AGREEMENT IN CLINICAL AND HISTOPATHOLOGY DIAGNOSIS OF ORAL WHITE LESIONS

  • Ammar Saeed BDS, FCPS.Consultant Oral & Maxillofacial Surgeon, Department of Oral & Maxillofacial Surgery, Dental Section, Faisalabad Medical University, Faisalabad
  • Maleeha Khurram BDS, M.PHIL Assistant Professor. Department of Science of Dental Materials, University Medical & Dental College, Faisalabad
  • Neha Usman BDS House Officer, de’ Montmorency College of Dentistry /Punjab Dental Hospital Lahore
  • Huma Ijaz BDS, FCPS Resident (Orthodontics),Department of Orthodontics, de’Montmorency College of Dentistry /Punjab Dental Hospital Lahore
  • Khurram Jah Zafar BDS, FCPS (Pak), FFD RCS (Ireland) Senior Registrar. Department of Oral & Maxillofacial Surgery, Dental Section, Faisalabad Medical University, Faisalabad
  • Omer Sefvan Janjua BDS, FCPS (Pak), FFD RCS (Ireland) Associate Professor & HOD. Department of Oral & Maxillofacial Surgery, Dental Section, Faisalabad Medical University, Faisalabad
  • Muhammad Usman Akhtar BDS, MDS Professor & HOD (Supervisor)Department of Oral & Maxillofacial Surgery, de’ Montmorency College of Dentistry /Punjab Dental Hospital Lahore
Keywords: Agreement, Oral white lesion, Diagnosis

Abstract

The aim of the study was to analyze agreement in clinical and histopathology diagnosis of oral white lesions. A cross sectional study was undertaken at the department of Oral and Maxillofacial Surgery at Punjab Dental Hospital, Lahore from November 2016 to May 2017. A total of 85 patients with oral white lesions were diagnosed clinically and further confirmed histopathologically. Clinical and histopathological diagnoses were compared. Standard deviation as well as mean were analysed for quantitative variables, whereas frequency and percentages were analysed for qualitative variables. Among 85 patients 45 (52.9%) were males and 40 (47.1%) were females with an average age of 36.21±16.40 years. Buccal mucosa was involved in major part of cases (51.8%) next to lip (16.5%), tongue (15.3%), alveolus (9.4%), floor of the mouth (4.7%) and palate (2.4%). According to the agreement in diagnosis 85.5% patients have agreement and 14.1% have no agreement. The difference between clinical diagnosis with histopathological diagnosis was significant (<p 0.05) and agreement rate was 85.88% between the diagnosis. The results of this study confirmed that oral white lesions are capable of showing highly variable histopathological features and therefore biopsy followed by histopathological examination of all oral white lesions must be done in order to confirm the diagnosis.

Published
2019-04-30
How to Cite
Saeed, A., Khurram, M., Usman, N., Ijaz, H., Zafar, K., Janjua, O., & Akhtar, M. (2019). AGREEMENT IN CLINICAL AND HISTOPATHOLOGY DIAGNOSIS OF ORAL WHITE LESIONS. Pakistan Oral & Dental Journal, 39(1), 38-42. Retrieved from http://www.podj.com.pk/index.php/podj/article/view/344
Section
Oral & Maxillofacial Surgery