“…The metanalysis included nine studies and demonstrated a significant increase in serum LDH level among patients with potentially malignant disorders including OSMF, leukoplakia and lichen planus. All the nine observational studies in the meta-analysis (Chari et al, 2016;Mishra et al, 2018;Mohan et al, 2017;Nalin et al, 2018;Nandita et al, 2017;Pereira et al, 2015;Rathore et al, 2015;Sharma et al, 2016;Swamy and Ganiger et al, 2016) reported a higher level of mean serum LDH for PMDs compared to Oral cancer often presents a clinical diagnostic challenge to the dental practitioner, particularly in its early stage of development. Typically, they tend to be preceded by a potentially malignant state for a long time (Macdonald et al, 1957;Nair et al, 2012).…”