Exposição solar e risco ocupacional: relação entre carcinoma de células escamosas em lábio, queilite actínia e displasia epitelial oral em militares e dependentes

Abstract

Military personnel are considered an occupational risk group for the development of actinic cheilitis (AC) and lip squamous cell carcinoma (LSCC), due to the performance of duties outdoors under constant exposure to ultraviolet (UV) solar rays, which is the main risk factor for these diseases. This study aims to evaluate the relationship between AC and LSCC, associating the presence and degree of severity of oral epithelial dysplasia (OED) with the occupational factor in military personnel and dependents, evaluating the flow of referrals to the Stomatology Clinic of Odontoclínica Central da Marinha (OCM). A retrospective study was carried out on cases of AC or LSCC diagnosed between 2011 and 2023 in the OCM and the variables collected were: sociodemographic, occupational, history of sun exposure, military activity, affected anatomical area, presence and degree of OED, origin of the forwarding. The sample consisted of 89 (91.8%) cases of AC and 8 (8.2%) LSCC. The military personnel represented 83.1% of the AC cases and 75% of LSCC. As for origin, 83.1% of the AC and 62.5% of LSCC came from internal referrals, from the Military Organization itself. OED was present in 72% of the AC, with no statistically significant association between occupational exposure and the presence and severity of OED. Two cases of LSCC had reports of previous AC. This study corroborates data from the literature and demonstrates the importance of military dentists in the prevention and treatment of diseases with oral occupational risk in the Armed Forces.