Evaluation of oral mucosal lesions amongst study population of Orissa

Abstract

Tobacco consumption associated with lesions such as leukoplakia, oral submucous fibrosis
(OSMF), smoker’s palate, erythroplakia, lichenoid reaction etc. This study was done to
determine the mucosal lesions among both genders resulted from use of tobacco
products.2800 subjects age ranged 18-60 years were assessed for occurrence of PMDs, and tobacco
related lesions.37.1% (266) were potentially malignant disorders and 62.9% (450) were other
tobacco related lesions. The difference found to be significant (P< 0.05). Smoking resulted in
53 PMDs, and 136 other TRLs and chewing tobacco resulted in 157 PMDs and 237 TRLs
and both forms resulted in 55 PMDs and 77 TRLs. The difference found to be significant (P<
0.05). Under smoking, most common lesion was leukoplakia seen in 30, erythroplakia in 24
and palatal hyperkeratosis in136. Chewing form had leukoplakia seen in 50, OSMF in 107,
lichenoid reaction in 147 and tobacco pouch keratosis in 90. Both forms resulted in
leukoplakia seen in 20, OSMF in 35, lichenoid reaction in 50 and tobacco pouch keratosis in
27. The difference found to be significant (P< 0.05).Most commonly occurring potentially
malignant disorder was leukoplakia and tobacco related lesions was lichenoid reaction.