People would rather see a physician than a dentist when experiencing a long-standing oral ulceration. A population-based study in Spain

  1. Pablo Ignacio Varela Centelles 1
  2. Juan Seoane 2
  3. Yaima Ulloa-Morales 2
  4. Ana Estany Gestal 3
  5. Andrés Blanco-Hortas 3
  6. María José García Pola 4
  7. Juan M. Seoane Romero 4
  1. 1 Praza do Ferrol Health Centre, EOXI Lugo, Cervo e Monforte, Galician Health Service, Spain
  2. 2 Department of Surgery and Medical-Surgical Specialities, School of Medicine and Dentistry, University of Santiago de Compostela, Spain
  3. 3 Unit of Methodology of the Research, Health Research Institute of Santiago de Compostela, Spain. Lugo University Hospital, Spain
  4. 4 Department of Surgery and Medical-Surgical Specialities, School of Medicine and Health Sciences, University of Oviedo, Spain
Medicina oral, patología oral y cirugía bucal. Ed. inglesa

ISSN: 1698-6946

Ano de publicación: 2020

Volume: 25

Número: 4

Páxinas: 16

Tipo: Artigo

DOI: 10.4317/MEDORAL.23292 DIALNET GOOGLE SCHOLAR lock_openAcceso aberto editor

Outras publicacións en: Medicina oral, patología oral y cirugía bucal. Ed. inglesa

Objetivos de desarrollo sostenible


Primary care physicians have been reported to be the first choice for patients with oral ulcerations. This study investigates the health-seeking behaviour of lay public in Galicia (North-western Spain) if experiencing a long-standing oral ulceration. Cross-sectional population-based survey of randomly selected respondents conducted from March 1, 2015 to 30 June 2016. A total of 5,727 pedestrians entered the study (response rate: 53%), mostly in the 45-64 age group (30.2%; n=1,728), 47.7% of them (n=2,729) were males. Most participants (42.1%; n=2,411) reported to visit their dentist once a year and had secondary or compulsory education as their highest educational achievement (28.18%, n=1,614; 28%, n=1,600 respectively). When questioned what they would do if they had a wound/ulceration lasting longer than 3 weeks, most participants answered they would go to see their primary care physician (62.8%; n=3,597) and less than one quarter of the sample (23.8%; n=1,371) would seek consultation with their dentist. General Galician population would seek professional consultation about a long-standing oral ulceration, relying mostly on primary care physicians. Those neglecting these lesions are elderly, less-schooled people and unaware of oral cancer.

Referencias bibliográficas

  • Shield, KD,Ferlay, J,Jemal, A,Sankaranarayanan, R,Chaturvedi, AK,Bray, F. (2017). The global incidence of lip, oral cavity, and pharyngeal cancers by subsite in 2012. CA Cancer J Clin. 67. 51-64
  • Ghantous, Y,Yaffi, V,Abu-Elnaaj, I. (2015). Oral cavity cancer: epidemiology and early diagnosis. Refuat Hapeh Vehashinayim. 32. 55-63
  • Gómez, I,Seoane, J,Varela-Centelles, P,Diz, P,Takkouche, B. (2009). Is diagnostic delay related to advanced-stage oral cancer? A meta-analysis. J Oral Sci. 117. 541
  • Seoane, J,Takkouche, B,Varela-Centelles, P,Tomás, I,Seoane-Romero, JM. (2012). Impact of delay in diagnosis on survival to head and neck carcinomas: a systematic review with meta-analysis. Clin Otolaryngol. 37. 99-106
  • Weller, D,Vedsted, P,Rubin, G,Walter, FM,Emery, J,Scott, S. (2012). The Aarhus statement: improving design and reporting of studies on early cancer diagnosis. Br J Cancer. 106. 1262
  • Tikka, T,Pracy, P,Paleri, V. (2016). Refining the head and neck cancer referral guidelines: a two-centre analysis of 4715 referrals. Br J Oral Maxillofac Surg. 54. 141
  • Rogers, SN,Hunter, R,Lowe, D. (2011). Awareness of oral cancer in the Mersey region. Br J Oral Maxillofac Surg. 49. 176
  • Husain, FA,Tatengkeng, F. (2017). Oral Health-Related Quality of Life Appraised by OHIP-14 Between Urban and Rural Areas in Kutai Kartanegara Regency, Indonesia: Pilot Pathfinder Survey. Open Dent J. 11. 557
  • Vandenbroucke, JP,Von Elm, E,Altman, DG,Gøtzsche, PC,Mulrow, CD,Pocock, SJ. (2009). Strengthening the reporting of observational studies in epidemiology (STROBE): explanation and elaboration. Gac Sanit. 23. 158
  • Hertrampf, K,Wenz, HJ,Koller, M,Wiltfang, J. (2012). Public awareness about prevention and early detection of oral cancer: A population-based study in Northern Germany. J Craniomaxillofac Surg. 40. 82
  • Santos, LC,Batista Ode, M,Cangussu, MC. (2010). Characterization of oral cancer diagnostic delay in the state of Alagoas. Braz J Otorhinolaryngol. 76. 416
  • Protheroe, J,Whittle, R,Bartlam, B,Estacio, EV,Clark, L,Kurth, J. (2017). Health literacy, associated lifestyle and demographic factors in adult population of an English city: a cross-sectional survey. Health Expect. 20. 112
  • Scott, SE,Grunfeld, EA,Auyeung, V,McGurk, M. (2009). Barriers and triggers to seeking help for potentially malignant oral symptoms: implications for interventions. J Public Health Dent. 69. 34-40
  • Seoane-Romero, JM,Vázquez-Mahía, I,Seoane, J,Varela-Centelles, P,Tomás, I,López-Cedrún, JL. (2012). Factors related to late stage diagnosis of oral squamous cell carcinoma. Med Oral Patol Oral Cir Bucal. 17. 35-40
  • Pentenero, M,Broccoletti, R,Carbone, M,Conrotto, D,Gandolfo, S. (2008). The prevalence of oral mucosal lesions in adults from the Turin area. Oral Dis. 14. 356
  • García-Pola Vallejo, MJ,Martínez Díaz-Canel, AI,García Martín, JM,González García, M. (2002). Risk factors for oral soft tissue lesions in an adult Spanish population. Community Dent Oral Epidemiol. 30. 277
  • Scully, C,Shotts, R. (2000). ABC of oral health. Mouth ulcers and other causes of orofacial soreness and pain. BMJ. 321. 162
  • Gill, Y,Scully, C. (2007). Mouth ulcers: a study of where members of the general public might seek advice. Br Dent J. 202. 328
  • Kerdpon, D,Sriplung, H. (2001). Factors related to advanced stage oral squamous cell carcinoma in southern Thailand. Oral Oncol. 37. 216
  • Grafton-Clarke, C,Chen, KW,Wilcock, J. (2019). Diagnosis and referral delays in primary care for oral squamous cell cancer: a systematic review. Br J Gen Pract. 69. 112
  • Onizawa, K,Nishihara, K,Yamagata, K,Yusa, H,Yanagawa, T,Yoshida, H. (2003). Factors associated with diagnostic delay of oral squamous cell carcinoma. Oral Oncol. 39. 781
  • Bravo, M,San Martín, L,Casals, E,Eaton, KA,Widström, E. (2015). The healthcare system and the provision of oral healthcare in the European Union member states. Part 2: Spain. Br Dent J. 219. 547
  • Gómez, I,Warnakulasuriya, S,Varela-Centelles, PI,López-Jornet, P,Suárez-Cunqueiro, M,Diz-Dios, P. (2010). Is early diagnosis of oral cancer a feasible objective? Who is to blame for diagnostic delay?. Oral Dis. 16. 333
  • Carter, LM,Ogden, GR. (2007). Oral cancer awareness of general medical and general dental practitioners. Br Dent J. 203. 10
  • Varela-Centelles, P,Pedrosa, R,Lopez-Niño, J,Sánchez, M,Gonzalez-Mosquera, A,Mendez, A. (2012). Oral cancer awareness at chemist's and herbalist's shops: new targets for educational interventions to prevent diagnostic delay. Oral Oncol. 48. 1272
  • Rogers, SN,Vedpathak, SV,Lowe, D. (2011). Reasons for delayed presentation in oral and oropharyngeal cancer: the patients' perspective. Br J Oral Maxillofac Surg. 49. 349
  • Seoane-Lestón, J,Velo-Noya, J,Warnakulasuriya, S,Varela-Centelles, P,Gonzalez-Mosquera, A,Villa-Vigil, MA. (2010). Knowledge of oral cancer and preventive attitudes of Spanish dentists. Primary effects of a pilot educational intervention. Med Oral Patol Oral Cir Bucal. 15. 422
  • Shimpi, N,Jethwani, M,Bharatkumar, A,Chyou, PH,Glurich, I,Acharya, A. (2018). Patient awareness/knowledge towards oral cancer: a cross-sectional survey. BMC Oral Health. 18. 86