The Occurrence of Potentially Malignant Disorders in the Oral Cavity: A Survey from Bagru-Khurd of Rural Jaipur, Rajasthan

Acharya Siddharth, PG¹; N. Anup, PhD¹; Binjoo Nagesh, PhD²; Bhargava Puneet³; Shwkhawat Chandni º; Handa Roopika".

¹Jaipur Dental College, Jaipur,Rajasthan; ²Rajasthan Dental College & Hospital, Jaipur, Rajasthan; ³NIMS Dental College & Hospital, Jaipur, Rajasthan; ºGovernment Dental College, Jaipur, Rajasthan; "M. M. College of Dental Sciences and Research, Maullana, Ambala, Haryana, Rajasthan

*Corresponding author: Dr. Siddharth Acharya. 92/174 Aggarwal Farm, Mansarovar, Jaipur 302020. E-mail : siddharth.acharya@gmail.com

Published: March 25, 2014.

Abstract: 

Background: India accounts for about 33% of the world’s oral cancer as a result of the prevailing unhealthy oral hygiene and detrimental oral habits, such as the consumption of smoked or smokeless tobacco.

The objective of this study is to determine the occurrence of premalignant lesions and conditions in the oral cavity among the different age groups and gender in the Bagru-Khurd region of rural Jaipur (Rajasthan) and to assess the degree of awareness of the ill–effects of consuming smoked or smokeless tobacco.

Material and Methods: In this study 114 patients presenting premalignant lesions or conditions were included. They had been reported in the OPD records of the Rajasthan Dental College and Hospital.

Results: Predominantly potentially malignant disorders were observed within the age group of 30-60 years, among which smoker’s palate lesions were most predominant. Besides, Leukoplakia and Tobacco pouch keratosis were also presented in some. Oral Submucous Fibrosis (OSF) and smoker’s melanosis as premalignant conditions were presented in a few.

Conclusion: Although the elderly and most women were aware of the ill-effects of tobacco consumption, several patients were unaware.

Keywords: 
potentially malignant disorder; oral submoucus fibrosis; leukoplakia smoker's palate; tobacco pouch keratosis.
References: 
  1. Dhami, Harneeta; Ghaffar, Ayesha; Ghafur, Bushra; Javaid, Khadija. A profile of the premalignant and malignant lesions/conditions in Chennai. 2006-01-23.  http://hdl.handle.net/1905/497
  2.  Bouquot JE. Oral premalgnancy; critical analysis and review. The Maxillofacial Centre for Diagnostics & Research. [Cited 2011 Nov 3]. Available from: www.maxillofacialcenter.com/precancerSpeight97.html
  3. Nair U, Bartsch H, Nair J. Alert for an epidemic of oral cancer due to use of the betel quid substitutes gutkha and pan masala: a review of agents and causative mechanisms. Mutagenesis 2004 ; 19(4):251-62.
  4. Mendes SF, Ramos GO, Rivero ERC, Modolo F, Grando LJ, Meurer MI. Techniques for Precancerous Lesion Diagnosis. Journal of Oncology 2011; 2011: Article ID 326094.
  5. To study prevalence of precancerous lesions of the oral cavity and their association with areca nut and non-tobacco pan masala conforming areca nut in North Eastern states. WHO. [Cited 2011 Nov 5]. Available from: ftp://203.90.70.117/searoftp/WROIND/whoindia/linkfiles/Health_&_Environm...
  6. Neville BW, Day T A. Oral cancer and precancerous lesions. CA Cancer J Clin. 2002; 52(4):195-215.
  7. Warnakulasuriya S, Johnson NW, van der Waal I. Nomenclature and classification of potentially malignant disorders of the oral mucosa. J Oral Pathol Med. 2007; 36(10):575-80.
  8. George A, Sreenivasan BS, Sunil S, Varghese SS, Thomas J, Gopakumar D, Mani V. Potentially malignant disorders of oral cavity. J Oral Maxillofac Pathol  2011 ; 2(1):95-100.

The fully formatted PDF version is available.

Download Article

Int J Biomed. 2014; 4(1):11-14. © 2014 International Medical Research and Development Corporation. All rights reserved.