Choudhary Anand, Kesarwani Pallavi, Chakrabarty Sagnik, Yadav Vijay K, Srivastava Parul
Department of Oral Medicine and Radiology, Hazaribagh College of Dental Sciences, Hazaribagh, Jharkhand, India.
Department of Oral and Maxillofacial Pathology, Dental Surgeon, Community Health Centre, Kanke, Ranchi, Jharkhand, India.
J Family Med Prim Care. 2022 Aug;11(8):4705-4710. doi: 10.4103/jfmpc.jfmpc_1990_21. Epub 2022 Aug 30.
Smoking and chewing tobacco carry significant risks for the development of oral cancer and premalignant lesions. The present study was conducted to find the prevalence of tobacco-related habits in Hazaribagh population and its association with oral mucosal lesion.
The present study was carried out on patients who visited the Department of Oral Medicine And Radiology, Hazaribagh College of Dental Sciences And Hospital. A total of 5,000 subjects were screened for tobacco-related habits and associated mucosal changes. Detailed clinical history about tobacco-related habits was obtained. Oral mucosal lesions were screened using the WHO format for diagnosis of oral lesions. The findings were tabulated and analyzed statistically.
Of the 5,000 subjects enrolled for the study, 1,085 (21.7%) used tobacco in some forms. Habit of smoking tobacco was present among 273 (25.2%) and using smokeless tobacco among 811 (74.7%) individuals. Tobacco pouch keratosis (46.1%) was found to be most common lesion, followed by oral submucous fibrosis (OSMF) (16.1%), lichenoid reaction (14.1%), smokers palate/melanosis (12.2%), leukoplakia (7.2%), erythroplakia (2.3%), and oral cancer in (2%).
The results provide insight into prevalent tobacco habits and associated oral mucosal lesions in Hazaribagh population. These may act as baseline data for the formulation of preventive programs and help future studies explore the prevalence of tobacco-associated lesions in vulnerable populations. Current knowledge, including findings from the present study, about the prevalence of tobacco use and various oral lesions associated with it may help primary health care physicians to promote among patients visiting them the awareness about the adverse effects of tobacco consumption and treatment options available for tobacco-related lesions at the early stage.
吸烟和咀嚼烟草会显著增加患口腔癌和癌前病变的风险。本研究旨在确定哈扎里巴格人群中与烟草相关习惯的流行情况及其与口腔黏膜病变的关联。
本研究针对前往哈扎里巴格牙科学院及医院口腔医学与放射科就诊的患者展开。共对5000名受试者进行了与烟草相关习惯及相关黏膜变化的筛查。获取了有关与烟草相关习惯的详细临床病史。使用世界卫生组织的口腔病变诊断格式对口腔黏膜病变进行筛查。将结果列表并进行统计学分析。
在纳入研究的5000名受试者中,1085人(21.7%)以某种形式使用烟草。其中,273人(25.2%)有吸烟习惯,811人(74.7%)使用无烟烟草。发现烟草袋角化病(46.1%)是最常见的病变,其次是口腔黏膜下纤维化(OSMF)(16.1%)、苔藓样反应(14.1%)、吸烟者腭部/黑变病(12.2%)、白斑(7.2%)、红斑(2.3%)以及口腔癌(2%)。
这些结果为哈扎里巴格人群中普遍存在的烟草习惯及相关口腔黏膜病变提供了见解。这些结果可作为制定预防计划的基线数据,并有助于未来研究探索弱势群体中与烟草相关病变的流行情况。包括本研究结果在内的当前知识,关于烟草使用的流行情况及其相关的各种口腔病变,可能有助于初级卫生保健医生向就诊患者宣传烟草消费的不良影响以及早期阶段可用于治疗烟草相关病变的选择。