Background: Psychological stress adversely affects the physiological effectiveness of a person to an abundant point of melancholy. Considering the high prevalence of oral health problems in psychiatric patients, the present study was conducted to assess prevalence of oral mucosal lesions in psychiatric patients attending psychiatric outpatient department (OPD) at Nobel Medical College Teaching Hospital. Methods: The descriptive cross-sectional study was conducted in Outpatient Department of psychiatry at Nobel Medical College Teaching Hospital in Biratnagar. A total number of 130 patients diagnosed with oral mucosal lesions and stress related conditions were screened. Data for this research was collected by Oral visual examination. Statistical analysis was carried out by using spss software version 21 with use of descriptive statistics like mean and percentage. Results: Majority of the participants were females constituting of 61% of the study group and male subjects with 39 % of the sample size. Major participants were of 38-48 years of range and least from 58 years and above. Schizophrenia was most prevalent psychiatric disorder. Lichen planus was mostly associated with 38% of females, while apthous ulcers were predominant in 40 % of male populations. Conclusions: Oral mucosal Lesions lessen the quality of life of patients, the role of stress and other psychogenic factors cannot be ruled out. The present study highlights the association of stress and anxiety in development of mucosal lesions in patients with psychiatric disorders.
INTRODUCTION: Oral and pharyngeal cancer, grouped together, is the sixth most common cancer in the world. Oral cancer also has a significant impact on individual patient quality of life and substantial patient treatment costs, often due to late presentation when the disease is at an advanced stage. Primary prevention to increase awareness of risk factors and the early signs and symptoms for oral cancer is proposed. There is clear lack of awareness and attribution of oral malignancies and risk factors in general public. So, the study aims to assess public awareness in patients visiting a Tertiary Medical Center. MATERIALS AND METHODS: This descriptive cross sectional study was conducted in Outpatient department of Dental department at Nobel Medical College Teaching Hospital in Biratnagar, Nepal. A total of 120 participants both male and female above 18 years of age were participants in the study, consisting of smokers, non-smokers and former smokers. Data were analysed by descriptive statistics like mean and percentage. RESULTS: Out of total 120 participants, 60% belonged to age group of 18-29 years whereas 30% belonged to age group 30-40 years. 75% of the participants were married. 15% of the participants were uneducated and 40% had education upto high school. 70% of the participants had heard of oral cancer and the main source of information on oral cancer was television 45(45%) as compared to other sources of information. Out of total study subjects 75% were tobacco chewers, 55% were alcohol consumers while 75% of the study population had knowledge of early signs of oral cancer. CONCLUSIONS: This study highlights the inadequacy of knowledge about oral cancer in general population. It is highly recommended that mass media campaigns with government funded programs and private medical institutions should run oral cancer programs in timely intervals.
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