EVALUATION OF AETIOLOGICAL ROLE OF MISDIRECTED TOOTH IN THE INCIDENCE OF SQUAMOUS CELL CARCINOMA OF ORAL CAVITY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 51
Abstract
BACKGROUND The incidence and progression of the oral cancer varies according to various cultural and lifestyle factors. In India, tobacco usage in the form of smoked and non-smoked tobacco both is a common practice. In Western population smoking and alcohol consumption are the main risk factors. Studies have shown that there is also role of non-modifiable risks like HPV infections and chronic irritation by continuous trauma from misdirected tooth in causation of Oral Squamous Cell Carcinoma (OSCC). AIMS To find out the role played by chronic irritation due to misdirected tooth as an aetiological factor for OSCC. METHODS AND MATERIALS This is a retrospective clinical study done in 42 patients with OSCC from July 2014 to March 2016. RESULTS 23.8% patients who consumed alcohol and had misdirected tooth developed cancer, whereas only 4.76% patients with alcohol consumption history alone developed cancer; 26.19% patients used tobacco and had misdirected tooth developed cancer and only 7.14% with tobacco usage alone developed cancer. In 19.04% patients who took alcohol and tobacco both and with misdirected tooth developed cancers and in 7.14% cases developed cancer when there is only history of alcohol and tobacco usage alone and no misdirected tooth was present; 7.14% patients developed cancers only with the presence of misdirected tooth alone; 4.76% patients developed cancer de novo even with not any risk factor involved. CONCLUSION We came to the conclusion that there is a significant role of irritation by misdirected tooth in the causation of OSCC as well as it is a major synergistic factor when combined with tobacco and alcohol consumption
Authors and Affiliations
Jagdish Purohit, Sushil Kashyap, Manish , Siva , Chandrabhan , Vineet
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