Prevalence Of Oral Mucosal Lesions Research Articles

Mouth Self-Examination (MSE) As a Screening Tool for Oral Potentially Malignant Disorders Among a High-Risk Indigenous Population With a Low Socioeconomic Status

Background: Oral cancer can be preceded by a group of conditions termed oral potentially malignant disorders (OPMDs). Oral cancers are associated with a 5-year survival of less than 50%, largely attributed to diagnoses at advanced stages. As pain associated with oral cancer manifests only at late stages, delay in detection often occurs. Screening has been found to aid in detection at an early stage, however it is only feasible if targeted toward high risk individuals. Mouth self-examination (MSE) is a relatively quick, inexpensive and simple to perform method of screening. Aim: To evaluate the efficacy of MSE as a screening tool for detection of oral mucosal lesions and OPMDs in a high risk indigenous population with a high prevalence of tobacco and betel quid chewing habit. Methods: Two villages were selected as the sampling frame based on prevalence of tobacco and betel quid chewing habit. Respondents were asked to check their mouth for presence of lesion or abnormalities. Education on oral cancer, including MSE was provided. Subsequently, respondents were asked to perform MSE. Finally, a comprehensive oral examination (COE) was done by a specialist and the presence of oral mucosal lesions was recorded. Results: Almost 64.5% of respondents exhibited high levels of difficulty and low mucosal visualization and retracting ability, whereas 3.0% demonstrated high attention level when performing MSE. Prevalence of oral mucosal lesions was 59.0%, whereas the prevalence of oral potentially malignant disorders (OPMDs) was 9.0%. Detection of oral lesions by respondents using MSE was lower than detection by the gold standard. Sensitivity and specificity of MSE for detection of all types of lesions were 8.6% and 95.0% respectively. When analyzing each lesion type separately, MSE was found to be most sensitive in detection of swellings (10.0%), and most specific in identifying red lesions (100.0%). For detection of OPMDs, MSE yielded a high specificity of 98.9%, with an accuracy rate of 91.8%. Conclusion: MSE is a potentially good screening tool for OPMDs and oral cancer; however, awareness level of the public on oral cancer and its associated signs and symptoms needs to be improved.

Prevalence of Tobacco Use and Cancer Among Malayali Tribes, Yelagiri Hills, Tamil Nadu, India

Background: Health is a state of complete wellbeing free from any discomfort and pain. Despite remarkable world-wide progress in the field of diagnostic, curative and preventive medicine, still there are large populations of people living in isolation in natural and unpolluted surroundings far away from civilization, maintaining their traditional values, customs, beliefs and myths. India has the second largest tribal population of the world next to the African countries. About half of the world's autochthonous people live in India, thus making India home to many tribes which have an interesting and varied history of origins, customs and social practices. Aim: The current study was conducted to assess the tobacco use, awareness and its effect on health among Malayali tribes, Yelagiri Hills, Tamil nadu, India. Methods: The inhabitants of the 14 villages of the Yelagiri hills, who have completed 18 years and residing for more than 15 years present on the day of examination and who were willing to participate in the study were included. Data were collected from a cross-sectional survey, using a survey proforma, clinical examination and a pretested questionnaire which included demographic data, tobacco habits. An intraoral examination was carried out by a single examiner to assess the oral health status using WHO Oral Health Surveys - Basic Methods Proforma (1997). SPSS version 15 was used for statistical analysis. Results: Results showed that among 660 study population, 381 (57.7%) had no formal education. Among the study population 75% had the habit of alcohol consumption. Of those who had the habit of smoking, 26% smoked beedi, 10.9% smoked cigarette, 65% chewed raw tobacco, 18% chewed Hans and 28% had a combination of smoking and smokeless tobacco usage. The reason for practicing these habits were as a measure to combat the cold, relieving stress and body pain after work, and the lack of awareness of the hazards of the materials used. Prevalence of oral mucosal lesions in the study population was due to tobacco usage and alcohol consumption and lack of awareness regarding the deleterious effects of the products used. Conclusion: From the results of this study it may be concluded that the Malayali tribes were characterized by a lack of awareness about oral health, deep rooted dental beliefs, high prevalence of tobacco use and limited access to health services.

Epidemiology of oral mucosal lesions in Slovenia.

BackgroundAmong the diseases of oral mucosa, malignant tumors are the most dangerous, but not the most common lesions that might appear in the oral cavity. Since most of the studies are focused on the detection of cancer in the oral cavity, we were interested in detecting the frequency of benign changes of the oral mucosa in Slovene population. Oral mucosal lesions are important pointer of oral health and quality of life, especially in elderly. The prevalence of oral mucosal lesions, together with information on the risk habits associated with oral health, such as tobacco and alcohol use, can help in planning future oral health studies and screening programs.Patients and methodsSurvey upon oral mucosal lesions was conducted during the national project for oral cancer screening in spring 2017 in the Slovenia in which more than 50% of dentists participated and 2395 patients (904 men and 1491 women) were included.ResultsClinical examination, which was conducted according to the WHO standards revealed that 645 patients (27%) had oral mucosal lesions. The ten most common oral lesions detected were fibroma, gingivitis, Fordyce spots, white coated tongue, cheek biting, linea alba, denture stomatitis, geographic tongue, recurrent aphthous ulcerations and lichen planus.ConclusionsOverall, these epidemiological data suggest need for specific health policies for prevention, diagnosis and treatment of oral mucosal lesions.

PO-079 Dysregulation of miR-196B in head and neck cancers leads to pleiotropic effects in the tumour cells and CAFs

IntroductionTea is an important agro-industry of India, which contributes immensely to the countries economy. Tea garden population constitutes approximately 1/12th of tea growing state’s population. Poor socio-economic conditions, ignorance due to illiteracy, over-crowded and unhygienic living conditions in the residential colonies make tea garden population vulnerable to various communicable diseases and malnutrition. Hence this study was contemplated with an aim to assess the oral health status, tobacco use and cancer awareness among tea plantation workers (Irula tribes), Nilgiri Hills, Tamil Nadu, India.Material and methodsA cross-sectional descriptive study was conducted to assess the tobacco use and cancer awareness among tea plantation workers, Nilgiri Hills.Data was collected using a pretested Questionnaire, which included Demographic data, tobacco habits, its frequency and form. The data collected was analysed using SPSS version15.Results and discussionsResults showed that among 900 study population, showed 57% had no formal education, 34.5% had not visited dentist before. 64.5% had indigenous brushing habits. 52% of oral mucosal lesions and 6% malignant oral tumours were observed. A very high prevalence of periodontal disease, tobacco chewing, deep rooted beliefs and customs regarding dentition and dental treatment was observed in this community. Prevalence of oral mucosal lesions in the study population was due to tobacco usage and lack of awareness regarding the deleterious effects of the products used.ConclusionThe dangers from smoking and chewing tobacco are well documented within the literature but the public’s lack of knowledge of the risks is a concern. Health professionals are encouraged to ensure that the public is made aware of these risks, especially those within high-risk groups.

PO-098 Prevalence of head and neck cancers, and tobacco use among malayali tribes, yelagiri hills, tamil nadu, india

IntroductionHealth is a state of complete wellbeing free from any discomfort and pain. Despite remarkable world-wide progress in the field of diagnostic, curative and preventive medicine, still there are large populations of people living in isolation in natural and unpolluted surroundings far away from civilisation, maintaining their traditional values, customs, beliefs and myths. India has the second largest tribal population of the world next to the African countries. About half of the world’s autochthonous people live in India, thus making India home to many tribes which have an interesting and varied history of origins, customs and social practices. The present study was conducted to assess the tobacco use, awarness and its effect on health among Malayali tribes, Yelagiri Hills, Tamil nadu, India.Material and methodsThe inhabitants of the 14 villages of the Yelagiri hills, who have completed 18 years and residing for more than 15 years present on the day of examination and who were willing to participate in the study were included.Data was collected from a cross-sectional survey, using a Survey Proforma, clinical examinationand a pre-tested questionnaire which included Demographic data, tobacco habits. An intra-oral examination was carried out by a single examiner to assess the Oral Health Status using WHO Oral Health Surveys – [Basic Methods Proforma (1997)]. SPSS version15 was used for statistical analysis.Results and discussionsResults showed that among 660 study population, 381 (57.7%) had no formal education. Among the study population 75%) had the habit of alcohol consumption. Of those who had the habit of smoking, 26% smoked beedi, 10.9% smoked cigarette, 65% chewed raw tobacco, 18% chewed Hans and 28% had a combination of smoking and smokeless tobacco usage. The reason for practicing these habits were as a measure to combat the cold, relieving stress and body pain after work, and the lack of awareness of the hazards of the materials used. Prevalence of oral mucosal lesions in the study population was due to tobacco usage and alcohol consumption and lack of awareness regarding the deleterious effects of the products used.ConclusionFrom the results of this study it may be concluded that the Malayali tribes were characterised by a lack of awareness about oral health, deep rooted dental beliefs, high prevalence of tobacco use and limited access to health services.

PO-077 Tobacco use and cancer awareness among irula tribes, nilgiri hills, tamilnadu, india

IntroductionTea is an important agro-industry of India, which contributes immensely to the countries economy. Tea garden population constitutes approximately 1/12th of tea growing state’s population. Poor socio-economic conditions, ignorance due to illiteracy, over-crowded and unhygienic living conditions in the residential colonies make tea garden population vulnerable to various communicable diseases and malnutrition. Hence this study was contemplated with an aim to assess the oral health status, tobacco use and cancer awareness among tea plantation workers (Irula tribes), Nilgiri Hills, Tamil Nadu, India.Material and methodsA cross-sectional descriptive study was conducted to assess the tobacco use and cancer awareness among tea plantation workers, Nilgiri Hills.Data was collected using a pretested Questionnaire, which included Demographic data, tobacco habits, its frequency and form. The data collected was analysed using SPSS version15.Results and discussionsResults showed that among 900 study population, showed 57% had no formal education, 34.5% had not visited dentist before. 64.5% had indigenous brushing habits. 52% of oral mucosal lesions and 6% malignant oral tumours were observed. A very high prevalence of periodontal disease, tobacco chewing, deep rooted beliefs and customs regarding dentition and dental treatment was observed in this community. Prevalence of oral mucosal lesions in the study population was due to tobacco usage and lack of awareness regarding the deleterious effects of the products used.ConclusionThe dangers from smoking and chewing tobacco are well documented within the literature but the public’s lack of knowledge of the risks is a concern. Health professionals are encouraged to ensure that the public is made aware of these risks, especially those within high-risk groups.

Prevalence of Oral Mucosal Lesions among Tobacco Chewers in North Indian Population

Prevalence of Oral Mucosal Lesions among Tobacco Chewers in North Indian Population

Cigarette Smoke: An Insight on Noncancerous Oral Manifestations

Oral cavity is susceptible to a plethora of variations with increasing age, change of environment and factors related to life patterns. Oral lesions can occur due to number of factors such as trauma, infections, irritation, systemic diseases and oral consumption of tobacco [1]. The latter is consumed in many forms with most prevalent form as smokeless tobacco and cigarette smoke. Prevalence of oral mucosal lesions as a result of factors such as tobacco is available for different countries but the information within that context cannot be always applicable to subcontinent population because of cultural, ethnic and demographic differences. Although efforts have been made by various researchers regarding establishment of oral mucosal lesions, but is meager in subcontinent literature [2]. Etiology for increased prevalence of oral cancer in South Asia has been investigated at some level, but as in case with most developing countries, lack of research infrastructure has become a stumbling block in studying risk factors and epidemiology of these conditions with respect to South Asia [3]. Among various risk factors, smokeless tobacco is highly associated with oral premalignant lesions and oral cancer. Tobacco has been used in smoke, inhaled and chewed forms for more than 500 years [4]. Tobacco use is and will persist as a global phenomenon.

Association between oral mucosal lesions and crack and cocaine addiction in men: a cross-sectional study.

The aim of this cross-sectional study was to evaluate the prevalence of oral mucosal lesions (OMLs) and their association with crack/cocaine addiction in men. Clinical oral examination was performed in 161 adult male patients at the School of Dentistry of the Federal University of Bahia, Brazil. Crack/cocaine addiction was determined from the medical records, and all drug-addicted individuals used both crack and cocaine. All participants (40 crack/cocaine-addicted men and 121 non-addicted men) underwent a systematic evaluation of the lips, labial mucosa, commissures, buccal mucosa and sulcus, gingiva and alveolar ridge, tongue, floor of the mouth, and soft and hard palate by a single examiner. Bivariate and regression analyses were conducted to assess for the presence of OMLs and the association of OMLs with crack/cocaine addiction. OMLs were found in 22 participants with a significantly greater prevalence in the crack/cocaine-addicted group (25 vs. 9.9%; p = 0.01). The most prevalent types of lesions in the addicted group were traumatic ulcer and actinic cheilitis (7.5% for each) followed by fistulae associated with a retained dental root (5%). After adjusting for covariates, crack/cocaine addiction was significantly associated with OMLs (OR = 2.87; 95% CI = 1.08-7.67; p = 0.03). The prevalence of OMLs was higher in crack/cocaine-addicted individuals, and crack/cocaine addiction was significantly associated with OMLs. A public health program aimed at the early diagnosis and treatment of OMLs is vital to improving the oral health status of individuals addicted to crack/cocaine.

Prevalence of oral mucosal lesions in patients attending college of dentistry – Basrah University

Background: The aim of study was to find out the prevalence of oral mucosallesions in patients who are attending the oral diagnosis department of the Collegeof Dentistry – Basrah University and compare it with the prevalence rates ofthese lesions in other parts of Iraq.Materials and Method: Oral examination of 2318 outpatients, 1202 females (51.8%)and 1116 males (48.2%). The patient's age ranged between 9-74 years. All thepatients of this study referred to oral diagnosis department, College of Dentistry,Basrah University seeking for dental treatment (from October 2010-May 2011).Results: Among the 2318 patients, only 206 patients (8.8%) had oral lesions. 115males had oral lesion constituted 4.9% of total examined patients, while 91females had oral lesion constituted 3.9%. The age range of the patients wasbetween 9-74 years.Oral lesions were more prevalent among males (4.9%) than females (3.9%), andthere was significant statistical difference between males and females. Orallesions were classified according to the following 4 categories: ulcerated lesions(3.84%), benign lesions (2.93%) ,white lesions (1.12%) and candidiasis (0.99%),The most common oral lesion of the studied populations were the ulceratedlesions, which diagnosed in (3.8%).There were a significant statistical differencebetween males and females in the traumatic ulcer, lichen planus, pyogenicgranuloma and peripheral giant cell granuloma.Conclusions: This study has provided information about the epidemiologic aspects oforal mucosal lesions that may prove valuable in planning of future oral healthstudies.

Prevalence and Distribution of Oral Mucosal Lesions by Sex and Age Categories: A Retrospective Study of Patients Attending Lebanese School of Dentistry.

Background Prevalence and distribution of oral mucosal lesions in a sample of Lebanese population attending the School of Dentistry of Lebanese University is necessary to evaluate their oral health situation. Objectives The aim of the present study was to determine the prevalence and distribution of oral mucosal lesions of patients attending the School of Dentistry. Methods A descriptive study was carried out by retrospectively examining a total of 231 medical and clinical examination record files of patients, attending the School of Dentistry Lebanese University for multidisciplinary dental treatments. 178 medical records were retained. Each medical and clinical examination record was done by an undergraduate student and then evaluated by a doctor. The record file included a civil status, chief complaint, medical history, and extraoral and intraoral clinical examination during the period between October 2014 and May 2015. Exclusion criteria were lack of written information in their medical and clinical examination record and being nonevaluated by a doctor. Data regarding age, gender, socioeconomic status, chief complaint, systemic diseases, and drugs intake were collected by using a questionnaire while the type of extraoral and oral mucosal lesions by clinical examination. Results The sample consisted of 102 (57.3%) females and 76 (42.7%) males. The age ranged from 10 to 92 years with a mean age of 40.1 years. Among these subjects, 110 (61.8%) presented with one or more lesions. All patients were Lebanese. The most common lesion diagnosed was coated/hairy tongue affecting 17.4% of the subjects, followed by melanotic macule (11.2%), gingivitis (9.6), linea alba (6.2%), tongue depapillation (5.1), leukoplakia (5.1), traumatic fibroma (4.5), frictional keratosis (3.9%), fissured tongue (3.9%), hemangiomas (3.9%), Fordyce granules (3.9%), dry mucosa (3.4), angular cheilitis (2.2), gingival hyperplasia (2.2), and crenulated tongue (1.7%). Overall, the prevalence of oral mucosal lesions did not significantly differ between sex and age groups. Conclusions The high prevalence of oral mucosal lesions necessitates adequate awareness and management of these lesions in the general population. Dental clinicians should be knowledgeable and familiar with the etiopathogenesis, clinical presentation, diagnosis, and management of these lesions.

Clinicoepidemiological analysis of patients with oral mucosal lesions attending dermatology clinics

Background/Objectives The prevalence of oral mucosal lesions (OMLs) has a wide variety in different regions of the world. This study aimed to assess the prevalence, clinical presentations, and associated risk factors of OMLs among patients treated at Outpatient Clinics of the Dermatology, Venereology, and Andrology Department, Faculty of Medicine, Sohag University, Egypt. Patients and methods This observational study included all patients with OMLs among patients treated at the Outpatient Clinics of the Dermatology, Venereology, and Andrology Department, Faculty of Medicine, Sohag University, Egypt, from January 2016 to June 2016. Patients underwent complete history taking, and general and local oral cavity examination. The OMLs were examined and diagnosed according to the WHO 1995 criteria. Results Of the patients, 125 (2.6%) were diagnosed with different clinical types of OMLs (66 men and 59 women; mean age 28.59±14.8 years). Of these, 43 (34.4%) patients had a positive history of smoking. The most common types of OMLs were recurrent aphthous stomatitis (n=28, 22.4%), oral candidiasis (n=15, 12%), Behcet’s disease (n=12, 9.6%), recurrent herpes labialis (n=12, 9.6%), and oral lichen planus (n=7, 5.6%). Conclusion The prevalence and distribution of OMLs were elucidated at Sohag University Hospital, Upper Egypt and the importance of smoking in the pathogenesis of OMLs was evidenced.

Prevalence of oral mucosal lesions among smokeless tobacco usage: A cross-sectional study.

Tobacco use is one of the most prevalent forms of habit and associated with development of potential malignant disorders. The aim of the present study was to investigate the prevalence and distribution of oral mucosal lesions (OMLs) among smokeless tobacco users. This is a hospital-based cross-sectional study. All the patients with the history of smokeless tobacco habit were included in the study. The patients were interviewed using the preformed questionnaire, including the patient's demographic details, the type of habit, duration, frequency, and the associated oral mucosal pathology. Further, patients were clinically examined and recorded on tobacco-related oral lesions. Prevalence of OML was 54.18%, and 91.50% being among male and with higher frequency at the age of second and fourth decade. The prevalence of oral submucous fibrosis, leukoplakia, carcinoma, lichen planus, and erythroplakia was 26.95, 10.35, 9.94, 5.5, and 0.66%, respectively. Smokeless tobacco habit was prevailing among males (98.79%) compared to females (9.37%). Frequency of habit-associated OML was statistically significant with odds ratio 0.24. The study proves a definite association between smokeless tobacco habit and OML. The data necessitate to correlate and follow up the individuals with smokeless form of tobacco habits to establish the definite correlation between the habit and oral mucosal lesions.

Smokeless Tobacco: Insight on Prevalence of Oral Manifestation

Objective: To determine the prevalence of oral mucosal lesions among smokeless tobacco users of Pakistani Population. Material and Methods: A cross-sectional study was conducted for a period of six months (from July 2017 to January 2018) at Dental Outpatient department of Sindh, via aid of a validated custom-made questionnaire. Random sampling technique was adopted among patients attending dental Outpatient Departments, making use of OPEN API online software determining sample size as 289, with limitation included exclusion of pregnant women, edentulous individuals, children under age of 18 years and those having oral manifestations associated with any systemic disease. Statistical analysis included Logistic Regression and Chi-square for determining odds’ ratio and possible associations. Results: Logistic regression model 71% predicted discoloration of buccal mucosa 206 times in absence of any predictor variable. Discoloration of oral tissues was prevalent among individuals who chewed tobacco at least 6 times or more in a day. Periodontal associated damage was also prevalent among 6 times/day and more tobacco chewers. Statistically significant values were for normal buccal mucosa 06-10 times (p=0.007), white patch on buccal mucosa 11-15 times (p=0.0043) and swelled buccal mucosa 11-15 times (p=0.002). Conclusion: This study has demonstrated specific smokeless tobacco associated oral lesions. Further studies nationwide, addressing attributes of socioeconomic status and ethnicity with respect to composition of smokeless tobacco will reveal more conclusive findings.

Evaluation of the Prevalence of Oral Mucosal Lesions in a Population of Eastern Coast of South India.

Objective/Aim:The aim of this study is to measure the association between oral mucosal lesions (OMLs) and habit of tobacco and alcohol in the population of Guntur city, Andhra Pradesh, South India.Material and Method:A cross-sectional study was conducted on 300 participants in Guntur city with the habit of tobacco and alcohol consumption in various forms who were selected by stratified cluster random sampling technique. Guntur city was divided into four zones, that is, North, East, South, and West; and two administrative wards were randomly selected from each zone as clusters. Information was obtained by interviewing the participant regarding various tobacco-related habits followed by standardized clinical examination in the field. Clinical data were collected using a modified 1980 WHO Pro forma where the basis for diagnosis was established as per the criteria provided by the epidemiology guide for the diagnosis of oral mucosal diseases (WHO). Statistical tests such as Pearson Chi-square were exercised to test the significance, using SPSS version 19.0 with 0.05 as cutoff level of significance.Results:Overall oral soft-tissue lesions were found in 42.4% of the study participants including nicotinic stomatitis, tobacco pouch keratosis, smokers melanosis, mild keratosis of the palate, and chewer's mucosa. In this study, nicotinic stomatitis was found to be the most common soft-tissue lesion among men, while leukoplakia was found to be the most common premalignant lesion with the prevalence being 5.7%. While oral submucous fibrosis was found to be the most common premalignant condition among women. It was found that 13.2% of illiterates (53) were having leukoplakia. In the present study, the lower labial mucosa and buccal mucosa were found to be the most common sites of occurrence of leukoplakia and oral submucous fibrosis.Conclusion:This study gives information on the association of OML in smokers, chewers, alcoholics, and those with mixed habits. This study highlighted six habit-related OML which included potentially malignant disorders such as leukoplakia and oral submucous fibrosis. Future case–control or cohort studies for individual lesions and with larger sample size are necessary to evaluate the risk for OML including potentially malignant conditions and oral cancer resulting from smoking and chewing habits.

Prevalence of Periodontitis and Soft Tissue Lesions among Human Immunodeficiency Virus-positive Patients on Antiretroviral Therapy in Raichur Taluk, Karnataka, India.

In countries where human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) is widespread and highly active antiretroviral therapy (HAART) medications are too expensive, or patients are failing HAART, oral disease management and risk remain an important issue. The aim of the study was to evaluate the prevalence of oral mucosal lesions and periodontitis among the HIV-positive adult patients and assess the association of these lesions with age, sex, duration of HIV, time on ART, dietary habits, and oral hygiene habits. Sample size was 170. Demographic data of the patients along with community periodontal index (CPI) and loss of attachment (LA) were recorded. Oral soft tissue lesions, such as ulcerations, sores, erosions, and fissures were also recorded. The study was carried out in Raichur Taluk, Karnataka, India. Convenience sampling design was followed. Statistical Package for the Social Sciences (SPSS) version 20.0 (Chicago, USA) was used for data analysis. Chi-square test was carried out; p < 0.05 was considered to be statistically significant. There was no association between the oral mucosal conditions and the age and the adverse habits, such as tobacco and alcohol, CD4 count, and the time duration of HIV and ART among these patients. A higher percentage of people with 4 to 5 mm of pockets was seen with those who cleaned their teeth with a finger, which was statistically significant. The present study highlights the poor condition of the oral health of these patients and their unmet dental needs.

Oral features in patients with psoriasis: an observational study.

The aim of this study was to investigate and compare the prevalence of oral mucosal lesions in a group of psoriatic patients and healthy subjects. 120 psoriatic patients were enrolled in this observational study. Clinical examination, panoramic X-ray, magnetic nuclear resonance of temporo-mandibular joint, parodontal evaluation, oropharyngeal buffer and incisional biopsies by scalpel, as applicable, were done in order to value the patients. The control group was formed by 201 non-psoriatic patients attending the hospital for dental conditions. Oral clinical evaluation of these patients was performed, to assess the presence of any oral manifestation that can be related to psoriasis: fissured tongue, geographic tongue, parodontitis, temporo-mandibular joint disorders and oral candidiasis. After the observational analysis, a statistical examination was conducted using the chi-square test (2-sided). A percentage of 78.34% of patients belonging to the case group presented oral manifestations, while in the control group the 35.3% of the individuals presented any oral lesions. Especially geographic and fissured tongue showed a strong correlation with psoriasis. Some oral mucosal lesions, such as geographic and fissured tongue, are strongly associated with psoriasis. Although these lesions are non-pathognomonic to psoriasis, their precise relationship needs to be clarified and further investigated.

370P - An assessment of tobacco use and cancer awareness among (tea plantation workers) Irula tribes, Nilgiri hills, Tamilnadu, India

Background: India has the second largest tribal population of the world next to the African countries. About half of the world’s autochthonous people live in India, thus making India home to many tribes which have an interesting and varied history of origins, customs and social practices. Tea is an important agro-industry of India, which contributes immensely to the countries economy. Tea garden population constitutes approximately 1/12th of tea growing state's population. Poor socio-economic conditions, ignorance due to illiteracy, over-crowded and unhygienic living conditions in the residential colonies make tea garden population vulnerable to various communicable diseases and malnutrition. Hence this study was contemplated with an aim to assess the oral health status, tobacco use and cancer awareness among tea plantation workers, the irula tribes of Nilgiri Hills, Tamil Nadu, India. Methods: A cross-sectional descriptive study was conducted to assess the tobacco use and cancer awareness among 900 tea plantation workers who are tribal in origin. Data was collected using a pretested Questionnaire, which included Demographic data, tobacco habits, its frequency and form. Oral examination was done by a single examiner. The data collected was analysed using SPSS version15. Results: showed that among 900 study population, showed 57% had no formal education, 34.5% had not visited dentist before. 64.5% had indigenous brushing habits. 52% of oral mucosal lesions and 6% malignant oral tumors were observed. A very high prevalence of periodontal disease, tobacco chewing, deep rooted beliefs and customs regarding dentition and dental treatment was observed in this community. Prevalence of oral mucosal lesions in the study population was due to tobacco usage and lack of awareness regarding the deleterious effects of the products used. Conclusions: From the results of this study it may be concluded that the Irula tribes were characterized by a lack of awareness about oral health, deep rooted dental beliefs, high prevalence of tobacco use and limited access to health services. Legal entity responsible for the study: N/A Funding: None Disclosure: All authors have declared no conflicts of interest.

P3.06-001 Tobacco Use, Awareness and Oral Health among Kanchipuram Silk Weavers, Tamil Nadu, India

India is one of the world’s largest producers of textile and garments. Kanchipuram is a city in Indian state of Tamil Nadu known for saree, which is traditionally made by weavers from Kanchipuram popularly known as kanjivaram sari. The silk weavers are considered as the master weaver of Gods. The silk is also known for its quality and craftsmanship, which has helped earn its name globally. The people living around Kanchipuram take weaving as their main profession. Weaving being a sedentary work, tobacco has been used by this community as an entertainment factor to ward off boredom. Till date, there are no studies that have been conducted on the oral health status of silk weavers. Hence this study was contemplated with an aim to assess the tobacco use and its awareness among silk weavers. A cross-sectional descriptive study was conducted to assess the tobacco use, its awareness and oral examination among 400 silk weavers at Kanchipuram, India. Silk weavers aged 18 to 75 years who were involved in this occupation for more than 5years were included. Data was collected using a survey ProForma which comprised of a questionnaire and WHO Oral Health Surveys – Basic Methods ProForma(1997). .Results showed that among 400 study populations, 57% had no formal education. Of those who had tobacco habit - 26% smoked beedi, 10.9% smoked cigarette, 65% chewed raw tobacco, 18% chewed Hans and 28% had a combination of smoking and smokeless tobacco usage. 34% of oral precancerous lesions were observed. The reason for practicing these habits were as a measure to combat boredom, relieving stress and body pain after work, and the lack of awareness of the hazards of the materials used. From the results of this study it may be concluded that the silk weavers were characterized by a lack of awareness about oral health, high prevalence of tobacco use and limited access to health services. Prevalence of oral mucosal lesions in the study population was due to tobacco usage and alcohol consumption and lack of awareness regarding the deleterious effects of the products used.

Prevalence of Oral Mucosal Lesions in a Tertiary Care Dental Hospital of Kathmandu

Oral mucosa can be affected by a variety of soft tissue lesions and conditions. Benign as well as malignant lesions of oral cavity are common. Squamous cell carcinoma is one of the commonest malignancies. The present retrospective study was undertaken to study the prevalence of various oral mucosal lesions in a tertiary care dental hospital of Kathmandu. This retrospective study was carried out in the Department of Oral and Maxillofacial Pathology at Kantipur Dental College and Teaching hospital from January 2015 to January 2017. The study included biopsy specimen from the oral cavity. The parameters included in the study were age, gender, site of the lesion and histopathological diagnosis. The data collected was statistically analyzed. A total of 111 biopsy cases were included in the present study. Out of which, there were 16 (14.4%) cases of non-neoplastic and 16 (14.4%) cases of benign pathology. The oral cavity lesions were commonly seen in age range between 6-74 years where males 59 (53.2%) were mostly affected. The most common site for oral lesion was buccal mucosa 23 (20.7%) and anterior gingiva 23 (20.7%). Total 15 (13.5%) cases of oral squamous cell carcinoma were seen as the predominant malignancy affecting in the vestibular region 8 (7.2%). The present study shows benign as well as the non-neoplastic lesions were more prevalent in oral mucosa with the buccal mucosa and anterior gingiva as the commonest site of occurrence.