ABSTRACT
Objective: The aim of this cross-sectional study was to assess the oral health-related quality of life (OHRQoL) in a cohort of 500 patients diagnosed with precancerous lesions and conditions at a tertiary care hospital in Central India. Methods: 500 patients with confirmed precancerous oral lesions and conditions were recruited for the study. The Oral Health Impact Profile (OHIP-14) questionnaire, a validated instrument consisting of 14 items, was used to assess the OHRQoL of the participants. The OHIP-14 questionnaire scores were statistically analyzed using appropriate methods. Results: The majority of the participants were with a mean age of 48 years. The mean OHIP-14 score was calculated to be 45.1, indicating the overall impact of oral health on the quality of life of patients with precancerous lesions and conditions. The individual domains most affected were functional limitations and physical pain. Conclusion: This study demonstrates that promoting oral health awareness and regular screenings in the community is needed to prevent the progression of oral precancerous conditions and ultimately reduce the burden of oral cancer.
ABSTRACT
INTRODUCTION: Cone beam computed tomography is a new diagnostic innovation to dental imaging. Despite the use of CBCT in oral and maxillofacial imaging, reports on its use either by individual practitioners or referral patterns to CBCT centers is lacking. Hence, a study was conducted to determine incidental findings on CBCT and reasons for referral by dental practitioners in Indore city. MATERIALS AND METHODS: A retrospective analysis of 795 records that were referred for CBCT imaging at Institutional and Oracal CBCT Centre, Indore was undertaken. Referrals from both within and outside institution, as well as from private practitioners were considered. The reason for CBCT referral, provision diagnosis, final diagnosis and any incidental diagnosis were recorded. RESULTS: This retrospective chart audit revealed that 56.7 % were male and 43.3% were females. Greatest source of patients was referred by oral surgeons (21.9%) followed by oral and maxillofacial radiologist (14.2%) and prosthodontist (9.3%). The most common reason for referral was for implant analysis (24.2%) and the most common incidental finding diagnosed by CBCT was oral malignancies. CONCLUSION: In Institutional set-up, CBCT referrals were mostly for the reason of planning implant placement followed by trauma whereas private practitioners used CBCT mostly for implant placement followed by impaction. CBCT was being utilized more by Oral surgeons in private sector whereas it in an Institutional setup majority of referrals from Department of Oral Diagnosis and Radiology. Findings that were most commonly diagnosed incidentally on CBCT were Orofacial malignancies followed maxillary sinus pathologies.
ABSTRACT
Oral health status of HIV positive individuals is in poor condition which may be a sequela of variety of factors. This study was aimed at assessing and comparing the oral health status and oromucosal lesions between HIV positive and negative individuals in India. A total of 126 HIV positive and 532 HIV negative individuals were recruited for the study. Oral health status and oromucosal lesions were recorded using WHO oral health assessment form (1997). Data was analyzed using chi-square and independent sample student's t test. Majority (85.7%) of people suffering from HIV belonged to lower socioeconomic status. The mean for DMFT score was found to be significantly higher in HIV positive individuals (12.83 ± 9.6) as compared to HIV negative individuals (8.34 ± 7.6) (P value < 0.0001). Nearly 75% of HIV positive individuals showed oromucosal lesions with candidiasis (36%) being the most common. Nearly 50% of HIV positive individuals had community periodontal index (CPI) and loss of attachment (LOA) score >2. In conclusion HIV positive individuals have poor oral health status and poor periodontal status compared to control group. Effective policies need to be drafted to take care of the oral health of this high risk group.
