Augmentation of oral submucous fibrosis by NSAIDs in the presence of risk factors
Journal Title: Pakistan Journal of Pharmaceutical Sciences - Year 2016, Vol 29, Issue 2
Abstract
Various Risk factors initiate Submucous fibrosis which may be augmented by NSAIDs. A number of animal studies on their mechanism indirectly support it especially regarding alterations in prostaglandin synthesis. This study has been designed to find association of these drugs with Oral Submucous fibrosis in the presence of risk factors. Newly diagnosed patients of Oral Sub mucous fibrosis were recruited for this study who attended Dental Department of Karachi Medical and Dental College from July 1 till Dec 31,2013.A structured interview and medical record of each patient was used to determine the demographic profile, any addiction, previous and present illnesses and drug (s) used. Through examination of Oral cavity was carried out to access the severity of disease as per modified Khanna & Andrade Classification (1995). Statistical Analysis was done by SPSS 15. Total 102 patients were recruited from dental OPD as per criteria of inclusion. Among these patients 36 (49.31%) were using NSAIDs in which Acetaminophen (30.55%), Acetylsalicylic acid (25.00%) and Diclophenac (19.44%) were 1st, 2nd and 3rd most common drugs. Data shows that 14 patients (28.88%) had mild and 22(61.11%) had sever fibrosis which was significantly high (P0.05) in severity of fibrosis is seen in patients who were using NSAIDs since less than or equal to 6 months but statistical significant difference (P0.05) was seen in addiction burden of various substances in these patients. An association of NSAIDs with Oral Sub mucous fibrosis exists. The pathology is augmented if these drugs are used in the presence of risk factors. Therefore these drugs should not be prescribed to these patients until a clear benefit is not targeted.
Authors and Affiliations
Hira Tariq , Owais Ahmed Khan , Muhammad Tariq Aftab
Keywords
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