 51:641-645. [PMID: 21103620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
OBJECTIVE Although oral keratinocyte stem cells play a key role in tissue homeostasis, wound healing, and neoplasia, they remain difficult to identify and characterize. The specific aim of the present study is to characterize an oral keratinocyte stem-cell population separated using a magnetic technique. MATERIAL AND METHODS Oral human keratinocytes obtained from keratinized oral mucosa were magnetically separated using a proliferation-related marker, CD71 and α6β4 integrin. The expression of different stem cell markers: CD44H, Nestin, Nanog, Oct 3÷4, CD117 was checked by immunofluorescence. The ability of α6β4pos CD71neg fraction to form oral epithelial equivalents was also assayed. RESULTS Three different oral keratinocyte subpopulations were obtained following magnetic separation: α6β4pos CD71neg, α6β4pos CD71pos and α6β4neg. Our α6β4pos CD71neg stem cell fraction was positive for Oct 3÷4, CD44H and cytokeratin 19 while Nanog, Nestin and CD117 expression was absent. At the same time, the other two cell fractions α6β4pos CD71pos and α6β4neg were negative for all stem cell markers. Also, α6β4pos CD71neg fraction was able to regenerate a well stratified and organized oral epithelial equivalent. The distribution of cytokeratin 19 and involucrin in the oral epithelial equivalent reflected the in vivo situation in oral gingival epithelium. CONCLUSIONS The human gingival α6β4pos CD71neg fraction was strongly positive for a panel of stem cell markers and could form oral epithelial equivalent. It is also suggested that a magnetic system may be an important tool in acquiring oral keratinocyte stem cells for research.
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Affiliation(s)
- B Calenic
- Department of Oral Health, Nippon Dental University, Tokyo, Japan
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Tovaru S, Parlatescu I, Tovaru M, Cionca L. Primary herpetic gingivostomatitis in children and adults. Quintessence Int 2009; 40:119-124. [PMID: 19169443] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
OBJECTIVES To investigate if the onset of primary herpetic gingivostomatitis (PHG) is shifting toward an adult age and compare the clinical characteristics of PHG between children and adults. METHOD AND MATERIALS The charts of patients diagnosed with PHG in an oral medicine clinic in Bucharest, Romania, over a 10-year period were revisited. Diagnosis was based on history, clinical data, and laboratory confirmation (Tzanck cytology, polymerase chain reaction [PCR], or immunofluorescence). Seventy-three cases (38 females, 35 males) were included. The age range was between 22 months and 53 years, with a mean age of 18.6 years. All patients were healthy with no suspicion of HIV infection or immunodeficiency. RESULTS Nearly 48% (47.94%) of the sample were in the young adult group. General symptoms (fever, malaise, and lymphadenopathy) were equally present in children and adults. The most involved areas were the gingiva, vermilion border, and tongue. No differences in the extent of lesions were observed between children and adults. Inflammatory gingivitis and pharyngotonsillitis were more frequent in children than in adults although their frequency was less than expected. CONCLUSIONS PHG was more frequently observed in young adults than in children. No significant differences between children and adults in the severity of infection were observed. Most of the patients presented widespread lesions.
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Affiliation(s)
- Serban Tovaru
- Oral Medicine Department, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
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Battino M, Greabu M, Totan A, Bullon P, Bucur A, Tovaru S, Mohora M, Didilescu A, Parlatescu I, Spinu T, Totan C. Oxidative stress markers in oral lichen planus. Biofactors 2008; 33:301-10. [PMID: 19509465 DOI: 10.1002/biof.5520330406] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
Oral lichen planus (OLP) is a relatively common disorder whose cause is still unknown. Oral cancer is preceded in most cases by pre malignant lesions-leukoplasia, submucous fibrosis and lichen planus. Free radicals and reactive oxygen species play important roles in both pathogenesis of lichen planus and carcinogenesis. Thus monitoring systemic and saliva compounds important for the antioxidant defence (oxidative balance) could be important for the clinician's treatment strategy. Thorough medical management and early active treatment are necessary to improve symptoms and might also be a relevant prevention strategy from squamous cell carcinoma risk, although data to fully support this statement still need investigation. The principal aim of this study was to determine the systemic uric acid, GGT, and albumin levels as well as the levels of uric acid and albumin in 20 patients diagnosed with lichen planus and 20 controls. Extensive medline search failed to reveal any study of this type. Our results showed a significant decrease of saliva (p < 0.005) uric acid and an increase in serum gamma glutamyl transpherase (GGT) (p < 0.01) as well as in the total antioxidant capacity of saliva in patient group with respect to the control one. The preliminary conclusion of our study is that uric acid, the most important salivary antioxidant and GGT could be considered in the future as useful markers of oxidative stress for elaboration of treatment strategy and monitoring.
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Affiliation(s)
- M Battino
- Department of Biochemistry, Faculty of Medicine, Università Politecnica delle Marche, Ancona, Italy.
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