ORAL SUBMUCOUS FIBROSIS - ARECA QUID WITH TOBACCO (AQ+T) INDUCED ORAL DISEASE Dr.Vinay K.Hazarey, Dean, Oral Submucous Fibrosis (OSF) is one of the more important oral precancerous conditions with 400 times more risk of developing oral cancer in tobacco users. Most patients with OSF are very young, in their twenties and early thirties. As recently we have noted many such individuals in Nagpur, India, a study was conducted to ascertain the different habits associated with OSF and the prevalence of oral cancer among these patients controlling for tobacco chewing habits. A cross-sectional study at the Government Dental College & Hospital, Nagpur, India, where a thousand cases consecutively diagnosed as OSF over a period of 5 years (Jan. 2000 to Dec. 2004) comprised the study group. The period prevalence for the year 2004 was 6.42 / 1000 / year (0.64%). The male to female ratio of OSF was 4.9:1.Maximum prevalence (75.2%) of OSF was in 15 to 35 years of age groups. Exclusive Areca nut chewing habit in females and Areca quid with tobacco habits (AQ+T) such as Guthka, Kharra/ Mawa chewing habit in males were significantly more prevalent (p<0.05). The Present study has shown a strong association of Areca nut with tobacco chewing habits and oral submucous fibrosis as well as oral cancer, especially in a young population. There is an urgent need of preventive strategies for areca quid and tobacco chewers.
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