Oral Submucous Fibrosis: A Progressive Debilitating Oral Web Disease

1
Abhilash. R. Krishnan
Abhilash. R. Krishnan
2
Jayakrishnan.
Jayakrishnan.
1 Sri Sankara Dental College, Kerala University

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The objective of our study was to evaluate, in a population of Togolese People Living With HIV(PLWHIV), the agreement between three scores derived from the general population namely the Framingham score, the Systematic Coronary Risk Evaluation (SCORE), the evaluation of the cardiovascular risk (CVR) according to the World Health Organization.
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Amongst the list of pre-malignant conditions, Oral Submucous Fibrosis (OSMF) forms one of the most debilitating diseases of the oral cavity. It is predominantly seen among populations using betel quid, indicating areca nut as the most conspicuous agent in the etiological agents. A clear dosedependent relationship In relation to both the duration and frequency of chewing areca nut was revealed, although other risk factors such as excessive use of chilies and spices and malnutrition were also put forth. Research in some aspects in the background of progressive fibrosis associated with the disease, has allowed to put light onto the mechanisms involved in the malignant transformation to the most prevalent, potentially malignant oral disorder in south Asia. Reduction in matrix metalloproteinases (MMP’s) and increased secretion of tissue inhibitors of MMP’s play the most significant role in collagen accumulation whilst fibrogenic cytokines, mainly TGF-b over expression leading to increased production of collagen. There is increasing incidence of the disease and subsequent malignant transformation..

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References

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Funding

No external funding was declared for this work.

Conflict of Interest

The authors declare no conflict of interest.

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No ethics committee approval was required for this article type.

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Not applicable for this article.

Abhilash. R. Krishnan. 2014. \u201cOral Submucous Fibrosis: A Progressive Debilitating Oral Web Disease\u201d. Global Journal of Medical Research - J: Dentistry & Otolaryngology GJMR-J Volume 14 (GJMR Volume 14 Issue J6): .

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Crossref Journal DOI 10.17406/gjmra

Print ISSN 0975-5888

e-ISSN 2249-4618

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December 25, 2014

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English

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Amongst the list of pre-malignant conditions, Oral Submucous Fibrosis (OSMF) forms one of the most debilitating diseases of the oral cavity. It is predominantly seen among populations using betel quid, indicating areca nut as the most conspicuous agent in the etiological agents. A clear dosedependent relationship In relation to both the duration and frequency of chewing areca nut was revealed, although other risk factors such as excessive use of chilies and spices and malnutrition were also put forth. Research in some aspects in the background of progressive fibrosis associated with the disease, has allowed to put light onto the mechanisms involved in the malignant transformation to the most prevalent, potentially malignant oral disorder in south Asia. Reduction in matrix metalloproteinases (MMP’s) and increased secretion of tissue inhibitors of MMP’s play the most significant role in collagen accumulation whilst fibrogenic cytokines, mainly TGF-b over expression leading to increased production of collagen. There is increasing incidence of the disease and subsequent malignant transformation..

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Oral Submucous Fibrosis: A Progressive Debilitating Oral Web Disease

Abhilash. R. Krishnan
Abhilash. R. Krishnan Sri Sankara Dental College, Kerala University
Jayakrishnan.
Jayakrishnan.

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