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Oral potentially malignant disorders (OPMDs): An overview
Bishwa Prakash Bhattarai1, Ashutosh Kumar Singh2, Dipak Sapkota1
1Department of Oral Biology, Faculty of Dentistry, University of Oslo, Oslo, Norway.
Oral potentially malignant disorders (OPMDs) carry a risk of transforming into oral squamous cell carcinoma (OSCC). Early detection and risk assessment are crucial for managing OPMDs and preventing progression to OSCC.
Area of Science:
- Oral pathology
- Oncology
- Dental medicine
Background:
- Oral potentially malignant disorders (OPMDs) are lesions with a risk of progressing to oral squamous cell carcinoma (OSCC).
- OPMDs commonly manifest as white or red oral lesions, with oral leukoplakia being prevalent globally (4.47%).
- Malignant transformation of OPMDs to OSCC occurs in approximately 7.9% of cases, with varying risks among subtypes.
Purpose of the Study:
- To provide a comprehensive overview of OPMDs.
- To discuss epidemiological data, etiological factors, and molecular pathogenesis.
- To review diagnostic methods, treatments, and prognostic factors for oral leukoplakia.
Main Methods:
- Literature review and synthesis of existing data on OPMDs.
- Epidemiological analysis of OPMD prevalence and malignant transformation rates.
- Discussion of diagnostic tools and treatment modalities.
Main Results:
- OPMDs have a global prevalence of 4.47%, with malignant transformation rates varying significantly by subtype.
- Proliferative verrucous leukoplakia (49.5%), oral erythroplakia (33.1%), and oral leukoplakia (9.5%) show the highest transformation risks.
- Oral epithelial dysplasia (OED) grade correlates with malignant transformation risk, but accurate risk prediction tools are lacking.
Conclusions:
- Effective management of OPMDs requires understanding their epidemiology, risk factors, and progression.
- Further research is needed to develop tools for accurately identifying high-risk OPMDs.
- This chapter serves as a foundational resource for understanding and managing oral leukoplakia.
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