Evaluating patients with oral leukoplakia in smokers versus non-smokers: A clinico-histopathological study

Variable clinical behavior is seen in oral leukoplakia, a potentially malignant illness of the mouth that may be caused by etiological factors including cigarette smoking. Therefore, it is of interest to compare the features of oral leukoplakia lesions and epithelial dysplasia in 100 individuals, all of whom were either smokers or non-smokers, using a clinico-histopathological approach. Histopathological analysis was used to ascertain the extent of epithelial dysplasia after a thorough clinical evaluation that included the location, size, shape and duration of the lesion. Smokers were more likely to have leukoplakia on the buccal mucosa, whereas non-smokers tended to have lesions on the gingiva and tongue. Regardless of smoking status, histopathological investigation showed that moderate to severe dysplasia occurred in a considerable number of patients, even though mild dysplasia predominated in both groups. Thus, we show the need of biopsy and routine monitoring of all leukoplakic lesions, even while smoking is a major etiological factor for leukoplakia formation; dysplastic alterations and possible malignant risk may occur in smokers and non-smokers alike.