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Journal of Dental Specialities

Co-relation of clinical and histologic grade with soft palate morphology in oral submucous fibrosis patients: A histologic and cephalometric study

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Author Details: Tekchandani V, Thakur M, Palve D, Mohale D, Gupta R

Volume : 3

Issue : 1

Online ISSN : 2393-9834

Print ISSN : 2320-7302

Article First Page : 68

Article End Page : 75


Introduction: Oral submucous fibrosis (OSMF) is a chronic progressive precancerous condition with an alarming prevalence in India. Prevention and early diagnosis of this condition can not only nip it in the bud, but also curb the menace of malignant transformation of this disease. OSMF is believed to produce fibrotic changes beginning in the soft palate and faucial pillars, progressing anteriorly in the oral cavity. Aim: The present study was carried out to evaluate and correlate the morphology of soft palate in Oral submucous fibrosis (OSMF) patients to the clinical and histopathologic grade, using digital lateral cephalogram.
Method: A total of 80 patients (40 OSMF and 40 Control) were evaluated for soft palatal morphology. The antero-posterior and supero-inferior dimensions of soft palate were measured on digital lateral cephalogram, categorized as Type 1 to Type 6 and were then compared to clinical and histopathologic grade.
Results: In our study, Type 1 (leaf-shaped) soft palate was found to be the most common followed by Type 6 (crook-shaped) and Type 3 (butt-like) varieties.
Conclusion: The study observed that there was gradual reduction in antero-posterior length of soft palate in OSMF patients and with advancing OSMF, an increasing incidence of Type 6 soft palate was seen.

Keywords: Oral Submucous Fibrosis, Diagnosis, Pathology, Radiography, Anatomy and Histology.