CREATING AWARENESS, ON DOOR TEACHING AND SCREENING OF RURAL PEOPLE FOR ORAL POTENTIALLY MALIGNANT DISORDERS.

Rashmi Nichlani, Garima Nichlani

Abstract


Objective- Rural population in India consumes high amount of tobacco which causes oral potentially malignant
disorders (OPMD), if left unnoticed and untreated 􀃶nally results in oral squamous cell carcinoma (OSCC). Hence, the
awareness of such lesions/conditions is important. The objective of the study is to create awareness among rural people about potentially
malignant disorders and also to teach them how to conduct self examination of oral cavity so as to decrease the incidence of OSCC.
Methods- A personal interview was done to analyse the people's knowledge regarding OPMD and OSCC. People were screened for all
variety of lesions in their oral cavity, brush scrap smear test was also done when required. On door teaching of screening of their oral lesion
was done in 8 step mechanism. Flash card with useful information was distributed to broaden their vision on OPMD and OSCC.
Results- 24.33 % of individual had potentially malignant disorders and 2.71 % of individuals had dysplastic changes. Among the people
with lesion only 15 % were aware of the lesion present in their oral cavity. 100 % individuals with any kind of oral lesion consumed tobacco in
different forms. Among the individuals who consumed tobacco 14.28 % of individuals tried ceasing the habit. 98.65% individuals were
interested in generating knowledge about OSCC. 100 % individual wanted regular dental camp to be scheduled in their village.
Conclusion- This study highlights a need for education concerning the risk factors for oral lesions, its clinical manifestations and the impact
of adverse habits on health in long term. This was observed that inspite of constrained factors like limited manpower, regular screening will
result in early detection of cases leading to a greater survival and less radical treatment.


Keywords


OPMD, OSCC, Screening, Tobacco, Awareness, Incidence.

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References


Warnakulasuriya S. Global epidemiology of oral and oropharyngeal cancer. Oral Oncol. 2009 Apr-May;45(4-5):309-16. doi:10.1016/j.oraloncology.2008.06.002. Epub 2008 Sep 18

World Health Organization. Geneva: World Health Organization; 1973. Report of a meeting of investigators on the histological definition of precancerous lesions.

Warnakulasuriya S, Johnson NW, van der Waal I. Nomenclature and classification of potentially malignant disorders of the oral mucosa. J Oral Pathol Med. 2007Nov;36(10):575–80.

Warnakulasuriya KA, Harris CK, Scarrott DM, Watt R, Gelbier S, Peters TJ, et al. An

alarming lack of public awareness towards oral cancer. Br Dent J 1999 Sep;187(6):319-22.

Rogers SN, Brown JS, Woolgar JA, Lowe D, Magennis P, Shaw RJ, et al. Survival following primary surgery for oral cancer. Oral Oncol. 2009Mar;45(3):201-11. doi:10.1016/j.oraloncology.2008.05.008. Epub 2008 Jul 31.

Park K. Textbook of Preventive and Social Medicine. 21st ed. Jabalpur: BanarsidasBhanot Publishers; 1994. p. 353-58.

VanderWall I Potentially malignant disorders of the oral and oropharyngeal mucosa; terminology, classification and present concepts of management Oral Oncol. 2009 Apr-May(4-5):317-23. doi:10.1016/j.oraloncology.2008.05.016. Epub 2008 Jul 31.

Camile SF, Woo SB, Zain RB, Sklavounou A, McCullough MJ, Lingen M Oral Cancer and Oral Potentially Malignant Disorders International Journal of Dentistry Volume 2014 (2014), Article ID 853479, 6 pages

Kumar S, Debnath N, Ismail MB, Kumar A, Kumar A,Badiyani BK, Dubey PV, SukhtankarLV Prevalence and Risk Factors for Oral Potentially Malignant Disorders in Indian Population South Asian J Cancer. 2015 Jul-Sep; 4(3): 130-133. doi: 10.4103/2278-330X.173177.PMID: 26942144

Li L, Psoter WJ, Buxo CJ, Elias A, Cuadrado L, Morse DE Smoking and drinking in relation to oral potentially malignant disorders in Puerto Rico: a case-control study BMC Cancer 2011 11:324. doi: 10.1186/1471-2407-11-324. PMID: 21801414

Sangeetha J, Balaji P, Govindraju P, Srivastava A, Krishnan TS Awareness of oral cancer, Oral Potentially Malignant Disorders, and their Risk Factors among Dental Patients: A Cross-sectional Study Int J Oral Care Res 2016:4(3);174-178.


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