A Digital Cephalometric Study on The Morphometric Evaluation of Soft Palate in Oral Submucous Fibrosis

Tripathy, Manaswita; Anekar, Jayaprasad; AC, Raj; N C, Sandeepa; Napplli, Deepika; Lokanath, Priya; Nahi Alharbi, Abdulrahman; A Alsobil, Fahad Mohammed; Devang Divakar, Darshan; Ahmed Khan, Aftab; Jhugroo, Chitra; Balappa Khanagar, Sanjeev; Naik, Sachin

doi:10.31557/APJCP.2020.21.7.2169

A Digital Cephalometric Study on The Morphometric Evaluation of Soft Palate in Oral Submucous Fibrosis

Document Type : Research Articles

Authors

¹ Dental Surgeon, Sub-Divisional District Head Quarter (SDH) Gunupur District, Rayangada, Odisha, India.

² Department of Oral Medicine & Radiology, KVG Dental College & Hospital, Sullia, Karnataka, India.

³ Department of Oral Medicine & Radiology, Mahe Institute of Dental Sciences & Hospital, Chalakkara, Pallor, Mahe - 673 310, U.T of Puducherry, India.

⁴ Department of Diagnostic Sciences - Oral Biology, King Khalid University, College of Dentistry, Abha, KSA.

⁵ General Dentist, MOH, Qaseem, KSA.

⁶ General Dentist, MOH, Riyadh, KSA.

⁷ Dental Biomaterials Research Chair, Dental Health Department, College of Applied Medical Sciences, King Saud University, Riyadh 11433, KSA.

⁸ Dental Public Health, Preventive Dental Science Department, College of Dentistry, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, KSA.

⁹ King Abdullah International Medical Research Center, Ministry of National Guard Health Affairs, Riyadh, KSA .

10.31557/APJCP.2020.21.7.2169

Abstract

Objective: Oral submucous fibrosis (OSMF) is a chronic precancerous condition affecting the oral cavity, which is progressive and characterised by burning sensation and fibrotic change leading to restriction of mouth opening. This study evaluated the morphology of soft palate in different stages of OSMF patients using digital lateral cephalogram and compare it with healthy individuals. Methods: The study included 60 subjects, who were grouped as 30 OSMF and 30 healthy subjects from the same geographic population. Digital lateral cephalograms were taken with Planmeca Proline XC (Oy, Helsinki, Finland). Soft palate morphology was evaluated using Lateral Cephalogram, and the results were analysed statistically. Results: Leaf-shaped (Type 1) soft palate was commonly seen in the control group and stage I and II OSMF. Stage III OSMF patients presented with a butt-shaped (Type 3) soft palate. As the disease progressed, there was a conversion of Type 1 variety of soft palate to Type 3 variety. There was a gradual reduction in the length of the soft palate in the anteroposterior direction in OSMF patients compared to the control group. Conclusion: Early cephalometric diagnosis of soft palate changes may play a pivotal role in the overall management of OSMF.

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