ABSTRACT
Oral squamous cell carcinomas (OSCCs) fall between the sixth and eighth most common cancers. The prevention of cancer and the treatment of the disease depends on early diagnosis. To encourage dental professionals to use light-based detection techniques in clinical practice, this systematic review aims to evaluate the literature on the effectiveness of chemiluminescence and autofluorescent imaging equipment in the detection of OSCC and OPMDs. PUBMED [MEDLINE] and SCIENCE DIRECT were the electronic databases and retrieval systems used to look for pertinent articles. Search terms like"oral cancer,""early diagnosis,""potentially malignant disorders,"chemiluminescence," autofluorescence," and "VELscope" were used to search the database of indexed journals. 26 articles in total have been chosen for this review. The majority of the research was cross-sectional. Chemiluminescence and Autofluorescence can help a skilled doctor spot oral premalignant lesions with the autofluorescence technique being superior and the way for biopsies within the altered mucosa.
ABSTRACT
AIM: To determine the therapeutic efficacy of Kali haldi in the management of Oral submucous Fibrosis (OSMF) v/s steroid therapy. MATERIALS AND METHODS: A clinical prospective study was conducted on 42 patients of oral submucous ï¬brosis were equally divided into 2 groups. Group A patients were treated with a mixture of powdered Kali Haldi and aloe vera gel in equal ratio 3 times a day for 3 months. Group B patients were treated with intralesional injection of hydrocortisone and hyaluronidase for 6 weeks with oral antioxidant supplements for 3 months. Burning sensation, cheek flexibility, mouth opening, and tongue protrusion were evaluated before, during, and after treatment at an interval of 15 days, 1 month, 2, month and 3 months. RESULTS: Statistically significant results were obtained at the end of 3 months duration for both the groups (P < 0.001). The Symptomatic correction was more evident in the case of Group A patients than Group B. Response of the ayurvedic regimen was potentially better as compared to the regular steroid therapy. CONCLUSION: The study concludes that Combination therapy works wonders in the case of OSMF in stages I, II, III and can be a good option, comparatively safe and with negligible side effects, but potent and equally effective management of oral submucous fibrosis. Henceforth, it will be better to do such kinds of studies on a vast scale including larger samples and longer duration to check the efficacy and durability of this ancient ayurvedic regimen.
Subject(s)
Medicine, Ayurvedic/methods , Oral Submucous Fibrosis/drug therapy , Plant Extracts/administration & dosage , Plant Preparations/administration & dosage , Antioxidants/administration & dosage , Complex Mixtures , Curcuma , Dietary Supplements , Drug Therapy, Combination , Humans , Hyaluronoglucosaminidase/administration & dosage , Hydrocortisone/administration & dosage , Injections, Intralesional , Prospective Studies , Treatment OutcomeABSTRACT
Oral potentially malignant disorders (OPMD) are oral mucosal disorders which have a high potential to turn into malignancy. A recent report suggests that 16%-62% of epithelial dysplasia cases of OPMD undergo malignant transformation, showing the need for early detection of malignancy in these disorders. Micro RNA (miRNA) plays an important role in cellular growth, differentiation, apoptosis, and immune response, and hence, deregulation of miRNA is considered a signature of oral carcinogenesis. A search was done using MeSH terms in the PubMed, ScienceDirect databases, hand search, and finally, six studies were included in this systematic review. A total of 167 patients with oral cancer, 78 with OPMDs, 147 healthy controls, and 20 disease controls were analyzed for the expression of salivary miRNAs. Quality assessment based on the Quality Assessment of Diagnostic Accuracy Studies 2 tool was used to obtain a risk of bias chart using Revman 5.3 software and it was proved that the study done by Zahran et al. in 2015 had a low risk of bias. The results of this study revealed upregulated miRNA 184 with an area under the curve (AUC) of 0.86 and miRNA 21 with an AUC of 0.73 and downregulated miRNA 145 with an AUC of 0.68, which proved that these miRNAs are significant in detecting early malignancy in OPMD and should be further analyzed in various populations. This systematic review explored the potential of expression of salivary miRNA in OPMD for future studies. This could pave the way to utilize saliva as a surrogate marker in diagnosing early malignant changes in OPMD.
