Background: Oral potentially malignant disorders (OPMDs) comprise any disorders, tumors, in addition to any microscopic alterations that have a risk of malignant development of cancers of the mouth. When epithelial dysplasia is detected in an oral lesion, it is termed as a precancerous lesion. Finding: Several changes in the color or thickness of normal oral mucosa might be detected during the clinical diagnosis of the oral lesions. Leukoplakia of the oral cavity is a clinical name for one of the most predominant OPMDs of the oral mucosa. When comparing oral examination with naked eyes to planning to apply staining with special stain or using an image of optical fluorescence, the incidence of patients with oral epithelial dysplasia may rise, as well as the clearing of the lesion boundary. Increased size of more than 2cm2, the presence of colored regions with a red hue, the presence of lichenoid process characteristics, and severe epithelial dysplasia are all considered risk factors. One-third of premalignant lesions may progress to cancer, whereas the other two-thirds may stay stable or regress without progressing to malignancy. Conclusion: It is critical to research the patients' unique characteristics, which include psychological, genetic, dietary, and dental problems. When epithelial dysplasia is present in an oral lesion, it is termed a precancerous lesion. Oral potential malignant diseases with epithelial dysplasia may or may not develop into carcinoma and may or may not be recurrent.

Background: Recovery time and fast patient discharge after surgery are goals of fast-track surgery that uses the concept of ERAS (Enhanced Recovery After Surgery) to minimize pain, speed up recovery, and reduce pain and complications. Fast-track surgeries such as odontectomy require drugs with a fast onset of action and short duration hence the patient can recover from the drugs as soon as possible. The use and types of opioids have been developed for optimal fast-track surgery. One of the most widely used opioids is remifentanil. Purpose: This study aims to compare the administration of fentanyl and remifentanil to the emergence and discharge time of post-odontectomy patients with general anesthesia. Methods: Patients were divided into two groups, the fentanyl group (group F, n=21) and the remifentanil group (group R, n=21). This study used a retrospective cohort analysis of the medical records of 42 patients with elective odontectomy surgery for the period December 2020 to June 2021 at RSUP dr. Hasan Sadikin Bandung. Emergence time was assessed using the OAA/S score and discharge time was considered using the modified Aldrete score. Results: This study showed a significant difference between the emergence time in group R (168+47.98 seconds) and group F (368+58.16 seconds) with a p-value = 0.0001. There was a significant difference between the discharge time in group R (20.00+7.24 minutes) and group F (58.57+12.46 minutes) with a p-value = 0.001. Conclusion: Recovery time and discharge time for patients receiving remifentanil were faster than for patients receiving fentanyl for odontectomy.

Background: Oral potentially malignant disorders (OPMDs) comprise any disorders, tumors, in addition to any microscopic alterations that have a risk of malignant development of cancers of the mouth. When epithelial dysplasia is detected in an oral lesion, it is termed as a precancerous lesion. Finding: Several changes in the color or thickness of normal oral mucosa might be detected during the clinical diagnosis of the oral lesions. Leukoplakia of the oral cavity is a clinical name for one of the most predominant OPMDs of the oral mucosa. When comparing oral examination with naked eyes to planning to apply staining with special stain or using an image of optical fluorescence, the incidence of patients with oral epithelial dysplasia may rise, as well as the clearing of the lesion boundary. Increased size of more than 2cm2, the presence of colored regions with a red hue, the presence of lichenoid process characteristics, and severe epithelial dysplasia are all considered risk factors. One-third of premalignant lesions may progress to cancer, whereas the other two-thirds may stay stable or regress without progressing to malignancy. Conclusion: It is critical to research the patients' unique characteristics, which include psychological, genetic, dietary, and dental problems. When epithelial dysplasia is present in an oral lesion, it is termed a precancerous lesion. Oral potential malignant diseases with epithelial dysplasia may or may not develop into carcinoma and may or may not be recurrent.