Squamous odontogenic tumors (SOTs) are neoplasms being benign, local in origin and infiltrative in capacity that localize to the periodontium. In total, only less than 50 cases have been reported since the first description of SOTs in 1975. The most common site of occurrence of the lesion in the maxilla, incisor area and in the mandible, the bicuspidmolar region. Squamous odontogenic tumors show a characteristic triangular-shaped, unilocular radiolucency of the alveolar bone, with the wide base of the radiolucency localized between the diverging apices of the adjacent roots, radiographically. Here, we report an unusual presentation of the tumour in the periapical region of the mandibular incisor region mimicking radicular cyst clinically but with a major histological variation.
Oral and pathology infers all the diseases of the mouth and structures related to the mouth inclusive of salivary glands, joints (TMJ), facial muscles and skin. Management of oral and pathology remains one of the most universally performed procedures by oral and surgeons. Lesions of the oral and region are a group of heterogeneous diseases with a wide spectrum of characteristics. Predictability of lesions helps in rightly predicting, diagnosing, treating and eliminating that arise in the oral cavity. The aim of this study is to determine the frequency of oral and encountered in a single institution. This is a single retrospective study done from June 2019 – March 2020. Sixty-five patients who were diagnosed with a pathology pertaining to the oral and region were considered. Lesions were grouped as a cyst, tumors, infections, salivary gland and others for better understanding and interpretation. The parameters examined and processed with relevance to oral and pathology were type of lesion, age and gender of the patient. IBM SPSS Version 20 was used for statistical analysis. Out of a total of 65 patients considered with oral and pathological lesion requiring surgical management, the most common type of pathology was a cyst (40.0%) followed by tumors (21.5%). Gender predilection for oral and pathology was evident with greater incidence among males (63.1%) with p value = 0.049 < 0.05, by chi square test and in an age group of 21-30 years (30.8%) with p value = 0.044 < 0.05 by chi square test. This study concludes to establish the predominance of oral and that arise in the age group of 21-30 years with a gender preference to males over females. The most common pathology was cysts, followed by tumors with cyst (53.8%) and (35.7%) being most common in their respective pathological genre.
In developing countries like India, Oral cancer is considered to be the leading cause of mortality. Under such a scenario prompt detection and treatment of this devastating disease is a must. Detection of early oral changes and referrals of patients to specialists as and when required remain in the hands of general practitioners.. Lack of knowledge and awareness about oral premalignant lesions and oral cancer among medical students and doctors continue to be alarming as it dims the light on the necessity of knowledge about oral cancer and may contribute to delay in diagnosis and treatment. With this study, we aim to assess the knowledge, awareness and practice of medical professionals about oral premalignant lesions and oral lesions. A cross sectional, digital questionnaire based study was conducted among 377 medical professionals using 20 closed ended relevant questions. The collected data were consolidated and statistically analysed using IBM SPSS Version 20. The study revealed that 61.80% of participants were unaware of premalignant lesions and conditions out of which 65.25% were not aware that these lesions and conditions can exist asymptomatically. 71.09% of participants were aware that oral cancer can be diagnosed at early stages. However, 68.7% of participants were unaware of the investigative procedures done for early detection. More than half the total participants (53.3%) felt that they did not have sufficient knowledge concerning prevention of pre malignant oral lesion and conditions. This study concludes that more than 60% prospective medical professionals lack the knowledge about oral cancer and its diagnosis. This study hopes to shed light to the negligence of medical practitioners on a malignancy so relevant and yet left so unaware of. This study over all establishes the importance to improve the level of competency of the medical professionals in diagnosing and preventing oral premalignant lesions and oral cancer.
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