ACCIDENTAL FINDINGS OF ORAL PIGMENTATION, ITS CLINICAL PRESENTATION AND ASSOCIATION WITH SOME RISK FACTORS

Main Article Content

Ali Anwaar
Sidra Saleem
Fareed Ahmad
M. Shairaz Sadiq
Muhammad Anwaar Alam
Saliha Abid

Keywords

pigmentation, oral mucosa, history, risk factor, clinical features, differential diagnosis

Abstract

Background: The diagnosis of oral pigmentation is challenging. Oral pigmentation can be physiological or pathological, endogenous, or exogenous. It can be presented as black, brown, white, and red in color.


Objectives: This study aims to determine the prevalence and frequency of oral pigmentation and the factors causing these changes. The correlation between history (demographic data, habits, medical history) and clinical presentation (color, site, nature) of oral pigmentation will be calculated.


Materials and Methods: A questionnaire and clinical examination is to be administered. First to predict the incidence of oral pigmentation as Accidental finding and then corresponding to the data, different types of oral pigmentation and color changes of oral mucosa are examined.


Results: The Demographic feature of our study reveals that out of 300 sample candidates with 217 (72.3%) males and 83 (27.7%) females. 15.3% individuals from both genders belonged to the 14-25 years age group. The maximum number of candidates fell into the 26–35-year age group with 24%. 23.3% reported a history of smoking from all age groups whilst 7.3% referred to pan chewing.


Conclusion: The data provided enlightens our knowledge of oral pigmentations, especially accidental findings when a patient is presented with another dental disease. Although some of the lesions were innocuous yet the dentist should be able to recognize the lesion for a Differential Diagnosis and should refer the patient to a specialist for further investigation and treatment before a lesion may become malignant

Abstract 183 | PDF Downloads 51

References

1. Meleti, M., Vescovi, P., Mooi, W.J. and van der Waal, I., 2008. Pigmented lesions of the oral mucosa and perioral tissues: a flow-chart for the diagnosis and some recommendations for the management. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 105(5), pp.606-616.
2. Tarakji, B., Umair, A., Prasad, D. and Altamimi, M.A., 2014. Diagnosis of oral pigmentations and malignant transformations. Singapore dental journal, 35, pp.39-46.
3. Ali, M., Joseph, B. and Sundaram, D., 2013. Prevalence of oral mucosal lesions in patients of the Kuwait University Dental Center. The Saudi dental journal, 25(3), pp.111-118.
4. Hassona, Y., Sawair, F., Al‐karadsheh, O. and Scully, C., 2016. Prevalence and clinical features of pigmented oral lesions. International journal of dermatology, 55(9), pp.1005-1013.
5. Verma, J., Ahuja, A., Ahuja, V. and Thosar, N.R., 2022. Reconnoitering the Association of Gingival Melanin Pigmentation with Skin Color, Age, and Sex in Pre-School Children of Hazaribag: A Cross-Sectional Study. Cureus, 14(10).
6. Langlais, R.P., Miller, C.S. and Gehrig, J.S., 2020. Color atlas of common oral diseases. Jones & Bartlett Learning.
7. Alhajj, M.N. and Alhajj, W.A., 2020. Prevalence of melanin pigmentation in a yemeni population and its relation to some risk factors. Brazilian Dental Science, 23(2), pp.9-p.
8. Rosebush, M.S., Briody, A.N. and Cordell, K.G., 2019. Black and brown: non-neoplastic pigmentation of the oral mucosa. Head and neck pathology, 13(1), pp.47-55.
9. Choufani, A., Folliguet, M., Chahine, N., Rammal, S. and Doumit, M., 2020. Prevalence of oral mucosal lesions among the institutionalized elderly population in Lebanon. Gerontology and Geriatric Medicine, 6, p.2333721420925189
10. Glick, M., Greenberg, M.S., Lockhart, P.B. and Challacombe, S.J., 2021. Introduction to oral medicine and oral diagnosis: patient evaluation. Burket's Oral Medicine, pp.1-18.
11. Müller, S., 2019. Frictional keratosis, contact keratosis and smokeless tobacco keratosis: features of reactive white lesions of the oral mucosa. Head and neck pathology, 13(1), pp.16-24.
12. Adkins, K.F., 1966. Diagnosis of white lesions of the oral mucosa. Australian Dental Journal, 11(4), pp.227-232.
13. Vieira-Andrade, R.G., Zuquim Guimarães, F.D.F., Vieira, C.D.S., Freire, S.T.C., Ramos-Jorge, M.L. and Fernandes, A.M., 2011. Oral mucosa alterations in a socioeconomically deprived region: prevalence and associated factors. Brazilian oral research, 25, pp.393-400.
14. Charan J, Biswas T. How to calculate sample size for different study designs in medical research? Indian J Psychol Med. 2013 Apr;35(2):121-6. doi: 10.4103/0253-7176.116232. PMID: 24049221; PMCID: PMC3775042.
15. Summers, S.A., Tilakaratne, W.M., Fortune, F. and Ashman, N., 2007. Renal disease and the mouth. The American journal of medicine, 120(7), pp.568-573.
16. Garcı´a-Pola Vallejo, M.J., Martı´nezDı´az-Canel, A.I., Garcı´a Martı´n, J.M., Gonza´ lez Garcı´a, M., 2002. Risk factors for oral soft tissuelesions in an adult Spanish population. Community Dent. Oral
17. Al-Shammari, K.F., Moussa, M.A., Al-Ansari, J.M., Al-Duwairy,Y.S., Honkala, E.J., 2006. Dental patient awareness of smoking effects on oral health: comparison of smokers and non-smokers. J. Dent. 34, 173–178.
18. Singh A, Dikshit R, Chaturvedi P. Betel Nut Use: The South Asian Story. Subst Use Misuse. 2020;55(9):1545-1551. doi: 10.1080/10826084.2020.1753772. PMID: 32569532
19. Mathew, A.L., Pai, K.M., Sholapurkar, A.A., Vengal, M., 2008. Theprevalence of oral mucosal lesions in patients visiting a dentalschool in Southern India. Indian J. Dent. Res. 19, 99–103.