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Post a Comment Detection of potentially malignant diseases of the oral cavity in dental care
- Authors: Rykhlevich A.A.1
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Affiliations:
- Academy of Postgraduate Education under the “Federal Scientific and Clinical Center for Specialized Medical Assistance of the Federal Medical Biological Agency
- Issue: Vol 38, No 4 (2021)
- Pages: 70-75
- Section: Original studies
- URL: https://journals.rcsi.science/PMJ/article/view/95760
- DOI: https://doi.org/10.17816/pmj38470-75
- ID: 95760
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Abstract
Objective. To study the detection of potentially malignant diseases of the oral cavity in the provision of dental care in outpatient settings
Methods. The analysis of the reporting form 039-2/y-88 for 2011–2020 and medical records of 2400 patients who received dental care on an outpatient basis was carried out.
Results. Over the past 10 years, the proportion of people who underwent treatment of the oral mucosa has decreased, relative to the total number of admitted patients and the number of primary patients. Potentially malignant diseases of the oral cavity were diagnosed on an outpatient basis in 7.5 % of cases: leukoplakia – 1.75 %, erythroplakia – 0.4 %, lichen planus – 1.25 %, candidiasis – 4.7 %. In 65.5 % of the out-patient medical record issued for the treatment and extraction of teeth, there is no description of the oral mucosa, in 26.8 % – a description of the normal state is given, in 7.7 % – it is indicated that there are changes in the oral mucosa, of which 5.3 % of the changes are described with varying degrees of detail. At the same time, complaints of burning, pain in the mouth when eating and talking are present in 19.5 % of the out-patient medical record issued during the treatment and removal of teeth.
Conclusions. The frequency of diagnosing potentially malignant diseases of the oral cavity in the provision of dental care in outpatient settings is lower than the data of Russian epidemiological studies. Dentists in outpatient settings do not pay due attention to the condition of the oral mucosa.
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##article.viewOnOriginalSite##About the authors
A. A. Rykhlevich
Academy of Postgraduate Education under the “Federal Scientific and Clinical Center for Specialized Medical Assistance of the Federal Medical Biological Agency
Author for correspondence.
Email: cherim1@yandex.ru
dentist
Russian Federation, MoscowReferences
- Haddad RI, Shin DM. Recent advances in head and neck cancer. New Engl J Med 2008; 359: 1143–1154.
- Jemal A., Clegg L.X., Ward E., et al. Annual report to the nation on the status of cancer, 1975–2001, with a special feature regarding survival. Cancer 2004; 101: 3–27.
- Mork J. Forty years of monitoring head and neck cancer in Norwayno good news. Anticancer Res 1998; 18: 3705–3708.
- Kaprin A.D. The state of cancer care for the population of Russia in 2018. Moscow: FGBOU MNIOI them. P.A. Herzen of the Ministry of Health of the Russian Federation 2018; 230 (in Russian).
- Brunin F. et al. Cancer of the base of the tongue: past and future. Head Neck 1999; 21: 751–759.
- Farah C.S. et al. Efficacy of tissue autofluorescence imaging (velscope) in the visualization of oral mucosal lesions. Head Neck 2012, 34: 856–862.
- Farah C.S., McCullough M.J. A pilot case control study on the efficacy of acetic acid wash and chemiluminescent illumination (ViziLite™) in the visualisation of oral mucosal white lesions. Oral Oncol 2007; 43: 820–824.
- Maraki D., Becker J., Boecking A. Cytologic and DNA-cytometric very early diagnosis of oral cancer. J Oral Pathol Med 2004; 33: 398–404.
- Rahman M.S. et al. Evaluation of a low-cost, portable imaging system for early detection of oral cancer. Head Neck Oncol 2010; 2: 10.
- Warnakulasuriya S., Johnson N.W., Van der Waal I. Nomenclature and classification of potentially malignant disorders of the oral mucosa. J Oral Pathol Med 2007; 36: 575–580.
- Iocca O., Sollecito T.P., Alawi F. et al. Potentially malignant disorders of the oral cavity and oral dysplasia: A systematic review and metaanalysis of malignant transformation rate by subtype. Head Neck 2020; 42(3): 539–555.
- Lodi G., Franchini R., Warnakulasuriya S. et al. Interventions for treating oral leukoplakia to prevent oral cancer. The Cochrane Database of Systematic Reviews 2016.
- Domanin A.A., Solnyshkina A.F. Diagnosis of precancer of the oral mucosa. Povolzhsky Oncological Bulletin [Povolzhskij onkologicheskij vestnik] 2011; 1: 45–46 (in Russian).
- Smirnova Yu.A. Comparative assessment of screening methods for the diagnosis of precancerous diseases of the oral mucosa: thesis abstract ... candidate of medical sciences. [Sravnitel'naya ocenka skriningovyh metodov diagnostiki predrakovyh zabolevanij slizistoj obolochki rta: avtoref. dis. … kand. med nauk]. Moscow 2014; 22 (in Russian).
- Romanov I.S., YAkovleva L.P. Oral cancer treatment issues. Pharmateca 2013; 8: 59–63 (in Russian).
- Ahmadova M.A., Sojher M.I., CHuyanova E.YU. Oncological vigilance in the practice of a dentist. Medical alphabet [Medicinskij alfavit] 2016; 9: 6–9 (in Russian).
- Baramidze T.N., Hvedelidze E.SH. Leukoplakia of the oral mucosa as a precancerous disease and methods of preventing its malignant neoplasm. Materials of the XXV International Scientific and Practical Conference "Modern Medicine: New Approaches and Topical Research". Moscow [Materialy XXV mezhdunarodnoj nauchno-prakticheskoj konferencii «Sovremennaya medicina: novye podhody i aktual'nye issledovaniya»]. Moscow 2019; 41–47 (in Russian).
- Kochubey A.V., Filyuk S.A. Analyses of functioning in the medical documentation used by prosthetic dentists. Kuban Scientific medical bulletin [Kubanskij nauchnyj medicinskij vestnik] 2012; 3(132): 88–91 (in Russian).
