Abhayjeet Singh1, Rama Brahmam Lanke2, Rakhith Shetty3, Syed Akifuddin4, Manish Sahu5, Navneet Singh6, Gagandeep Kaur6, Garish Goyal7. 1. Senior Lecturer, Department of Oral Medicine and Radiology, Maharaja Ganga Singh Dental College and Research Centre , Sriganganagar, Rajasthan, India . 2. Private Practioner, Smile Dental Care , Hyderabad, India . 3. Senior Lecturer, Department of Oral Pathology and Microbiology, Vananchal Dental College , Garhwa, India . 4. Reader, Department of Oral and Maxillofacial Surgery, Daswani Dental College and Hospital , Kota, Rajasthan, India . 5. Post Graduate Student, Department of Orthodontics, Career Dental College , Lucknow, India . 6. Senior Lecturer, Department of Oral Pathology and Microbiology, Maharaja Ganga Singh Dental College and Research Centre , Sriganganagar, Rajasthan, India . 7. Reader, Department of Oral Pathology and Microbiology, Maharaja Ganga Singh Dental College and Research Centre , Sriganganagar, Rajasthan, India .
Abstract
BACKGROUND: Oral submucous fibrosis (OSMF) is a chronic progressive debilitating disease affecting the oral, oropharyngeal and sometimes the oesophageal mucosa resulting in inability to eat due to burning, ulcers and stiffness. AIM: The study was undertaken, to evaluate the correlation of clinical staging, histological grading and nutritional status using body mass index (BMI) with gutkha (habit) index in OSMF patients. MATERIALS AND METHODS: The study group comprised of 50 patients clinically diagnosed and histopathologically confirmed cases of OSMF. Habit (gutkha) index was calculated by multiplying duration and frequency. Body mass index was calculated by dividing weight in kilograms and height in centimetres of the patient. RESULTS: Male to female ratio was 2.8:1. Clinical grading increased with increase in gutkha index, patients with gutkha index 1-50, maximum were in mild stage; with gutkha index 51-100, maximum in moderate and patients with gutkha index 101-150, all were in severe stage. Histological staging showed direct correlation with gutkha index, it increased with increase in gutkha index with p <0.05. Site analysis showed that buccal mucosa and retromolar area were involved in all the patient and floor of mouth in 46% of patients Body mass index analysis revealed that out of 27 patients with moderate clinical staging 3 was underweight; out of 3 with severe clinical staging, 2 was underweight. CONCLUSION: The duration and frequency of areca nut product use effects on the incidence and severity of OSMF and the patient becomes unable to eat due to burning, ulcers and inability to open mouth which affect the health of the individual. Thus it is important to access the nutritional status to improve the survival rate of patients.
BACKGROUND: Oral submucous fibrosis (OSMF) is a chronic progressive debilitating disease affecting the oral, oropharyngeal and sometimes the oesophageal mucosa resulting in inability to eat due to burning, ulcers and stiffness. AIM: The study was undertaken, to evaluate the correlation of clinical staging, histological grading and nutritional status using body mass index (BMI) with gutkha (habit) index in OSMF patients. MATERIALS AND METHODS: The study group comprised of 50 patients clinically diagnosed and histopathologically confirmed cases of OSMF. Habit (gutkha) index was calculated by multiplying duration and frequency. Body mass index was calculated by dividing weight in kilograms and height in centimetres of the patient. RESULTS: Male to female ratio was 2.8:1. Clinical grading increased with increase in gutkha index, patients with gutkha index 1-50, maximum were in mild stage; with gutkha index 51-100, maximum in moderate and patients with gutkha index 101-150, all were in severe stage. Histological staging showed direct correlation with gutkha index, it increased with increase in gutkha index with p <0.05. Site analysis showed that buccal mucosa and retromolar area were involved in all the patient and floor of mouth in 46% of patients Body mass index analysis revealed that out of 27 patients with moderate clinical staging 3 was underweight; out of 3 with severe clinical staging, 2 was underweight. CONCLUSION: The duration and frequency of areca nut product use effects on the incidence and severity of OSMF and the patient becomes unable to eat due to burning, ulcers and inability to open mouth which affect the health of the individual. Thus it is important to access the nutritional status to improve the survival rate of patients.
Authors: Megha Kadani; Satish B N V S; Maharudrappa B; Prashant K M; Deepa Hugar; Umesh Allad; Prasanth S Prabhu Journal: J Clin Diagn Res Date: 2014-05-15
Authors: M W Sumeth Perera; D Gunasinghe; P A J Perera; A Ranasinghe; P Amaratunga; S Warnakulasuriya; K Kaluarachchi Journal: J Oral Pathol Med Date: 2007-05 Impact factor: 4.253