BACKGROUND: Oral submucous fibrosis (OSMF) is a premalignant condition with a greater prevalence in countries such as India. Various classifications have been put forth by multiple authors to determine the clinical, functional, and histopathological grade of the disease. The classification systems have greatly helped to determine the treatment modality for the patients. Understanding the correlation between the various classifications will help us determine the course of the disease, management, and prognosis of OSMF. This study assesses the correlation between clinical, functional, and histopathological grading of OSMF. AIM: To assess the correlation between clinical staging, functional staging, and histopathological grading of OSMF. MATERIALS AND METHODS: Thirty patients with clinical and histopathological diagnosis of OSMF were assigned into clinical stage, functional stage, and histopathological grade. The correlation between these three stages assigned was studied. STATISTICAL ANALYSIS: The degree of agreement between the clinical, functional, and histopathological classifications was quantified by the Weighted Kappa statistics. Correlation between the three classifications was done using Kendall's tau and Spearman's correlation coefficient. There was a good agreement and statistically significant correlation between clinical and functional grading. There was a poor agreement and no significant correlation between clinical and histopathological grading. There was a poor agreement and no significant correlation between functional and histopathological grading.
Introduction Multiple factors influence the most important decision of choosing a branch of education and future career. Choice of Dentistry as a career option follows the Medicine stream. Dentistry is witnessing a phase of turmoil due to several factors, making it more necessary to have a post graduate degree. It is noted that in the recent years that the students opt for clinical branches of Dentistry rather than non-clinical branches, of which Oral Medicine and Radiology (OMR) is considered by many, which is opted as the last resort due to several factors. Hence, we decided to explore the reasons for the fall in admissions in the OMR faculty for postgraduation through a questionnaire and consider the modifications which can be implemented to improvise the situation, Aim and Objectives To assess the attitude of IV B.D.S. and intern students from a Dental College in Western Maharashtra towards pursuing post graduate course in Oral Medicine and Radiology To evaluate the reasons for declining rates of admission in post graduate course in Oral Medicine and Radiology To recommend corrective actions for provoking admissions in post graduate course in Oral Medicine and Radiology To make students aware of the scope of post graduate course in Oral Medicine and Radiology. Study It is a Qualitative and Quantitative type of Questionnaire based study Material and method The interns and IV BDS students of a Dental College in Western Maharashtra from the academic year 2017-18 were sensitized with a peer reviewed 10 mins presentation on the scope of OMR. They were given a semi-structured, peer reviewed, selfadministered printed questionnaire. The data was statistically analyzed using SSPS software. Results 41.2 % had planned to pursue post graduate course in Oral Surgery whereas 2.4 % in OMR, out of the 85 participants. This difference was statistically significant (p<0.05). Conclusion Lack of lucrative benefits make OMR as a nonfavorite subject. Certain recommendations are made in this article to improve the state of OMR subject.
Introduction: Oral Submucous Fibrosis (OSMF) is a slowly progressive chronic fibrotic disease of the oral cavity extending to pharynx. Function and patency of eustachian tube gets altered when the palatal and paratubal muscles which regulate the patency of pharyngeal orifice gets affected. This leads to pain in ear along with mild to moderate conductive loss of hearing. Aim: To evaluate hearing deficit in OSMF patients and to correlate clinical stages of OSMF with degree of hearing deficits in patients. Materials and Methods: It was a cross-sectional study. The study comprised of a total of 50 subjects (100 ears). Forty patients diagnosed with OSMF who reported to Department of Oral Medicine and Radiology constituted the study group. Ten normal individuals with no deleterious habits and without any previously diagnosed ear disorders constituted the control group. Pure Tone Audiometry (PTA) was used for evaluating all the subjects for air conduction and bone conduction hearing loss. Values on qualitative characteristics were shown as n (% prevalence) across five study groups. Values on quantitative variables were shown as Mean±SD across five study groups. Inter group comparison for qualitative and quantitative variables was done using chi-square test and analysis of variance (ANOVA) test respectively with Post-Hoc Bonferroni’s correction for multiple group comparisons. Results: The OSMF group showed a marked degree of hearing loss compared to the control group. The distribution of mean PTA in quantitative assessment was significantly higher in group D compared to group A and group B (p-value<0.05 for both) and also the distribution of qualitative hearing loss was significantly higher in group C and group D (p-value<0.05). Conclusion: There was a significant association between OSMF and hearing deficit in this study. Fibrosis of the oropharynx and palatal/paratubal muscles which are affected in OSMF and theses muscles are attached to eustachian tube, the patency of the eustachian tube gets affected. As a result, patients with mainly advanced cases of OSMF should be assessed for hearing deficit.
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