Types of Various Oral Mucosal Lesions with Respect to Trends of Chewable Tobacco and Their Subsequent Histopathological Findings

Objective: To find out the pattern of tobacco use practices and the effects of chewable tobacco and other forms of tobacco use on oral mucosa. Study Design: Retrospective observational study. Place and duration of study: Study was started from 1 July 2018 to 31 December 2018 and was conducted at Maxillofacial surgery OPD, Isra Dental Hospital. Materials and Methods: Samples of leukoplakia, erythroplakia or growth in oral cavity were collected from Maxillofacial surgery OPD. After taking detailed history including chewable tobacco habits, biopsy was taken and then results were analyzed by using SPSS version 22.0.The categorical data were expressed in terms of frequencies and percentages. The Chi square test was used to determine the association of different variables. Results: Majority of the patients were found to have naswaar addiction followed by gutka, smoking, areca nut, mainpuri and paan. Most of the patients i.e., 59% with oral lesions were having basic education at primary level and belonged to middle class monthly income category 35(39.77%) followed by low monthly income 28(31.8%).We noted significant association between various oral habits of tobacco use and biopsy reports and oral squamous cell carcinoma was observed as the common findings among study population. Conclusion: We have reached to the conclusion that in our region chewable tobacco is most common and significantly associated with risk of development of oral lesions and subsequent oral squamous cell carcinoma