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Avaliação e caracterização da mucosa edêntula na clínica dentária universitária Egas Moniz na consulta de reabilitação oral
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Resumo(s)
Objetivos: Descrever o perfil epidemiológico do tipo de edentulismo nos pacientes avaliados na Unidade Curricular de Clínica de Reabilitação Oral I, II e III na Clínica Dentária Universitária Egas Moniz e estabelecer a sua relação com a morfologia gengival e variáveis específicas do paciente.
Materiais e Métodos: Dos 59.500 processos clínicos disponíveis na CDUEM foram avaliados 1411 processos que após aplicados os critérios de inclusão e exclusão passaram a 487 processos de doentes usados para a amostra, que frequentaram a consulta de Reabilitação Oral I, II e III da CDUEM, durante o período compreendido entre Outubro de 2023 e Abril de 2025. As informações, devidamente anonimizadas, foram recolhidas a partir das histórias clínicas elaboradas no âmbito das referidas Unidades Curriculares
sendo caracterizados pelas seguintes variáveis: idade, sexo, tipo de edentulismo da Maxila e Mandíbula, freios, mucosa, forma e tamanho da língua, fazendo uma análise estatística e descritiva de todos os dados recolhidos.
Resultados: A amostra incluiu 48% doentes do sexo masculino e 52% do sexo feminino, com uma média de idades de 61 anos. A Classe III de Kennedy foi a mais prevalente na maxila (≈39%) e a Classe I na mandíbula (≈35%). O tipo de mucosa mais frequente foi a firme (≈83%). A maioria dos freios apresentou inserção normal e dimensão considerada normal. A língua mostrou morfologia normal em mais de 90% dos casos, com macroglossia registada em cerca de 6%. As alterações mucosas foram pouco prevalentes, destacando-se casos isolados de estomatite protética e epúlides.
Conclusões: Os resultados indicam que a população estudada apresenta predominantemente mucosa firme e edentulismo posterior, refletindo padrões típicos de perda dentária em adultos. A caracterização obtida fornece informações relevantes para o planeamento das reabilitações orais removíveis e reforça a importância da avaliação individual dos tecidos de suporte.
Objectives: This study aimed to describe the epidemiological profile of edentulism in patients assessed in the Oral Rehabilitation Clinic I, II and III of the Egas Moniz University Dental Clinic (CDUEM) and to establish its relationship with gingival morphology and other patient‑specific variables. Materials and Methods: Out of 59,500 clinical records available at the CDUEM, 1,411 records were initially evaluated. After applying inclusion and exclusion criteria, the final sample comprised 487 patient records from individuals who attended the Oral Rehabilitation Clinic I, II and III of CDUEM during the period from October 2023 to April 2025. The anonymized information was extracted from the clinical histories compiled for these curricular units. The variables characterized were: age, sex, type of edentulism in the maxilla and mandible, frenula, mucosa, shape and size of the tongue, making a descriptive and statistical analysis of all collected data was then carried out. Results: The sample included 48 % male and 52 % female patients, with a mean age of 61 years. In the maxilla, Kennedy Class III was the most prevalent (≈ 39 %), and in the mandible, Kennedy Class I predominated (≈ 35 %). The most frequent mucosal type was firm mucosa (≈ 83 %). The majority of frenula exhibited normal insertion and were of normal dimension. The tongue displayed normal morphology in over 90 % of cases, with macroglossia noted in approximately 6 %. Mucosal alterations were infrequent, with isolated cases of prosthetic stomatitis and epúlides. Conclusions: The results indicate that the studied population predominantly presents with firm mucosa and posterior edentulism, reflecting typical patterns of tooth loss in adults. The obtained characterization provides relevant information for planning removable oral rehabilitations and reinforces the importance of individual evaluation of the supporting tissues.
Objectives: This study aimed to describe the epidemiological profile of edentulism in patients assessed in the Oral Rehabilitation Clinic I, II and III of the Egas Moniz University Dental Clinic (CDUEM) and to establish its relationship with gingival morphology and other patient‑specific variables. Materials and Methods: Out of 59,500 clinical records available at the CDUEM, 1,411 records were initially evaluated. After applying inclusion and exclusion criteria, the final sample comprised 487 patient records from individuals who attended the Oral Rehabilitation Clinic I, II and III of CDUEM during the period from October 2023 to April 2025. The anonymized information was extracted from the clinical histories compiled for these curricular units. The variables characterized were: age, sex, type of edentulism in the maxilla and mandible, frenula, mucosa, shape and size of the tongue, making a descriptive and statistical analysis of all collected data was then carried out. Results: The sample included 48 % male and 52 % female patients, with a mean age of 61 years. In the maxilla, Kennedy Class III was the most prevalent (≈ 39 %), and in the mandible, Kennedy Class I predominated (≈ 35 %). The most frequent mucosal type was firm mucosa (≈ 83 %). The majority of frenula exhibited normal insertion and were of normal dimension. The tongue displayed normal morphology in over 90 % of cases, with macroglossia noted in approximately 6 %. Mucosal alterations were infrequent, with isolated cases of prosthetic stomatitis and epúlides. Conclusions: The results indicate that the studied population predominantly presents with firm mucosa and posterior edentulism, reflecting typical patterns of tooth loss in adults. The obtained characterization provides relevant information for planning removable oral rehabilitations and reinforces the importance of individual evaluation of the supporting tissues.
Descrição
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Palavras-chave
Edentulismo Mucosa Freios Língua