“Oral Submucous Fibrosis”
So the fifth intro world finding was binding down of a tongue in the patience of osf you will find it more often that the patients cannot protrude the terms to the maximum level because of the involvement of lateral posterior tongue and they cannot protrude the tanks to the maximum level in this clinical picture i have asked the patient to produce them and this is
His maximum level of protrusion to the level of lower lip which is very less than the normal now the areas that were involved were bakal mucosa as you have seen in the clinical picture buccal vestibule you will see in the next slides as well labial mucosa labial vestibule hard and soft pellets were blanched palatable forces retro molar pad and lateral and posterior
Turn due to which patient cannot protrude their tongues to the maximum level and it will result in the binding down of a template now the risk of malignancy basically orals the mucous fibrosis is the pre-cancerous and premalignant condition uh there are two more conditions that occur whether that are number one leukoplakia and number two erythroplakia the due to
Which it undergoes malignant transformation in four to eight percent of cases and it significantly contributes in the high incidence of oral cancer in indian subcontinent as well as an asian origin because of the consumption of beta nut area now the investigations that we advised were cbc serum ferridine and periapical radiograph of the affected tooth that was
The third number four two cbc was advised to check his hemoglobin and hematocrit level one thing you’ll find and one thing which is very much suspected in oral semucous circle versus patients is that there will always be suspected iron deficiency because patients are so addicted to the habit of consumption american land that they will not consume the healthy normal
Foods so they will not consume the enough iron and it will not metabolize to the normal levels and there will be always be suspected iron deficiency serum ferritin was advised to check his iron levels same for the iron deficiency suspected iron deficiency and serum ferritin is the gold standard test to check iron deficiency to confirm iron deficiency anemia as well
And the periopical ready graph was advice to check and any underlying pathology any and the lying infection or condition that can lead to localized enjoyable hyperplasia now this is the cbc report in normal adult and it ranges from 13.7 to 16.3 gram per deciliter but in this patient it was found to be 12.1 gram per deciliter that is very much less and that is
1.6 gram per deciliter less than the normal average value other than that has hematocrit levels were significantly reduced and was found to be 30 almost 35 percent but in adult patient in adult male it is normally ranges from 40 to 54 percent moving on to the serum ferritin report in adult male it is found to be 28 to 365 per 6 365 nanogram per milliliter these
Are it’s a normal ranges but it was found to be 16.63 and nanogram per milliliter in this patient which is very much less than the normal average value so these two reports of cbc and serum ferritin confirmed the iron deficiency anemia and this patient another radiographic findings we found the bone loss and pocketing around the affected third as you can see in
This radiograph this is user number four two that is lower neutral right and that is lower right lateral inside the this is bone level and this is bone loss these uh these are the markings of pocketing if i combine the extra oral and enter
Transcribed from video
Lecture: OSF and Localized Gingival Hyperplasia (Part 2) By Dr. Abdul Raffay
