Habit History in Oral Submucous Fibrosis: Have We Over Emphasized?

Document Type: Research Articles


1 Department of Oral Medicine and Radiolog , The Oxford dental College, Bengaluru, India.

2 Department of Oral Medicine and Radiology, The Oxford Dental College and Hospital Bommanahalli Hosur Road, Bangalore, India.

3 Consultant Oral Medicine and Radiologist Sri krishna sevashrama Hospital Jayanagar 5th Block, Bengaluru, India.


Aim: Correlation of habit duration and frequency with clinical grading and histopathologic grouping of oral
submucous fibrosis (OSMF). Materials and methods: 48 patients with OSMF were included in the study. Detailed
history of each patient, clinical profile and habit history were recorded. Biopsy was performed for histopathological
correlation. All the findings were correlated with Kerr et al and Khanna and Andrade classification. Statistical Analysis:
Kruskal-wallis test was performed to assess the correlation between the study findings. Results: Out of 48 OSMF
cases majority were males. Maximum cases were in clinically and histopathologically respectively. Mouth opening
was directly proportional with histopathological grouping as per Khanna et al. No correlation between frequency and
habit duration with respect to different stages or severity of the OSMF was noted. Conclusion: Disease staging of
OSMF clinically and histopathologically is not directly impacted by habit duration and frequency. Rather than habit
centered history and management accordingly, more focus should be given to genetics and susceptibility of patient for
OSMF development and progression.


Main Subjects