DIAGNOSIS OF ORAL LESIONS IN AN UNIVERSITY HOSPITAL - A CLINICAL AND HISTOPATHOLOGICAL STUDY
DOI:
https://doi.org/10.36557/2674-9432.2026v5n4p113-130Keywords:
Stomatology; Oral Pathology; Hospital Dentistry; Oral Diagnosis.Abstract
Oral lesions constitute a heterogeneous group of alterations that affect the tissues of the oral cavity and may represent local or systemic, benign or malignant manifestations. An interprofessional stomatology clinic is a clinical space that brings together an interdisciplinary health team to provide care to patients with oral lesions. This research aimed to identify the prevalence of oral pathologies diagnosed in the Stomatology and Histopathology services of a university hospital in the city of Natal. Clinical care provided at the Interprofessional Stomatology Clinic from March 2024 to September 2025 and histopathological reports issued by the Anatomopathology Laboratory between January 2020 and September 2025 were analyzed. The analysis revealed a predominance of females in both databases. In the stomatology clinic, the most frequent age range was 50 to 59 years; Benign and reactive lesions were more common, especially fibrous hyperplasia and mucocele, and there was good agreement between clinical and histopathological diagnoses (Kappa = 0.71). Data obtained from histopathological reports showed a predominance of ages between 60 and 69 years, with a higher occurrence of malignant lesions, mainly squamous cell carcinoma, and low/moderate agreement between clinical and histopathological diagnoses (Kappa = 0.35). The presence of a dentist in the interprofessional team significantly increased clinical diagnostic accuracy. The outpatient clinic proves to be a strategic space for oral diagnosis and the strengthening of the medical-dental interaction.
Downloads
References
1. Dogenski LC, Trentin MS, Linden MSS, Pedro REL, Carli JPD. Alterações estomatológicas mais frequentes e seu processo diagnóstico - revisão de literatura. Salusvita. 2019;38(2):423-41.
2. Zahid E, Bhatti O, Zahid MA, Stubbs M. Overview of common oral lesions. Malays Fam Physician. 2022;17(3):9–21. DOI: https://doi.org/10.51866/rv.37.
3. Meneses GDS, Borges MÉS, Santos NRFM, Paulo IRDS, Andrade AMA, Leal ES. Saúde bucal de pacientes internados e a importância do cirurgião dentista em ambiente hospitalar. RGO. 2024;72:e20240025. DOI: 10.1590/1981-86372024002520230120.
4. Capodiferro S, Limongelli L, Favia G. Oral and Maxillo-Facial Manifestations of Systemic Diseases: An Overview. Medicina. 2021;57(3):271. DOI:10.3390/medicina57030271
5. BRASIL. CONSELHO FEDERAL DE ODONTOLOGIA. Resolução CFO-SEC-262. 2024. Disponível em: https://transparencia.cfo.org.br/ato-normativo/?id=3995. Acessado em: 10/02/26.
6. Rebello CA, Almeida TDS, Da Silva Costa G, Ferreira APS, Pereira RH, Lemos DMP, et al. Odontologia Hospitalar nos cuidados humanizados na UTI. Braz J Implantol Health Sci. 2025;7(5):837–51. DOI:10.36557/2674-8169.2025v7n5p837-851
7. Neville BW, Damm DD, Allen CM, Bouquot JE, organizadores. Oral and maxillofacial pathology. 3. ed. St. Louis, Mo: Saunders/Elsevier; 2009. 968 p.
8. Thanmai JV, Ramlal G, Tejaswi K, Mounica IL. Pemphigus vulgaris: a case report. Pan Afr Med J. 2022;42:184. DOI:10.11604/pamj.2022.42.184.34184.
9. Almeida IFB, Oliveira SS, Freitas KS, Câncio AV, Oliveira MC. Perfil epidemiológico e social com desordens orais potencialmente malignas. Interf Cient Saúde Amb. 2024;9(3):864–78. DOI:10.17564/2316-3798.2024v9n3p864-878.
10. Silva SGND, Fragoso LSDM, Santos LCOD, Lins IMN, Santos NNFD, Souza CDS. Perfil epidemiológico de indivíduos rastreados para câncer de boca e lábio. Rev Pol Púb & Cid. 2025;14(7):e2241. DOI:10.23900/2359-1552v14n7-67-2025.
11. Dutra KL, Longo L, Grando LJ, Rivero ERC. Incidence of reactive hyperplastic lesions in the oral cavity: a 10 year retrospective study in Santa Catarina, Brazil. Braz J Otorhinolaryngol. 2019;85(4):399–407. DOI:10.1016/j.bjorl.2018.03.006.
12. Silva LP, Leite RB, Sobral APV, Arruda JA, Oliveira LV, Noronha MS, et al. Oral and maxillofacial lesions diagnosed in older people of a brazilian population: a multicentric study. J Am Geriatr Soc. 2017;65(7):1586–90. DOI:10.1111/jgs.14815.
13. Dhanuthai K, Rojanawatsirivej S, Somkotra T, Shin H, Hong S, Darling M, et al. Geriatric oral lesions: A multicentric study. Geriatr Gerontol Int. 2016;16(2):237–43. DOI:10.1111/ggi.12458
14. Maleki-Fischbach M, Kastsianok L, Koslow M, Chan ED. Manifestations and management of Sjögren’s disease. Arthritis Res Ther. 2024;26(1):43. DOI:10.1186/s13075-024-03262-4
15. Shiboski CH, Shiboski SC, Seror R, Criswell LA, Labetoulle M, Lietman TM, et al. 2016 American College of Rheumatology/European League against rheumatism classification criteria for Primary Sjögren’s Syndrome: a consensus and data‐driven methodology involving three international patient cohorts. Arthritis Rheumatol. 2017;69(1):35–45. DOI:10.1002/art.39859.
16. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33(1):159–74.
17. Souza JGS, Soares LA, Moreira G. Concordância entre os diagnósticos clínico e histopatológico de lesões bucais diagnosticadas em Clínica Universitária. Rev Odontol UNESP. 2014;43(1):30–5. DOI:10.1590/S1807-25772014000100005
18. Andrade-Losso RM, Marques LC, Cunha JDM, Antonio M, Silami NC, Azevedo ABD. Sun exposure and occupational risk: relationship among squamous cell carcinoma of the lip, actinic cheilitis and oral epithelial dysplasia in military and their relatives. Rev Nav Odontol. 2024;51(1).
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Ana Beatriz Pinheiro Cruz Lopes , Joabe Santos Pereira, Maiara Moraes, José Diniz Júnior, Danielle Albuquerque Pires Rocha
This work is licensed under a Creative Commons Attribution 4.0 International License.
Você tem o direito de:
- Compartilhar — copiar e redistribuir o material em qualquer suporte ou formato para qualquer fim, mesmo que comercial.
- Adaptar — remixar, transformar, e criar a partir do material para qualquer fim, mesmo que comercial.
- O licenciante não pode revogar estes direitos desde que você respeite os termos da licença.
De acordo com os termos seguintes:
- Atribuição — Você deve dar o crédito apropriado , prover um link para a licença e indicar se mudanças foram feitas . Você deve fazê-lo em qualquer circunstância razoável, mas de nenhuma maneira que sugira que o licenciante apoia você ou o seu uso.
- Sem restrições adicionais — Você não pode aplicar termos jurídicos ou medidas de caráter tecnológico que restrinjam legalmente outros de fazerem algo que a licença permita.
