Management update of potentially premalignant oral epithelial lesions

Awadallah, Michael; Idle, Matthew; Patel, Ketan; Kademani, Deepak

doi:10.1016/j.oooo.2018.03.010

Cited by 135 publications

(130 citation statements)

References 50 publications

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“…It is accepted that close clinical follow-up is important and that clinicians should consider clinical photography as mandatory. 18 The highest agreement, in the current study, in the necessity of photography for potentially malignant disorders was for dysplastic lesions; this is congruent with the treatment approach of Kanatas 2011. 9 and a recent review which suggested photography as part of a treatment algorithm.…”

Section: Discussionsupporting

confidence: 85%

“…9 and a recent review which suggested photography as part of a treatment algorithm. 18 Monitoring is reportedly more accurate when photography is used which is critical for management of potentially malignant disorders. 19,20 Similarly, over 90% of respondents TA B L E 1 Distribution of dental student attitudes in United Kingdom and Israel regarding the use of clinical photography 21,22,23 In addition, the lesions of ELP change frequently and photographic records provide valuable information over time.…”

Section: Discussionmentioning

confidence: 99%

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Clinical photography: Attitudes among dental students in two dental institutions

Czerninski

Zaidman

Keshet

et al. 2019

Eur J Dental Education

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Introduction:Clinical photography is an important tool in teaching, clinical practice and academia especially for mucosal pathologies. Our aim was to examine differences in attitude towards clinical photography for mucosal pathologies among students.Methods: Questionnaires about clinical photography were completed by students in dental teaching hospitals in Birmingham (UK) and in Israel (ISR). The questionnaires focussed on the perceived value of clinical photography for a number of purposes and also explored perceived barriers to clinical photography and technology in general. The two departments have different access to clinical photography; in the United Kingdom a separate dedicated photography unit takes all the photographs, whereas in ISR the clinicians take their own photographs. Pearson Chi-squared tests determined statistical significance between categorical variables (P < 0.05).Results: Among the 163 respondents, there were no significant differences in the value of photography between countries or genders. The participants felt that the aims of photography included: teaching (99.4%), monitoring premalignancy (97.6%) and clinician communication (95.8%). More than 90% thought photography should be used for dysplasia and erosive lichen planus cases. Respondents from ISR were more in favour of photographing pathologies including simple leukoplakia, reticular lichen planus, vesiculobullous or pigmented lesions (P < 0.001 compared to the UK). Overall, the main reasons for not using photography were time constraints (25.5%) and access (21.8%). Conclusions:This study highlights a favourable attitude towards clinical photography for various teaching and clinical indications thereby demonstrating its importance. In order to maximise the benefits of clinical photography, access should be simplified. K E Y W O R D Sclinical imaging, oral medicine, undergraduate *

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Clinical photography: Attitudes among dental students in two dental institutions

Czerninski

Zaidman

Keshet

et al. 2019

Eur J Dental Education

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“…1,2 Survival rates for OSCC are highly stage-dependent, with patients treated at early stages having higher quality of life and lower cost of care. 5 OPMDs encompass a number of oral lesion types, such as leukoplakia, erythroplakia, lichen planus, Candida hyperplasia, oral verrucous hyperplasia (OVH), oral submucous fibrosis (OSF), and epithelial dysplasia. Therefore, patients with precancerous lesions or conditions are widely accepted to have a significantly higher risk of developing oral cancer.…”

Section: Introductionmentioning

confidence: 99%

“…Another new term, "potentially premalignant oral epithelial lesion", has been used to broadly define lesions whose histological or clinical features have malignant potential. 5 OPMDs encompass a number of oral lesion types, such as leukoplakia, erythroplakia, lichen planus, Candida hyperplasia, oral verrucous hyperplasia (OVH), oral submucous fibrosis (OSF), and epithelial dysplasia. For people who smoke tobacco or chew betel quid, periodic screening with visual and tactile examination followed by ablation of OPMDs or early-stage OSCCs can effectively reduce OSCC mortality.…”

Section: Introductionmentioning

confidence: 99%

Malignant development in patients with oral potentially malignant disorders detected through nationwide screening: Outcomes of 5‐year follow‐up at a single hospital

et al. 2019

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Background: Although survival rate and quality of life are improved if patientswith oral carcinoma can be detected early, however, such lesions are usually asymptomatic; therefore, it is hard to raise awareness. Screening has proved to be cost-effective for early detection. Methods: Sixty-two patients with oral carcinomas and 555 patients with oral potentially malignant disorders (OPMDs) who were detected through screening were examined the relationship between clinicopathological features and follow-up outcomes.Results: The 5-year cumulative cancer-free interval rate was 94.1%, and the annual malignant transformation rate was 1.16%. The rate of interval carcinoma development from Candida hyperplasia, oral submucous fibrosis, homogeneous leukoplakia, non-homogenous leukoplakia, and verrucous hyperplasia, was 13.6%, 5.7%, 4.6%, 12.1%, and 21.3%, respectively. Significant independent risk factors for interval carcinoma development were heavy betel quid chewing, verrucous hyperplasia, and surgery refusal. Conclusions: Well-designed risk assessment, treatment, and surveillance program could lead to earlier cancer detection and thereby reduce mortality and morbidity. K E Y W O R D Shigh-risk, interval carcinoma, oral carcinoma, oral potentially malignant disorders, screening, surgery refusal

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“…Letter to editor Over the last years, there has been a significant improvement in the survival rate of patients with critical oral diseases, and this result is directly correlated to stage at initial presentation [1,2]. The early diagnosis is the most effective way of reducing the individual burden of the disease, decreasing morbidity, and mortality and improving quality of life.…”

mentioning

confidence: 99%

Social media and telemedicine for oral diagnosis and counselling in the COVID-19 era

Machado

Souza

Oliveira³

et al. 2020

Oral Oncology

102

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Management update of potentially premalignant oral epithelial lesions

Cited by 135 publications

References 50 publications

Clinical photography: Attitudes among dental students in two dental institutions

Clinical photography: Attitudes among dental students in two dental institutions

Malignant development in patients with oral potentially malignant disorders detected through nationwide screening: Outcomes of 5‐year follow‐up at a single hospital

Social media and telemedicine for oral diagnosis and counselling in the COVID-19 era

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