Introduction: Sublingual varices (SLVs) are among the most prevalent oral lesions, which develop with aging. We aimed to find the prevalence of SLVs among seniors in two nursing homes and evaluate the possible linked factors. Materials and Methods: This descriptive cross-sectional study was carried out at Kahrizak Alborz and razy allah razi Al-Waledain nursing homes in 2019. The list of all seniors over 60 years old was prepared then; after explaining the aim of the study and obtaining their consent, a well-trained senior dentistry student examined them for the presence of SLVs. At the same time, factors, including age, gender, smoking, oral prosthesis, leg varices, high blood pressure, and literacy level, were recorded. The role of each feature was analyzed by Chi-square test using SPSS (version 22; SPSS Inc., Chicago, IL, USA). Results: The study performed on 478 nursing home residents showed an SLVs' prevalence of 56.7% (95% confidence interval (CI): 52.3- 60). SLVs were significantly correlated with gender (P<0.001), age P<0.01), smoking status (P<0.001), complete denture usage (P<0.01), and leg varicosity status (P<0.0001). Conclusions: It appears that SLVs are highly prevalent in senior adults. Therefore, clinicians should be aware of the possible presence of SLVs and avoid unnecessary interventions.
Eguchi M, Shigematsu H, Oku Y, Kikuchi K, Okada M, Sakashita H. A case of a large thrombosed lingual varix. J Oral Maxillofac Surgery, Med Pathol. 2019;31(3):180–4.
Akkaya N, Ölmez D, Özkan G. Evaluation of the factors associated with sublingual varices: a descriptive clinical study. Folia Morphol (Warsz). 2019;78(2):325–30.
Hedström L, Bergh H. Sublingual varices in relation to smoking and cardiovascular diseases. Br J Oral Maxillofac Surg. 2010 Mar;48(2):136–8.
Al-Shayyab MH, Baqain ZH. Sublingual varices in relation to smoking, cardiovascular diseases, denture wearing, and consuming vitamin rich foods. Saudi Med J. 2015;36(3):310.
Jeffey G, Abhishek S, Ayyappan G, Sandesh K, Ramachandran TM. Bleeding lingual varix in a patient with cirrhosis. Trop Gastroenterol. 2015;35(3):193–5.
Capodiferro S, Limongelli L, Tempesta A, Maiorano E, Favia G. Diode laser photocoagulation of sublingual varices in 706 patients on antithrombotic therapy without drug discontinuation. Ann Ital Chir. 2020;91(1):100–4.
Barzideh N, Alaee A, Azizi A. The Relationship between Smoking and Sublingual Varices in the Elderly. Oman Med J. 2021 Jul;36(4):e288.
Kovac-Kovacic M, Skaleric U. The prevalence of oral mucosal lesions in a population in Ljubljana, Slovenia. J oral Pathol Med Off Publ Int Assoc Oral Pathol Am Acad Oral Pathol. 2000 Aug;29(7):331–5.
Hedström L, Albrektsson M, Bergh H. Is there a connection between sublingual varices and hypertension? BMC Oral Health. 2015;15(1):1–6.
Duarte NT, de Oliveira Godoy A, da Rocha Tenório J, Andrade NS, Franco JB, Pérez-Sayáns M, et al. Prevalence of sublingual varices in patients with cirrhosis and the correlation with nitrogen compounds. Oral Surg Oral Med Oral Pathol Oral Radiol. 2020;129(1):39–44.
Dadkhahan HN, Alaee A, Lavaf S. Investigating the relation between removable denture prosthesis and sublingual varices. Res Bull Med Sci. 2020;25(1):e17–e17.
Carpentier PH, Maricq HR, Biro C, Ponçot-Makinen CO, Franco A. Prevalence, risk factors, and clinical patterns of chronic venous disorders of lower limbs: a population-based study in France. J Vasc Surg. 2004 Oct;40(4):650–9.
Ettinger RL, Manderson RD. A clinical study of sublingual varices. Oral Surgery, Oral Med Oral Pathol. 1974;38(4):540–5.
Razak PA, Richard KMJ, Thankachan RP, Hafiz KAA, Kumar KN, Sameer KM. Geriatric oral health: a review article. J Int oral Heal JIOH [Internet]. 2014;6(6):110–6. Available from: https://pubmed. ncbi. nlm.nih.gov/25628498
Jafari A, Alaee A, Ghods K. The etiologies and considerations of dysgeusia: A review of literature. J Oral Biosci. 2021 Dec 1;63(4):319–26.
Shet RGK, Shetty SR, Kalavath M, Naveen Kumar M, Yadav RD, Soumya S. A study to evaluate the frequency and association of various mucosal conditions among geriatric patients. J Contemp Dent Pract. 2013;14(5):904–10.
Lamster IB, Asadourian L, Del Carmen T, Friedman PK. The aging mouth: differentiating normal aging from disease. Periodontol 2000 [Internet]. 2016 Oct 1 [cited 2021 Dec 2];72(1):96–107. Available from: https://pubmed.ncbi. nlm.nih. gov/ 27501493/
Mozafari PM, Dalirsani Z, Delavarian Z, Amirchaghmaghi M, Shakeri MT, Esfandyari A, et al. Prevalence of oral mucosal lesions in institutionalized elderly people in Mashhad, Northeast Iran. Gerodontology. 2012 Jun;29(2):1–5.
Rabiei M, Kasemnezhad E, Masoudi rad H, Shakiba M, Pourkay H. Prevalence of oral and dental disorders in institutionalised elderly people in Rasht, Iran. Gerodontology. 2010 Sep;27(3):174–7.
Dyasanoor S, Saddu SC. Association of Xerostomia and Assessment of Salivary Flow Using Modified Schirmer Test among Smokers and Healthy Individuals: A Preliminutesary Study. J Clin Diagn Res [Internet]. 2014/01/12. 2014 Jan;8(1):211–3. Available from: https://pubmed.ncbi.nlm. nih. gov/ 24596777
Little JW, Miller CS, Rhodus NL, Preceded by: Little JW. Little and Falace’s dental management of the medically compromised patient. :675.
Owlia F, Ahadian H, Rustaei zadeh Z, Bahadori L. The Prevalence of Oral Lesion among Elderly in Yazd Province Nursing Homes in 2014. J Heal [Internet]. 2017 [cited 2021 Nov 27];8(3):321–7. Available from: http://healthjournal.arums.ac. ir/article-1-1252-en.html
Lynge Pedersen AM, Nauntofte B, Smidt D, Torpet LA. Oral mucosal lesions in older people: relation to salivary secretion, systemic diseases and medications. Oral Dis [Internet]. 2015 Sep 1 [cited 2021 Dec 2];21(6):721–9. Available from: https:// pubmed. ncbi.nlm.nih.gov/25754744/
Molania T, Mousavi J, Ahangari M, Salehi M. Prevalence of Oral Mucosal Lesions in Nursing Home Residents. J Maz Univ Med Sci [Internet]. 2016 [cited 2021 Nov 27];26(137):73–81. Available from: http://jmums.mazums.ac.ir/article-1-7696-en.html
Demirel BG, Koca R, Tekin NS, Erdem D. Is Caviar Disease (Sublingual Varices) Associated with Trauma. Oral Health Dent Manag. 2016;2016.
Ghods K, Alaee A. The importance of oral health in the elderly and adolescents covered by nursing homes. J Res Dent Sci [Internet]. 2021 Mar 1 [cited 2021 Dec 1];18(1):1–4. Available from: http://jrds.ir/ article-1-1190-en.html
Jafari, A., Alaee, A., Rezai, M., & Masoudi, M. (2022). Evaluation of Sublingual Varices Prevalence and Its Respective Factors in Two Iranian Nursing Homes in 2019. Iranian Journal of Otorhinolaryngology, 34(4), 165-169. doi: 10.22038/ijorl.2022.63364.3170
MLA
Aryan Jafari; Arezoo Alaee; Massoud Rezai; Mahdi Masoudi. "Evaluation of Sublingual Varices Prevalence and Its Respective Factors in Two Iranian Nursing Homes in 2019", Iranian Journal of Otorhinolaryngology, 34, 4, 2022, 165-169. doi: 10.22038/ijorl.2022.63364.3170
HARVARD
Jafari, A., Alaee, A., Rezai, M., Masoudi, M. (2022). 'Evaluation of Sublingual Varices Prevalence and Its Respective Factors in Two Iranian Nursing Homes in 2019', Iranian Journal of Otorhinolaryngology, 34(4), pp. 165-169. doi: 10.22038/ijorl.2022.63364.3170
VANCOUVER
Jafari, A., Alaee, A., Rezai, M., Masoudi, M. Evaluation of Sublingual Varices Prevalence and Its Respective Factors in Two Iranian Nursing Homes in 2019. Iranian Journal of Otorhinolaryngology, 2022; 34(4): 165-169. doi: 10.22038/ijorl.2022.63364.3170