<scp>TFM</scp> classification and staging of oral submucous fibrosis: A new proposal

Arakeri, Gururaj; Thomas, Deepak; Aljabab, Abdulsalam; Hunasgi, Santosh; Kumar, Kirthi; Hale, Beverley J.; Fonseca, Felipe Paiva; Gomez, Ricardo Santiago; Rahimi, Siavash; Merkx, M.A.W.; Brennan, Peter A.

doi:10.1111/jop.12689

Cited by 19 publications

(17 citation statements)

References 22 publications

(101 reference statements)

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“…Later in 2018, Arakeri G. et al proposed a threecomponent classification scheme (TFM) which can essentially be useful for effective communication amongst the care team, categorization of OSMF, recording data and disease prognosis, and treatment management. Additionally, this classification also describes OSMF malignant transformation in detail [53].…”

Section: Diagnostic Approachmentioning

confidence: 99%

Oral submucous fibrosis: a contemporary narrative review with a proposed inter-professional approach for an early diagnosis and clinical management

Rao

Villa

et al. 2020

J of Otolaryngol - Head & Neck Surg

142

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Oral Submucous fibrosis (OSMF) has traditionally been described as "a chronic, insidious, scarring disease of the oral cavity, often with involvement of the pharynx and the upper esophagus". Millions of individuals are affected, especially in South and South East Asian countries. The main risk factor is areca nut chewing. Due to its high morbidity and high malignant transformation rate, constant efforts have been made to develop effective management. Despite this, there have been no significant improvements in prognosis for decades. This expert opinion paper updates the literature and provides a critique of diagnostic and therapeutic pitfalls common in developing countries and of deficiencies in management. An inter-professional model is proposed to avoid these pitfalls and to reduce these deficiencies.

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Section: Diagnostic Approachmentioning

confidence: 99%

Oral submucous fibrosis: a contemporary narrative review with a proposed inter-professional approach for an early diagnosis and clinical management

Rao

Villa

et al. 2020

J of Otolaryngol - Head & Neck Surg

142

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“…Furthermore, conventional methods of subjective documentation have an inherent risk of losing or missing the data about oral lesions and consequently any effective changes. Therefore, documentation of the entire oral cavity in a systematic approach seems reasonable …”

Section: Discussionmentioning

confidence: 99%

“…There is a lack of standardized protocols to monitor the treatment progress in the clinical practice and for clinical trials . OSMF databases are still not effectively standardized due to the absence of a standard global method which can be reproduced for examination and to assess potential changes.…”

Section: Discussionmentioning

confidence: 99%

“…Although there are no current standardized systematic OSMF data documenting schemes or instruments, several classification schemes have been described in the literature . Existing schemes are essentially staging or OSMF grading systems rather than true data recording instruments . Therefore, the way in which the OSMF patients are evaluated and classified needs to be revisited.…”

Section: Introductionmentioning

confidence: 99%

“…Recently, we proposed a systematic staging scheme for OSMF taking into account the potential changes in the whole oral cavity instead of the most prominent lesions (TFM staging) . Based on the same rationale, the requirement for a comprehensive documenting system for OSMF cannot be underestimated.…”

Section: Introductionmentioning

confidence: 99%

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A potential new oral mapping (OM) method in the clinical evaluation and documentation of oral submucous fibrosis—A prospective clinical crossover study

Arakeri

Aljabab

Maddur³

et al. 2019

J Oral Pathology Medicine

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Background Despite much research, there is a lack of a definite protocol or method for documenting oral submucous fibrosis (OSMF) site presentation. In this study, we propose a new potential oral mapping (OM) method and evaluated its use in recording OSMF‐affected mucosal sites. Methods Fifty OSMF patients were evaluated by 15 primary care dental practitioners using both, a conventional subjective recording method and a new OM method, to document the degree of involvement of affected oral mucosa with a crossover study design. Mann‐Whitney test (non‐parametric test) was used to make comparison between groups to determine any significant differences between the two identification methods. Wilcoxon tests were used to evaluate any significant differences in the difficulty in identification of two methods. Results There was a low agreement between the two methods used to detect OSMF in affected mucosal surfaces (P‐value < 0.0001). More lesions were identified using the proposed OM method, and less discrepancy was found among dental practitioners. A difference in difficulty of OSMF documentation was found (Wilcoxon z = 3.615, P‐value < 0.001), with the proposed OM method found to be easier. Conclusion The proposed OM method appears to be useful for documentation, can easily be adapted in clinical practice, and effectively administered in clinical research. Additionally, it could be a useful tool to helping to maintain an OSMF database.

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Classification Systems for Oral Submucous Fibrosis

Ranganathan

Kavitha

2023

Textbooks in Contemporary Dentistry

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TFM classification and staging of oral submucous fibrosis: A new proposal

Abstract: The proposed classification and staging could be useful for effective communication, categorization, and for recording data and prognosis, and for guiding treatment plans. Furthermore, the classification considers OSMF malignant transformation in detail.

Cited by 19 publications

References 22 publications

Oral submucous fibrosis: a contemporary narrative review with a proposed inter-professional approach for an early diagnosis and clinical management

Oral submucous fibrosis: a contemporary narrative review with a proposed inter-professional approach for an early diagnosis and clinical management

A potential new oral mapping (OM) method in the clinical evaluation and documentation of oral submucous fibrosis—A prospective clinical crossover study

Classification Systems for Oral Submucous Fibrosis

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