DOI: 10.4103/jiaphd.jiaphd_300_25 ISSN: 2319-5932

Oral Health Status of Patients with Different Clinical Grades of Oral Submucous Fibrosis: A Cross-sectional Survey

Amrita Bansal, Richa Nagar, Ashwini Kurli, M. P. Alfas Rasi, Shilpi Gilra Gupta, Puneet Gupta

Abstract

Introduction:

Oral submucous fibrosis (OSMF) is a chronic, progressive, potentially malignant disorder strongly associated with areca nut and smokeless tobacco use. In addition to functional limitations, OSMF may significantly influence oral health status, yet limited data exist on dental caries and periodontal conditions among affected individuals.

Materials and Methods:

A cross-sectional survey was conducted among 61 clinically diagnosed OSMF patients attending a tertiary care dental institution. Data were collected using the World Health Organization Oral Health Assessment Pro forma (2013). Sociodemographic details, habit patterns, dentition status, dental caries experience (Decayed Missing and Filled Teeth [DMFT]), periodontal status, loss of attachment, fluorosis, and oral mucosal involvement were recorded. Statistical analysis included Chi-square test and one-way ANOVA, with significance set at P < 0.05.

Results:

The mean age was 35.7 ± 13.0 years, with a marked male predominance (90.2%). Smokeless tobacco use was common (73.8%), and areca nut use showed a significant association with higher OSMF grades ( P = 0.005). Dental caries prevalence was 67.2%, with a mean DMFT of 2.43 ± 2.65. Periodontal disease burden was high; however, variations across OSMF grades were not statistically significant ( P > 0.05).

Conclusion:

OSMF patients demonstrated a high burden of dental caries and periodontal disease. Integrating habit cessation, routine oral health screening, and comprehensive dental care into OSMF management is essential from a public health perspective.

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