Patterns of oral habits in patients with oral cancer and oral potentially malignant disorders: a cross-sectional study

Abhishek Ghosh; Arunit Chatterjee; Mousumi Pal; Santanu Sen Roy

doi:10.18203/2394-6040.ijcmph20262698

Authors

Abhishek Ghosh Department of Oral and Maxillofacial Pathology, Dr. R. Ahmed Dental College and Hospital, Kolkata, India
Arunit Chatterjee Department of Oral and Maxillofacial Pathology, Guru Nanak Institute of Dental Sciences and Research, Kolkata, W. B., India
Mousumi Pal Department of Oral and Maxillofacial Pathology, Guru Nanak Institute of Dental Sciences and Research, Kolkata, W. B., India
Santanu Sen Roy Department of Public Health Dentistry, Guru Nanak Institute of Dental Sciences and Research, Kolkata, W. B., India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20262698

Keywords:

Leukoplakia, Oral cancer, Oral habits, Oral submucous fibrosis, Smokeless tobacco

Abstract

Background: While evaluating the various etiologic factors, most of the studies had attributed the development of oral cancer (OC) and oral potentially malignant disorders (OPMDs) to oral habits like smoking, drinking alcohol, chewing of smokeless tobacco, both qualitatively and quantitatively. The aim of this study was to investigate the patterns of oral habits in patients with OC and OPMDs.

Methods: This is a hospital‑based cross‑sectional study. The patients attending the outpatient department of this tertiary care hospital were selected after thorough clinical screening with a view to detect the presence OPMDs and oral squamous cell carcinoma (OSCC). After obtaining written informed consent, all the details including habit history were recorded in a specially prepared clinical record sheet through active interrogation and proper clinical examination. This data was tabulated in the excel sheet to facilitate further statistical analysis.

Results: While analyzing the oral habits among male subjects, significant number (65.5%) had tobacco-chewing habit, 52.2% had tobacco smoking habit while 35.4% had the habit of alcohol consumption. On the other hand, 66% of 53 female subjects had only tobacco chewing habit. There was an increasing trend of Gutkha use among both sexes. The tobacco chewing habits were more prevalent in the third, fourth and fifth decades of life among the study population. Frequency of habit‑associated OC or OPMDs was also statistically significant.

Conclusions: The study proves a definite association between smokeless tobacco habit and OC and OPMDs and necessitates appropriate interventions.

References

Elango JK, Gangadharan P, Sumithra S, kuriakose MA. Trends of head and neck cancers in urban and rural India. Asian Pac J Cancer Prev. 2006;7(1):108-12.

Mortazavi H, Baharvand M, Mehdipour M. Oral potentially malignant disorders: An overview of more than 20 entities. J Dent Res Dent Clin Dent Prospects. 2014;8(1):6 14.

Gowhar O, Ain TS, Singh NN, Sultan S. Prevalence of oral premalignant and malignant lesions in Moradabad, India A retrospective study. Int J Contemp Med Res. 2016;3(7):2079 81.

Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med. 2006;3(11):e442.

Neville BW, Damn DD, Allen CM, Bouquot JE. Oral and maxillofacial pathology. 1st Asia-Pacific edition. 2016.

Singh MP, Vijay K, Akash A, Rajendra K, Bhatt MLB, Misra S. Clinico-epidemiological study of oral squamous cell carcinoma: A tertiary care centre study in North India. J Oral Biol Craniofacial Res. 2016;6(1):32-5.

Bascones-Martínez A, Rodríguez-Gutiérrez C, Rodríguez-Gómez E, Bascones-Ilundaín J, Bascones-Ilundaín C, Gil-Montoya JA, et al. Epidemiological study of oral cancer patients in Alava province. Experimental Oncol. 2012;2(5):937-40.

Hallikeri K, Venktesh N, Kruthika G, Mangalore S, Niranjan KC. Prevalence of OMLs in tobacco habitual. Ind J Cancer. 2018;55(4):404-9.

Wahi PN. The Epidemiology of Oral and Oropharyngeal Cancer, A Report of the Study in Mainpuri District, Uttar Pradesh, India. Bull. Wld Hlth Org. 1968;38(4):495-521.

Sujatha D, Hebbar PB, Pai A. Prevalence and correlation of oral lesions among tobacco smokers, tobacco chewers, areca nut and alcohol users. Asian Pacific J Cancer. 2012;13(4):1633-7.

Aruna DS, Prasad KV, Shavi GR, Ariga J, Rajesh G, Krishna M. Retrospective study on risk habits among oral cancer patients in Karnataka Cancer Therapy Research Institute, Hubli, India. Asian Pacific J Cancer Prev. 2011;12(6):1561-6.

Tandon P, Dadhich A, Saluja H, Bawane S, Sachdeva S. The prevalence of squamous cellcarcinoma in different sites of oral cavity at our Rural Health Care Centre in Loni, Maharashtra-a retrospective 10-year study. Contemporary Oncol. 2017;21(2):178.

Abidullah M, Kiran G, Gaddikeri K, Raghoji S, Ravishankar ST. Leukoplakia-review of a potentially malignant disorder. J Clin Diagn Res. 2014;8(8):ZE01-4.

Hashibe M, Mathew B, Kuruvilla B, Thomas G, Sankaranarayanan B, Parkin DM, et al. Chewing tobacco, alcohol and the risk of erythroplakia. Cancer Epidemiol Biomarkers Prev. 2000;9:639-45.

Nigam NK, Aravinda K, Dhillon M, Gupta S, Reddy S, Raju MS. Prevalence of oral submucous fibrosis among habitual gutkha and areca nut chewers in Moradabad district. J Oral Biol Craniofacial Res. 2014;4(1):8-13.

Babu S, Bhat RV, Kumar PU, Sesikaran B, Rao KV, Aruna P, et al. A comparative clinicopathological study of oral submucous fibrosis in habitual chewers of pan masala and betel quid. Clin Toxicol. 1996;34(3):317e322.

McCarthy PL, Shklar G. Diseases of the Oral Mucosa, 2nd edn. Philadelphia: Lea and Febiger. 1980.