DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20203577

Prevalence of oral mucosal lesions in a tertiary care centre: one-year prospective study

Smruti Milan Tripathy, Poonji Gupta, Akshay Jain, Probal Chatterji

Abstract


Background: Lesions of the oral cavity are very common among the general population and account for a significant number of patients in the outpatient department of otorhinolaryngology. The lesions of oral cavity can cause varied symptoms like pain, dysphagia, and difficulty in speaking. The lesions can range from simple benign conditions to life threatening malignancies.

Methods: This study was conducted in the department of otorhinolaryngology, Teerthanker Mahaveer Medical College and Research Centre from January 2019 till December 2019. All the 256 patients who presented to the outpatient department with lesions in the oral cavity during the given time period were included in the study after getting informed and written consent.  

Results: Aphthous ulcers were the most common lesion (18.7%) found in this study. Buccal mucosa (50%) and anterior 2/3rd of tongue (34.3%) were the most common sites involved. Total of 204/256 (79.6%) patient had some form of addiction which included both smoked and smokeless form of tobacco as the most common type of addiction. Among the tobacco smokers, 24/80 (30%) had pre malignant and malignant lesions while among tobacco chewers 37/76 (48.6%) had pre malignant and malignant lesions.

Conclusions: Lesions of the oral cavity are common among Indian population due to high prevalence of tobacco addiction. A thorough history taking and examination can detect premalignant and malignant lesions at an early stage, so that timely treatment can reduce the mortality rates in such patients.


Keywords


Aphthous ulcers, Oral cancer, Oral mucosal lesions, Tobacco addiction

Full Text:

PDF

References


Toum SE, Cassia A, Bouchi N, Kassab I. Prevalence and distribution of oral mucosal lesions by sex and age categories: a retrospective study of patients attending Lebanese school of dentistry. Int J Dentist. 2018;2018:1-6.

Kamble K, Guddad S, Nayak A, Suragimath A, Sanade A. Prevalence of oral mucosal lesions in western maharashtra: a prospective study. J Indian Academy Oral Med Radiol. 2017;29(4):282.

Grills NJ, Singh R, Singh R, Martin BC. Tobacco usage in Uttarakhand: a dangerous combination of high prevalence, widespread ignorance, and resistance to quitting. BioMed Res Int. 2015;2015:1-10.

Byakodi R, Shipurkar A, Byakodi S, Marathe K. Prevalence of oral soft tissue lesions in Sangli, India. J Community Health. 2011;36(5):756-9.

Patil S, Santosh B, Wadhawan R, Doni B, Khandelwal S, Maheshwari S. Prevalence of benign oral ulcerations in the Indian population. J Cranio-Maxillary Dis. 2014;3(1):26.

Bhatnagar P, Rai S, Bhatnagar G, Kaur M, Goel S, Prabhat M. Prevalence study of oral mucosal lesions, mucosal variants, and treatment required for patients reporting to a dental school in North India: In accordance with WHO guidelines. J Family Community Med. 2013;20(1):41.

Davatchi F, Tehrani BA, Jamshidi AR, Shams DS, Gholami Z, Moradi M, et al. The prevalence of oral aphthosis in a normal population in Iran: a WHO-ILAR COPCORD study. Arch Iran Med. 2008;11(2):207-9.

Goyal R, Jadia S, Jain L, Agarawal C. A clinical study of oral mucosal lesions in patients visiting a tertiary care centre in central India. Indian J Otolaryngol Head Neck Surg. 2015;68(4):413-6.

Al-Mobeeriek A, Aldosari AM. Prevalence of oral lesions among Saudi dental patients. Ann Saudi Med. 2009;29(5):365-8.

Bokor-Bratić M. The prevalence of precancerous oral lesions: oral leukoplakia. Arch Oncol. 2000;8(4):169-70.

Saraswathi T, Ranganathan K, Shanmugam S, Sowmya R, Narasimhan P, Gunaseelan R. Prevalence of oral lesions in relation to habits: cross-sectional study in South India. Indian J Dent Res. 2006;17(3):121.

Mehrotra R, Pandya S, Chaudhary AK, Kumar M, Singh M. Prevalence of oral pre-malignant and malignant lesions at a tertiary level hospital in Allahabad, India. Asian Pacific J Cancer Prevent. 2008;9(2):263-5.

Ghanaei FM, Joukar F, Rabiei M, Dadashzadeh A, Valeshabad AK. Prevalence of oral mucosal lesions in an adult iranian population. Iranian Red Crescent Med J. 2013;15(7):600-4.

Munksgaard B. Strengthening the prevention of oral cancer: the WHO perspective. Community Dentist Oral Epidemiol. 2005;33:397-9.