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Oral Precancer
Oral health care has seen, and continues at that, much progress in the evaluation and management of a variety of oral Precancers. There is no denying existence of certain controversies and differing definitions on the level of risk involved. As in the treatment of other dental conditions, the diagnostic and prognostic features of all premalignancies of the head and neck region are thoroughly studied and understood by the clinician. It is more so important to remember that a premalignancy is not guaranteed to eventually transform into cancer, as was believed in the not too distant past. Many, in fact, only do so in a small proportion of cases. This means that the clinician may have to make some very real choices relative to the management of such lesions as leukoplakia, erythroplakia, smokeless tobacco keratosis and lichen planus, and it means that the best choice may not be complete surgical removal, but rather a good, rational follow-up protocol.
Disease name in order of their gravity
( Precancerous lesions of the oral, pharyngeal and laryngeal mucosa, clinical terms only )
Proliferative verrucous leukoplakia (PVC)
Nicotine palatinus in reverse smokers
Erythroplakia
Oral submucous fibrosis
Erythroleukoplakia
Granular leukoplakia
Laryngeal keratosis
Actinic cheilosis
Smooth, thick leukoplakia
Lichen planus (erosive forms)
Smooth, red tongue of Plummer-Vinson disease
Smokeless tobacco keratosis
Smooth, thin leukoplakia
  • Leukoplakia
  • Proliferative Verrucous Leukoplakia
  • Erythroplakia
  • Lichen Planus
  • Smokeless Tobacco Keratosis
  • Recurring Oral Melanotic Macule
  • Oral Submucous Fibrosis

 
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