QUALITY OF LIFE IN ORAL SUBMUCOUS FIBROSIS Dr. Shailesh M. Gondivkar BDS, MDS, Ph.D. Department of Oral Medicine & Radiology, Government Dental College & Hospital, Nagpur 440003, Maharashtra India

[Audio] Hello everyone This video is about oral submucous fibrosis and its impact on quality of life.

[Audio] Oral submucous fibrosis is a. ORAL SUBMUCOUS FIBROSIS.

[Audio] According to the most recent data,. Epidemiology: People from South and South East Asian nations Prevalence: Climbed from 0.03 to 6.42 in last forty years.

Etiology: Multifactorial; arecoline in the areca nut is the primary causative agent OSF: Most common oral mucosal disorder among habitual areca nut chewers.

The disease's most alarming concern is the younger population's growing desire for this long-standing, acceptable behavior Malignant potential: 4.2% - 6% The mortality rate of OSF is noteworthy among all potentially cancerous conditions of the oral mucosa.

An individual's perception of his position in life in the context of the culture and value system in which he lives and with his goals, expectations and standards and concerns.

Cognitive, spiritual, physical, psychological, social, economic, and economic components Disruption in one area may affect other areas, which may eventually affect the entire QoL QoL is regarded as a crucial and frequently required health outcome metric.

[Audio] , all of which can lead to a person's declining self-confidence and ability to interact with others.

Patients' reported outcomes and experiences should be considered when assessing the effects of oral diseases on patients' QoL To understand, questionnaire surveys using QoL tools are useful.

OSF features affecting QoL.

[Audio] Patients with OSMF often experience. Physical discomfort & functional impairment.

Occasional ulcers Difficulty in speaking Difficulty in performing oral hygiene Hearing impairment Dysphonia.

[Audio] OSMF not only physically debilitates patients but also.

Social impact. Offended in attending social events/gatherings OSF affects relation with your family & friends.

All affected domains and worsening of oral health contribute to overall suffering experienced by OSF patients Worse QoL is associated with advancing stage of OSF.

OHRQoL Assessment. Generic or Disease specific QoL instrument Generic QoL instrument: Less sensitivity to a clinical change and therefore have greater chances of missing important findings Disease-specific QoL instrument: Better health outcome indicator to best characterize the symptoms or sense of well-being of patients.

Generic instruments. European Organization for Research and Treatment of Cancer (EORTC) OHIP-14 WHOQOL-BREF OPMDQoL.

Disease-specific instrument. A new disease-specific OHRQoL instrument for use in OSF patients (OHRQoL-OSF) OHRQoL-OSF can be used as a crucial health outcome indicator to best describe the sense of well-being or symptoms of OSF patients.

[Audio] which is the most common and evident symptom associated with OSF,.

Apart from trismus, a substantial part of the suffering is also because of the ulcerations, burning sensation and worsening of oral health The improvement in these symptoms definitely help improve the QoL substantially even if the disease per se is not treated.

Thank You.