PhD Scholar, Gujarat University, Ahmedabad, Gujarat, India.
Reader, Department of Public Health Dentistry, AMC Dental College and Hospital, Ahmedabad, Gujarat, India.
Gulf J Oncolog. 2023 Jan;1(41):72-77.
Oral submucous fibrosis (OSMF), a premalignant condition of oral cavity is associated with usage of smokeless tobacco. The growing prevalence and cultural acceptance of consumption of flavored arecanut and related products along with traditional smokeless tobacco products are confounding the scenario.
To find out clinical staging of OSMF and correlate it with consumption of smokeless tobacco usage related factors among subjects with oral sub mucous fibrosis in Ahmedabad city.
A cross sectional hospital-based study was conducted on 250 randomly selected clinically diagnosed OSMF subjects. The data regarding various demographic details and habit related factors was recorded in a pre-designed study proforma. The data obtained was statistically analyzed.
Among 250 OSMF subjects, 9% were having grade I, 32% were having grade II, 39% were having grade III and 20% were having grade IV OSMF. 81.6% of males and 18.4% of females were having OSMF. The youngest age when habit was initiated was around of 8 years which is alarming in nature. The lowest duration reported to develop OSMF was 6 months. Statistically significant difference was observed between gender, duration, chewing time, swallowing of tobacco juice and clinical staging of OSMF.
It is alarming that around 70% of the total subjects of OSMF were in the younger age group. The community-oriented outreach programs along with strict policy formulation and implementation should be developed to curb the usage of arecanut and smokeless tobacco derivatives.
arecanut, smokeless tobacco, OSMF.
口腔黏膜下纤维性变（OSMF）是一种口腔癌前病变，与使用无烟气溶胶有关。咀嚼槟榔和相关产品以及传统无烟气溶胶产品的使用日益普及，且得到了文化上的认可，这使得情况变得更加复杂。
在艾哈迈达巴德市，找出口腔黏膜下纤维性变的临床分期，并将其与口腔黏膜下纤维性变患者中使用无烟气溶胶相关因素进行相关性分析。
对 250 名随机选择的临床诊断为 OSMF 的患者进行了一项横断面医院为基础的研究。将各种人口统计学细节和习惯相关因素的数据记录在预先设计的研究表格中。对获得的数据进行了统计学分析。
在 250 名 OSMF 患者中，9%的患者为 I 级，32%的患者为 II 级，39%的患者为 III 级，20%的患者为 IV 级。男性中 81.6%和女性中 18.4%有 OSMF。开始习惯的最小年龄约为 8 岁，这是令人震惊的。报告的最短发病时间为 6 个月。在性别、持续时间、咀嚼时间、吞咽烟草汁和 OSMF 的临床分期之间观察到了统计学上的显著差异。
令人震惊的是，大约 70%的 OSMF 患者总人数处于年轻年龄段。应该制定并实施以社区为导向的推广计划以及严格的政策，以遏制槟榔和无烟气溶胶衍生物的使用。
槟榔、无烟气溶胶、OSMF。
