CONFERENCE PROCEEDING
A revisit at 16 years for individuals from periurban New Delhi for tobacco use and associated oral lesions
 
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1
Maulana Azad Institute of Dental Sciences, Delhi, India
2
ICMR-National Institute of Cancer Prevention and Research, Noida, India
Publish date: 2019-10-12
 
Tob. Induc. Dis. 2019;17(Suppl 1):A20
KEYWORDS
ABSTRACT
Objective:
India has a high incidence of oral cancer due to multifarious tobacco use. The objective of this study was to assess the status of tobacco-related oral lesions over 16 years, in a screen-detected population.

Methods:
This cross-sectional study involved home visits of 2000 Delhi residents, previously screened for oral potentially malignant disorders/oral cancer and counselled for tobacco cessation. Their basic demographics and tobacco/alcohol history were noted followed by oral visual examination for any related mucosal abnormalities. The data thus obtained were statistically analysed.

Results:
Two hundred and sixty-five individuals (13.2%) could be traced after 16 years. The status of oral lesions varied across the participants, mainly in terms of their location, type, number, and/or presence/absence; no oral malignancies were noted. Most individuals had either a decreased use (34%, p < 0.001) or had quit tobacco (25.7%, p < 0.001); 8.3% individuals from the former and 5.7% from the latter group showed complete lesion(s) regression. The overall change in the tobacco use and oral lesions showed a highly significant positive association (p < 0.05).

Conclusions:
A direct relationship exists between tobacco use and oral lesions. Repeated, tobacco cessation counselling provided by health-care professionals is effective. Oral screening of high-risk individuals, along with tobacco cessation, is thus essential.

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