Prevalence of Oral Submucous Fibrosis in relation to the chewing habits in Karachi, Pakistan
DOI:
https://doi.org/10.46568/bios.v5i2-3-4.140Keywords:
Oral Sumucous Fibrosis (OSF), Chewing habits, betel quid (paan), areca nut (chaliya), unburned tobacco, gutka, niswar, manpuri, Oral Squamous Cell Carcinoma (OSCC).Abstract
The addiction of chewing of betel quid (paan), areca nut (chaliya), unburned tobacco, gutka, niswar and manpuri is relatively high in the South Asian countries like Pakistan, India, Sri Lanka, Taiwan, China, Indonesia and Malaysia. To observe the prevalence of Oral Submucous Fibrosis (OSF), 200 OSF patients from tertiary care hospitals of Karachi were selected and informed consent was obtained. Patients were interviewed for their age, gender, and quantity and frequency of chewing habits using a structured questionnaire. The age group of patients between ages 26 years to 35years was found to be more prone to OSF as compared to other groups. The disease was more prevalent in males (81.6%) as compared to the females (18.4%). The minimum age recorded was to be as low as 15 years in manpuri addicts and as high as 66 years in betel quid (pan) with areca nut (chaliya) addicts. The percentages of habitual chewers eating betel quid (paan) (52%), areca nut (chaliya) (81.5%), unburned tobacco (19%), gutka (49%), niswar (7%) and manpuri (33%) were recorded. The study concluded that the above chewing habits can cause OSF which transmute into Oral Squamous Cell Carcinoma (OSCC) by undeniable genetic alterations. Therefore, extensive restrictions should be implemented by the government on the manufacturing, selling, buying and use of carcinogenic materials like paan, gutka, chaliya, niswar, manpuri, mawa and all forms of tobacco
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