Indian Journal of Public Health Research & Development

Manigandan Thiruppathy ¹, D. Pavani ², S. Kishore Kumar ³, Julius Amaldas ⁴, R. Sankar Narayanan ⁵

Affiliations
1 Department of Oral Medicine and Radiology, Sree Balaji Dental College and Hospital, BIHER, Pallikaranai, Chennai, Tamil Nadu, IN
2 Department of Conservative Dentistry and Endodontics, Sathyabama Dental College and Hospital, Semmanchery, Chennai, Tamil Nadu, IN
3 Department of Orthodontics, Sree Balaji Dental College and Hospital, BIHER, Pallikaranai, Chennai, Tamil Nadu, IN
4 Department of Biochemistry, Sree Balaji Dental College and Hospital, BIHER, Pallikaranai, Chennai, Tamil Nadu, IN
5 Sree Balaji Dental College and Hospital, BIHER, Pallikaranai, Chennai, Tamil Nadu, IN

Abstract

Background: Oral cancer is eighth most common cancer worldwide. They may arise from potentially malignant disorders¹. The etiology of Oral cancer is multifactorial, the most common among those are the effects of tobacco usage⁷. The tobacco is used in various forms in our country Tobacco chewing and smoking are associated with oral mucosal lesions such as Leukoplakia, Oral submucous Fibrosis which are potentially malignant lesions⁹. This study was aimed at identifying the prevalence of these oral mucosal lesions and to motivate the tobacco users about the various deleterious effects associated with tobacco and to help them to quit their habits.

Aim: The aim of this study is to determine the prevalence of oral mucosal lesions among the tobacco users in Chennai.

Materials and Method: The study sample was randomly selected and comprised 1483 patients attending the Department of Oral Medicine and Radiology, Sree Balaji Dental College and hospital, Chennai between January 2017 and December 2018. The ages ranged from 18 to 65years and are tobacco users were eligible to participate in the study. The data collected was tabulated in Microsoft Excel and further analysed using SPSS Version 21.0(IBM), software for statistical analysis.

Results: A total of 1483 patients were examined to diagnose the lesions associated with the use of tobacco. The most frequently seen lesion was Smokers Melanosis [921(62.1%)]followed by Frictional Keratosis [696(46.9%)],Periodontal Inflammation [551(37.2%)], Leukoedema [304(20.5%)] and Stomatitis Nicotina Palatini [160(10.8%)].

Conclusion: The overall prevalence of potentially malignant disorders have slight variations when compared to other studies. This may be due to difference in habits, duration and frequency of use.

Keywords

Tobacco Smokers, Tobacco Chewers, Oral Lesions.

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Manigandan Thiruppathy ¹, D. Pavani ², A. Amudhan ¹, T. A. Sarumathi ¹, V. T. Hemalatha ³

Affiliations
1 Department of Oral Medicine and Radiology, Sree Balaji Dental College and Hospital, BIHER, Pallikaranai, IN
2 Department of Conservative Dentistry and Endodontics, Sathyabama Dental College and Hospital, Semmanchery, IN
3 Department of Oral Medicine and Radiology, Sree Balaji Dental College and Hospital, BIHER, Pallikaranai, Chennai, Tamil Nadu 600100, IN

Abstract

Dentists come across various medically compromised patients. Patients who are under anticoagulant and/ or antiplatelet drugs should be taken into consideration as they are at a high risk to have increased bleeding tendency during minor oral surgical procedures. The substances, which prevent or prolong coagulation of blood, are called Anticoagulants1. The most commonly used medications for oral anticoagulant therapy are Warfarin, Acenocoumarol. The novel oral anticoagulants (NOACs) or directly acting oral anticoagulants [DOACs] were developed with more pharmacokinetic and pharmacodynamic relationships, faster onset of action, and fewer potential interactions. The Novel anticoagulants include Dabigatran Rivaroxaban, Apixaban, Edoxaban.

Keywords

Novel Anticoagulants, Dabigatran, Apixaban.

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