The Role of Selected Habits, Periodontal Disease and Oral Hygiene Status on the Occurrence and Prognosis of Oral Mucosal Lesions

Sharika Gunathilake ,Manosha Perera ,Gomes Chandima ,Irosha Perera ,Nadeena Sri Swarnagupta Jayasuriya ,Dsc Colombathanthri ,Suresh Sinnathamby ,Anil Welikanna ,Sakuntharatnapreya

doi:10.33696/dentistry.3.018

Abstract

Patients with an array of benign oral mucosal diseases comprising fibro-epithelial polyps, lipomas and lichen planus commonly present to Oral & Maxillofacial units. While managing their specific conditions, it is important to assess for their risk habits such as betel chewing which is associated with a high burden of periodontal disease as evident from research findings. Moreover, recent research has found the association of periodontal disease with increased risk for an array of cancers. In addition, several systematic reviews and some research articles as well have suggested periodontal disease as an independent emerging risk marker for oral cancer , however could be attenuated when adjusted for major confounding factors such as smoked and smokeless tobacco and alcohol use

Highlights

Patients with an array of benign oral mucosal diseases comprising fibro-epithelial polyps, lipomas and lichen planus commonly present to Oral & Maxillofacial units
Frequency of betel chewing was significantly associated with male gender, moderate to poor oral hygiene, moderate to severe periodontal disease status (p=0.001)
Present findings provided new insights into the unharnessed potential of patients presented to oral & maxillofacial (OMF) units with benign oral mucosal diseases for primordial and primary prevention and control of Oral Potentially Malignant Disorders (OPMD) and oral cancer

Summary

Introduction

Patients with an array of benign oral mucosal diseases comprising fibro-epithelial polyps, lipomas and lichen planus commonly present to Oral & Maxillofacial units While managing their specific conditions, it is important to assess for their risk habits such as betel chewing which is associated with a high burden of periodontal disease as evident from research findings [1,2,3]. Patients presenting with an array of benign oral mucosal diseases to oral & maxillofacial (OMF) units practicing risk habits such as betel chewing could be at high risk of poor oral health and progressing into Oral Potentially Malignant Disorders (OPMD) or oral cancer. We investigated the possible role of selected habits, periodontal disease an oral hygiene in occurrence and prognosis of oral mucosal lesions, among a cohort of patients in Sri Lanka

Methods

Results

Conclusion