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Oral submucous fibrosis: Comparing clinical grading with duration and frequency of habit among areca nut and its products chewers.
[oral submucous fibrosis]
To
evaluate
the
effect
of
frequency
,
duration
and
type
of
areca
nut
products
on
the
incidence
and
severity
of
oral
submucous
fibrosis
(
OSMF
)
.
Patients
with
the
limited
mouth
opening
and
associated
blanched
oral
mucosa
with
palpable
fibrous
bands
were
included
in
this
study
.
Biopsies
were
done
and
the
informed
consent
was
taken
from
each
patient
included
in
this
study
.
The
tissues
were
taken
from
the
affected
areas
and
then
studied
histopathologically
.
The
data
was
analysed
statistically
using
X
(
2
)
-
test
.
In
this
present
prospective
study
done
in
197
subjects
(
189
males
and
8
females
)
who
were
screened
and
diagnosed
clinically
having
OSMF
with
age
ranging
from
22
to
61
years
with
mean
38
.
8
years
.
Gutkha-chewing
habit
alone
was
identified
in
58
subjects
and
those
associated
with
gutkha
and
tobacco
were
33
with
mean
age
of
28
.
2
years
and
32
.
3
years
,
respectively
.
The
number
of
people
getting
affected
with
OSMF
is
more
associated
with
gutkha
and
areca
nut
with
the
P-
value
of
the
analysis
ranging
from
0
.
05
to
0
.
01
.
The
occurrence
of
OSMF
is
related
to
areca
nut
and
its
products
.
The
duration
and
frequency
of
its
use
and
type
of
areca
nut
product
has
effect
on
the
incidence
and
severity
of
OSMF
.
Gutkha
and
pan
masala
have
more
deleterious
and
faster
effects
on
oral
mucosa
.
The
gutkha-chewing
habit
along
with
the
other
habits
does
not
have
any
significant
effect
on
the
rate
of
occurrence
and
incidence
and
severity
of
the
OSMF
.