Oral potentially malignant disorders: advice on management in primary care

Katherine Eccles; Barbara Carey; Richard Cook; Michael Escudier; Marcio Diniz-Freitas; Jacobo Limeres-Posse; Luis Monteiro; Luis Silva; Jean-Cristophe Fricain; Sylvain Catros; Giovanni Lodi; Niccolò Lombardi; Vlaho Brailo; Bozana Loncar Brzak; Raj Ariyaratnam; Rui Albuquerque

doi:10.1051/mbcb/2022017

Home

All issues

Volume 28 / No 3 (2022)

J Oral Med Oral Surg, 28 3 (2022) 36

Abstract

Open Access

Issue		J Oral Med Oral Surg Volume 28, Number 3, 2022


Article Number		36
Number of page(s)		8
DOI		https://doi.org/10.1051/mbcb/2022017
Published online		23 September 2022

J Oral Med Oral Surg 2022;28:36

Educational Article

Oral potentially malignant disorders: advice on management in primary care

Katherine Eccles¹, Barbara Carey¹, Richard Cook², Michael Escudier², Marcio Diniz-Freitas³, Jacobo Limeres-Posse³, Luis Monteiro⁴, Luis Silva⁴, Jean-Cristophe Fricain⁵, Sylvain Catros⁵, Giovanni Lodi⁶, Niccolò Lombardi⁶, Vlaho Brailo⁷, Bozana Loncar Brzak⁷, Raj Ariyaratnam⁸ and Rui Albuquerque¹^,2^*

¹ Oral Medicine, Guy's and St Thomas' NHS Foundation Trust, United Kingdom
² Faculty of Dentistry, Oral & Craniofacial Sciences, King’s College London, United Kingdom
³ School of Medicine and Dentistry, University Santiago de Compostela, Spain
⁴ Oral Pathology and Rehabilitation Research Unit UNIPRO, University Institute of Health (IUCS), CESPU, Gandra, Portugal
⁵ University of Bordeaux, France
⁶ Università degli Studi di Milano, Italy
⁷ Oral Medicine, School of Dental Medicine, University of Zagreb, Croatia
⁸ University of Manchester, United Kingdom

^* Correspondence: rui.albuquerque@gstt.nhs.uk

Received: 17 May 2022
Accepted: 25 May 2022

Abstract

Introduction: The diagnosis of and risks associated with oral potentially malignant disorders (OPMD) have been widely reported, but little has been published on the management of OPMDs in a primary dental care setting. Hospital services face ongoing pressures due to long-term follow-up, with a need for surveillance to be jointly undertaken with primary dental care clinicians. In a primary care setting, identification and surveillance of OPMDs can be challenging as no universal guidance exists on recommended recall intervals. Corpus: In this article, an update on OPMDs is provided and, based on the practices of six Oral Medicine units in Europe (London (United Kingdom), Milan (Italy), Bordeaux (France), Porto (Portugal), Zagreb (Croatia) and Santiago de Compostela (Spain)), aiming to provide guidance on monitoring in a primary care setting in Europe. Conclusion: Oral medicine clinicians can provide guidance to general dental practitioners (GDPs) on recommended recall intervals. It is important that they feel confident in monitoring these conditions and, when concerned, to arrange referral to a hospital or appropriate specialist. GDPs should document descriptions of lesions and, if possible, take clinical photographs. Patients should be counselled on modifiable lifestyle factors and directed to oral medicine society websites to access patient information leaflets.

Key words: Oral potentially malignant disorders / OPMD / premalignant disorders

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Current usage metrics show cumulative count of Article Views (full-text article views including HTML views, PDF and ePub downloads, according to the available data) and Abstracts Views on Vision4Press platform.

Data correspond to usage on the plateform after 2015. The current usage metrics is available 48-96 hours after online publication and is updated daily on week days.

Initial download of the metrics may take a while.