Assessing the Psychological Impact of Oral Potentially Malignant Disorders Among Patients

Psychological Impact of Oral Potentially Malignant Disorders

Authors

  • Syeda Zehra Ahmed Department of Pathology, Ziauddin University, Karachi, Pakistan
  • Santosh Kumar Department of Pathology, Bahria University, Karachi, Pakistan
  • Humaira Akhlaq Department of Oral pathology, Jinnah Sindh Medical University, Karachi, Pakistan
  • Junaid Anwar Department of Pathology, Ziauddin University, Karachi, Pakistan
  • Mehar Lodhi Ziauddin University, Karachi, Pakistan
  • Dua Siddiqui Ziauddin University, Karachi, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v6i1.2383

Keywords:

Oral Potentially Malignant Disorders, Psychological Impact, Quality of Life, Oral Submucous Fibrosis, Oral Lichen Planus, Oral Leukoplakia

Abstract

Although potential exists for patient-reported outcome measures to assess disease impact, Quality of life evaluation is not widely used in clinical settings. Limited literature exists on the patients’ life quality with oral potentially malignant diseases. Objectives: To evaluate how Oral Potentially Malignant Disorders (OPMDs) affect different realms of quality-of-life QoL, potentially shedding light on variations in QoL depending on the seriousness of the disease. Methods: This cross-sectional study included 70 patients through convenience sampling with potentially malignant disorders: 20 Oral sub mucous fibrosis, 20 Oral lichen planus, 20 Leukoplakia and 5 Actinic keratosis and 5 Erythroplakia. All participants were recruited from Abbasi Shaheed Hospital and Ziauddin University Hospital. The diagnosis of OPMD was made through clinical examination and confirmed by histopathological assessment conducted by oral surgeons. Informed written consent was obtained from all participants, and the SF-12v2 health survey was used for assessment. Results: The oral potentially malignant disorder showed highest occurrence in females than in males in oral submucous fibrosis, leukoplakia and oral lichen planus. The OPMD patients reported impairements in emotional well being and experienced significant pain and functional limitations (p <0.05). Conclusions: The assessment of  oral premalignant diseased patients provides valuable insights and understanding of impact of these conditions on their lives. Therefore, this study suggest that OPMD QoL should be routinely checked to enhance patients’ wellbeing and quality of life.

References

Hariyani N. Global, Regional, and National Levels and Trends in Burden of Oral Conditions from 1990 to 2017: A Systematic Analysis for the Global Burden of Disease 2017 Study. Journal of Dental Research. 2020; 99(4): 362-73. doi: 10.1177/0022034520908533 DOI: https://doi.org/10.1177/0022034520908533

Fayers PM, Machin D. Quality of Life: The Assessment, Analysis and Interpretation of Patient-Reported Outcomes. John wiley & sons. 2013 May.

Kumar K, Khandpur M, Khandpur S, Mehrotra D, Tiwari SC, Kumar S. Quality of Life Among oral Potentially Malignant Disorder (OPMD) Patients: A Prospective Study. Journal of Oral Biology and Craniofacial Research. 2021 Jan; 11(1): 88-91. doi: 10.1016/j.jobcr.2020.11.009 DOI: https://doi.org/10.1016/j.jobcr.2020.11.009

Petersen PE and Yamamoto T. Improving the Oral Health of Older People: The Approach of the WHO Global Oral Health Programme. Community Dentistry and Oral Epidemiology. 2005 Apr; 33(2): 81-92. doi: 10.1111/j.1600-0528.2004.00219.x DOI: https://doi.org/10.1111/j.1600-0528.2004.00219.x

Duong HY, Roccuzzo A, Stähli A, Salvi GE, Lang NP, Sculean A. Oral Health‐Related Quality of Life of Patients Rehabilitated with Fixed and Removable Implant‐Supported Dental Prostheses. Periodontology 2000. 2022 Feb; 88(1): 201-37. doi: 10.1111/prd.12419 DOI: https://doi.org/10.1111/prd.12419

van Nieuwenhuizen AJ, Buffart LM, Brug J, Leemans CR, Verdonck-de Leeuw IM. The Association Between Health-Related Quality of Life and Survival in Patients with Head and Neck Cancer: A Systematic Review. Oral oncology. 2015 Jan; 51(1): 1-1. doi: 10.1016/j.oraloncology.2014.09.002 DOI: https://doi.org/10.1016/j.oraloncology.2014.09.002

Gabriella D, Klemens R, Xiao-Hui RF, Corinna B, Eva H. Effect of Personality Traits on the Oral Health-Related Quality of Life in Patients with Oral Lichen Planus Undergoing Treatment. Clinical Oral Investigations. 2021 Apr; 25: 2381-9. doi: 10.1007/s00784-020-03561-5 DOI: https://doi.org/10.1007/s00784-020-03561-5

Saalim M, Sansare K, Karjodkar FR, Ali IK, Sharma SR, Kapoor R et al. Oral submucous fibrosis and its impact on psychological stress: A case-control study. Psychology, Health & Medicine. 2022 Apr; 27(4): 735-45. doi: 10.1080/13548506.2020.1826545 DOI: https://doi.org/10.1080/13548506.2020.1826545

Wang YY, Tail YH, Wang WC, Chen CY, Kao YH, Chen YK et al. Malignant Transformation in 5071 Southern Taiwanese Patients with Potentially Malignant oral Mucosal Disorders. BMC Oral Health. 2014 Dec; 14: 1-9. doi: 10.1186/1472-6831-14-99 DOI: https://doi.org/10.1186/1472-6831-14-99

Gondivkar SM and Gadbail AR. “Mind” in Betel-quid Use and Related Disorders. The Journal of Contemporary Dental Practice. 2018 Aug 1;19(6):629-30. doi: 10.5005/jp-journals-10024-2309 DOI: https://doi.org/10.5005/jp-journals-10024-2309

Wang J, Yang J, Wang C, Zhao Z, Fan Y. Systematic Review and Meta‐Analysis of Oxidative Stress and Antioxidant Markers in Oral Lichen Planus. Oxidative Medicine and Cellular Longevity. 2021; 2021(1): 9914652. doi: 10.1155/2021/9914652 DOI: https://doi.org/10.1155/2021/9914652

Al-Shehri M. The Current State of Clinical Diagnostic Algorithms for Mucosal Oral Lesions: A Scoping Review. McGill University (Canada). 2023.

Raja JV, Rai P, Kumar NC, Khan M, Chandrashekar H. Psychiatric Morbidity Among Patients with Oral Submucous Fibrosis: A Controlled Study. Oral Health and Dental Management. 2013 Jun; 12(2): 85-94.

Warnakulasuriya S, Johnson NW, Van der Waal I. Nomenclature and Classification of Potentially Malignant Disorders of the Oral Mucosa. Journal of Oral Pathology & Medicine. 2007 Nov; 36(10): 575-80. doi: 10.1111/j.1600-0714.2007.00582.x DOI: https://doi.org/10.1111/j.1600-0714.2007.00582.x

Pinto AC, Carames J, Francisco H, Chen A, Azul AM, Marques D. Malignant Transformation Rate of Oral Leukoplakia—Systematic Review. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. 2020 Jun; 129(6): 600-11. doi: 10.1016/j.oooo.2020.02.017 DOI: https://doi.org/10.1016/j.oooo.2020.02.017

Idrees M, Kujan O, Shearston K, Farah CS. Oral Lichen Planus has a Very Low Malignant Transformation Rate: A Systematic Review and Meta‐Analysis Using Strict Diagnostic and Inclusion Criteria. Journal of Oral Pathology & Medicine. 2021 Mar; 50(3): 287-98. doi: 10.1111/jop.12996 DOI: https://doi.org/10.1111/jop.12996

Goodson ML, Sloan P, Robinson CM, Cocks K, Thomson PJ. Oral Precursor Lesions and Malignant Transformation–Who, Where, What, and When? British Journal of Oral and Maxillofacial Surgery. 2015 Nov; 53(9): 831-5. doi: 10.1016/j.bjoms.2015.08.268 DOI: https://doi.org/10.1016/j.bjoms.2015.08.268

Ashshi RA, Stanbouly D, Maisano PG, Alaraik AF, Chuang SK, Takako TI et al. Quality of Life in Patients with Oral Potentially Malignant Disorders: Oral Lichen Planus and Oral Epithelial Dysplasia. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. 2023 Mar; 135(3): 363-71. doi: 10.1016/j.oooo.2022.11.006 DOI: https://doi.org/10.1016/j.oooo.2022.11.006

Sekulic S, John MT, Häggman‐Henrikson B, Theis‐Mahon N. Dental Patients' Functional, Pain‐Related, Aesthetic, and Psychosocial Impact of Oral Conditions on Quality of Life—Project Overview, Data Collection, Quality Assessment, And Publication Bias. Journal of Oral Rehabilitation. 2021 Mar; 48(3): 246-55. doi: 10.1111/joor.13045 DOI: https://doi.org/10.1111/joor.13045

Mumcu GO, Hayran O, Ozalp DO, Inanc N, Yavuz S, Ergun T et al. The Assessment of Oral Health‐Related Quality of Life by Factor Analysis in Patients with Behcet's Disease and Recurrent Aphthous Stomatitis. Journal of Oral Pathology & Medicine. 2007 Mar; 36(3): 147-52. doi: 10.1111/j.1600-0714.2007.00514.x DOI: https://doi.org/10.1111/j.1600-0714.2007.00514.x

Wiriyakijja P, Fedele S, Porter SR, Mercadante V, Ni Riordain R. Patient‐Reported Outcome Measures in Oral Lichen Planus: A Comprehensive Review of The Literature with Focus on Psychometric Properties and Interpretability. Journal of Oral Pathology & Medicine. 2018 Mar; 47(3): 228-39. doi: 10.1111/jop.12604 DOI: https://doi.org/10.1111/jop.12604

Rajan B, Ahmed J, Shenoy N, Denny C, Ongole R, Binnal A. Assessment of Quality of Life in Patients with Chronic Oral Mucosal Diseases: A Questionnaire-Based Study. The Permanente Journal. 2014; 18(1): e123. doi: 10.7812/TPP/13-095 DOI: https://doi.org/10.7812/TPP/13-095

Golkari A, Lavaee F, Sadeghzadeh A, Afroozi B, Piri-Zarrini A. Evaluating the Quality of Life in Patients with Ulcerative Oral Lesions. Journal of Oral Health and Epidemiology. 2019 Oct 7.

Spanemberg JC, Cardoso JA, Slob EM, López-López J. Quality of Life related to Oral Health and its Impact in Adults. Journal of Stomatology, Oral and Maxillofacial Surgery. 2019 Jun 1; 120(3): 234-9. doi: 10.1016/j.jormas.2019.02.004 DOI: https://doi.org/10.1016/j.jormas.2019.02.004

Downloads

Published

2025-01-31
CITATION
DOI: 10.54393/pjhs.v6i1.2383
Published: 2025-01-31

How to Cite

Ahmed, S. Z., Kumar, S., Akhlaq , H., Anwar, J., Lodhi, M., & Siddiqui, D. (2025). Assessing the Psychological Impact of Oral Potentially Malignant Disorders Among Patients: Psychological Impact of Oral Potentially Malignant Disorders. Pakistan Journal of Health Sciences, 6(1), 343–347. https://doi.org/10.54393/pjhs.v6i1.2383

Issue

Section

Original Article

Plaudit

Most read articles by the same author(s)