Incidence of oral potentially malignant disorders requiring surgical excision in young vs elderly populations

Authors

  • Alisha Alam MDS final year,department of oral and maxillofacial surgery ,Jaipur dental college, rajasthan Author
  • V V. Raj Kumar Professor and Head,Dept of oral maxillofacial surgery,Jaipur dental college,Rajasthan Author
  • Priya Yadav DIRECTOR PROFESSOR,DEPT OF PERIODONTICS, ESIC DENTAL COLLEGE AND HOSPITAL,ROHINI, DELHI Author
  • Madhur Navlani Professor, Dept. of Orthodontics and Dentofacial Orthopedics, College of Dental Science & Hopital, Rau,Indore Author
  • Ayushi Mangulkar Assistant professor, Department of Dentistry,Chhatrapati Sambhajinagar Government medical college, Chhatrapati Sambhajinagar ,Maharash tra,431001 Author
  • Manaswi Tripathi Mishra MDS ( Oral & Maxillofacial Surgery ) Assistant Professor S.M.S Medical college & Attached Hospital,Jaipur (Rajasthan) Author
  • Pallavi Prakash BDS, Dentistree dental clinic,indore Author

DOI:

https://doi.org/10.48165/ajm.2025.8.02.8

Keywords:

Oral potentially malignantdisorders, Oral submucous fibrosis, Leukoplakia, Dysplasia, Age related differences, Surgical excision

Abstract

Aim To compare the incidence and clinical presentation of oral potentially malignant disorders (OPMDs) necessitating surgical excision in younger and older populations, and to assess age-related variations in lesion characteristics, surgical outcomes, and potential risk factors.Methods Across-sectional observational study was performed on 100 patients who underwent surgical excision of oral potentially malignant disorders (OPMDs). Patients were categorised into two groups: young (n=40) and elderly (n=60). Demographics, risk factors, lesion characteristics, histopathology, and postoperative outcomes, including recurrence and malignant transformation, were documented. Statistical analysis encompassed descriptive statistics, Chi-square tests, and logistic regression; a p-value of <0.05 was deemed significant. ResultsYounger patients were more likely to chew areca nuts, while older patients were more likely to smoke and drink alcohol. OSMF was more common in younger patients, while non-homogeneous leukoplakia and erythroplakia were more common in older patients. Younger patients were more likely to have mild dysplasia, while older patients were more likely to have moderate to severe dysplasia. Recurrence transpired in 16.7% of elderly patients compared to 5% of younger patients (p=0.04), and malignant transformation was noted exclusively in the elderly cohort (6.7%). conclusion younger patients with OPMDs mostly have OSMF and mild dysplasia, while older patients have more advanced dysplasia, recurrence, and malignant transformation. To get the best results, you need to do risk assessments based on age, come up with preventive measures, and keep a close eye on things.

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References

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Published

2025-10-17

Issue

Vol. 8 No. 2 (2025): Academia Journal of Medicine Year 2025,( July - December)

Section

Research Article

How to Cite

Incidence of oral potentially malignant disorders requiring surgical excision in young vs elderly populations . (2025). Academia Journal of Medicine, 8(2), 30-34. https://doi.org/10.48165/ajm.2025.8.02.8