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Assessment of the Mouth01:26

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Related Experiment Video

Updated: Sep 30, 2025

Culturing of Human Nasal Epithelial Cells at the Air Liquid Interface
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A study on oral mucosal changes among tobacco users.

Jeyaseelan Ramasamy1, B Sivapathasundharam2

  • 1Department of Oral Pathology and Microbiology, Faculty of Dentistry, Meenakshi Ammal Dental College and Hospital, Meenakshi Academy of Higher Education and Research, Venkatapuram, Ambattur, Chennai, Tamil Nadu, India.

Journal of Oral and Maxillofacial Pathology : JOMFP
|March 14, 2022
PubMed
Summary

Tobacco use is linked to oral potentially malignant disorders like oral submucous fibrosis (OSMF) and oral squamous cell carcinoma (OSCC). This study found a strong correlation between tobacco habits and lesion development, with higher rates in males.

Keywords:
Chewer's mucositisleukoplakiamedian rhomboid glossitisoral cavityoral squamous cell carcinomaoral submucous fibrosis

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Area of Science:

  • Oral pathology
  • Tobacco-related diseases
  • Public health

Background:

  • Oral malignancies represent a significant health burden, with tobacco use being a primary risk factor.
  • Potentially malignant disorders, including oral submucous fibrosis (OSMF), leukoplakia, and oral squamous cell carcinoma (OSCC), are strongly associated with oral tobacco habits.
  • Lifestyle changes and limited healthcare access exacerbate cancer development and morbidity.

Purpose of the Study:

  • To investigate and correlate oral mucosal changes in tobacco users with specific forms of tobacco consumption.
  • To identify the prevalence of various oral lesions among different categories of tobacco users.

Main Methods:

  • A cross-sectional study involving 4,500 individuals categorized by tobacco habits: chewing only (Group A), smoking only (Group B), and smoking and chewing (Group C).
  • Data collection included detailed patient habit recording via case sheets and clinical examination of oral lesions.
  • Biopsies were performed for suspected lesions with patient consent, followed by data compilation and statistical analysis.

Main Results:

  • Oral submucous fibrosis (OSMF), chewer's mucositis, smoker's palate, and oral squamous cell carcinoma (OSCC) were prevalent across the studied groups.
  • OSCC, OSMF, and chewer's mucositis were more frequent in individuals who only chewed or both smoked and chewed (Groups A and C).
  • Smoker's palate was more common in the smoking-only group (Group B).

Conclusions:

  • A strong correlation exists between all studied oral lesions and increased tobacco usage.
  • Lesion prevalence was higher in males, partly due to the absence of female smokers in the study cohort.
  • Further research with larger, diverse populations and equal gender distribution is recommended to accurately correlate lesion types, frequency, and duration with tobacco habits.