Occurence of Oral Mucosal Changes among the Smokeless Tobacco Users in Patients Visiting Saveetha Dental College

Background: Smoking and smokeless tobacco products are commonly used by the Indian population and both are considered to be predisposing factors for oral carcinoma. There are many oral mucosal lesions which are observed before the development of oral carcinoma such as chewer’s mucosa, lichenoid reaction, tobacco pouch keratosis, leukoplakia, oral sub mucous fibrosis, etc. Aim and Objective: To evaluate all the oral mucosal changes caused by various types of smokeless tobacco products and to find out the commonly used smokeless tobacco and commonly associated oral manifestations. Materials and Methodology: A total of 140 subjects (114 males and 26 females) were included in the study. A proforma was prepared to document their demographic and clinical examination findings. Result: Among the 140 subjects, 114 subjects showed oral mucosal changes and 26 subjects showed no mucosal changes. Hans being the most commonly used smokeless tobacco product followed by Guthka and then Mawa. Hans is the common smokeless tobacco product which is more associated with the oral mucosal changes The most commonly caused oral mucosal change according to the analysis is oral sub mucous fibrosis followed by tobacco pouch keratosis, leukoplakia, chewers mucosa.