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Prevalence of potentially malignant oral mucosal lesions among tobacco users in Jeddah, Saudi Arabia.
[oral submucous fibrosis]
Smoking
is
recognized
as
a
health
problem
worldwide
and
there
is
an
established
tobacco
epidemic
in
Saudi
Arabia
as
in
many
other
countries
,
with
tobacco
users
at
increased
risk
of
developing
many
diseases
.
This
cross
sectional
study
was
conducted
to
assess
the
prevalence
of
oral
mucosal
,
potentially
malignant
or
malignant
,
lesions
associated
with
tobacco
use
among
a
stratified
cluster
sample
of
adults
in
Jeddah
,
Saudi
Arabia
.
A
sample
size
of
599
was
collected
and
each
participant
underwent
clinical
conventional
oral
examination
and
filled
a
questionnaire
providing
information
on
demographics
,
tobacco
use
and
other
relevant
habits
.
The
most
common
form
of
tobacco
used
was
cigarette
smoking
(
65
.
6
%
)
followed
by
Shisha
or
Moasel
(
38
.
1
%
)
,
while
chewing
tobacco
,
betel
nuts
and
gat
accounted
for
21
-
2
%
,
7
.
7
%
,
and
5
%
respectively
.
A
high
prevalence
(
88
.
8
%
)
of
soft
tissue
lesions
was
found
among
the
tobacco
users
examined
,
and
a
wide
range
of
lesions
were
detected
,
about
50
%
having
hairy
tongue
,
36
%
smoker
's
melanosis
,
28
.
9
%
stomatitis
nicotina
,
27
%
frictional
keratosis
,
26
.
7
%
fissured
tongue
,
26
%
gingival
or
periodontal
inflammation
and
finally
20
%
leukodema
.
Suspicious
potentially
malignant
lesions
affected
10
.
5
%
of
the
subjects
,
most
prevalent
being
keratosis
(
6
.
3
%
)
,
leukoplakia
(
2
.
3
%
)
,
erythroplakia
(
0
.
7
%
)
,
oral
submucous
fibrosis
(
0
.
5
%
)
and
lichenoid
lesions
(
0
.
4
%
)
,
these
being
associated
with
male
gender
,
lower
level
of
education
,
presence
of
diabetes
and
a
chewing
tobacco
habit
.
It
is
concluded
that
smoking
was
associated
with
a
wide
range
of
oral
mucosal
lesions
,
those
suspicious
for
malignancy
being
linked
with
chewable
forms
,
indicating
serious
effects
.
Diseases
Validation
Diseases presenting
"common form"
symptom
achondroplasia
alexander disease
benign recurrent intrahepatic cholestasis
cadasil
child syndrome
classical phenylketonuria
cutaneous mastocytosis
erythropoietic protoporphyria
familial mediterranean fever
hereditary cerebral hemorrhage with amyloidosis
hodgkin lymphoma, classical
holt-oram syndrome
homocystinuria without methylmalonic aciduria
oral submucous fibrosis
pendred syndrome
primary hyperoxaluria type 1
severe combined immunodeficiency
thoracic outlet syndrome
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