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Chiang TE, Lin YC, Wu CT, Wu ST, Chen YW. Association between socioeconomic status and severity of oral epithelial dysplasia using a Taiwanese Nationwide Oral Mucosal Screening Program: a retrospective analysis. BMC Oral Health 2022; 22:56. [PMID: 35246076 PMCID: PMC8895639 DOI: 10.1186/s12903-022-02084-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2021] [Accepted: 02/14/2022] [Indexed: 11/16/2022] Open
Abstract
Background The study aimed to investigate the association between socioeconomic status and severity of oral epithelial dysplasia (OED) using current data from the Taiwanese Nationwide Oral Mucosal Screening Program (TNOMSP).
Methods This retrospective analysis was conducted in the Department of Oral and Maxillofacial Surgery at a general hospital in Taipei, Taiwan. A total of 134 participants were analysed from a previous study database of 150 patients. The inclusion criteria included age > 20 years and a history of either tobacco or betel nut use. Background information, including para-habits such as betel and tobacco use, was analysed using the Pearson chi-square (χ2) test; furthermore, the correlation of background information with OED severity was investigated using logistic regression (mild or moderate/severe). Results High school education level (P < 0.001), poor self-awareness (P = 0.002), current betel use (P < 0.001), and tobacco use (P = 0.003) were highly correlated with moderate- and severe OED (P < 0.05). The odds ratio (OR) of education status above senior high school was 0.03 (95% confidence interval [CI] 0.01–0.15, P < 0.001), while that of junior high school was 1. Current betel chewing (OR 6.57 [95% CI 1.17–37.0], P = 0.033) was significantly associated with OED severity compared with never or ex-use of betel. Conclusions We found a strong correlation between the severity of OED and current betel use and low education status. The current study revealed that the socioeconomic status, poor self-awareness, and para-habit history of the patients with OED should be evaluated to identify high-risk individuals using TNOMSP.
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Affiliation(s)
- Tien-En Chiang
- Division of Oral and Maxillofacial Surgery, Tri-Service General Hospital, No. 325, Cheng-Kung Rd., Sec. 2, Neihu District, Taipei City, 11490, Taiwan, ROC.,School of Dentistry, National Defense Medical Center, No. 161, Sec. 6, Minquan E. Rd., Neihu Dist., Taipei City, 11490, Taiwan, ROC
| | - Yu-Chun Lin
- Department of Pathology, Tri-Service General Hospital, No. 325, Sec. 2, Chenggong Rd., Neihu District, Taipei City, 11490, Taiwan, ROC
| | - Chi-Tsung Wu
- Division of Oral and Maxillofacial Surgery, Tri-Service General Hospital, No. 325, Cheng-Kung Rd., Sec. 2, Neihu District, Taipei City, 11490, Taiwan, ROC.,School of Dentistry, National Defense Medical Center, No. 161, Sec. 6, Minquan E. Rd., Neihu Dist., Taipei City, 11490, Taiwan, ROC
| | - Sheng-Tang Wu
- Division of Urology, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, No. 161, Sec. 6, Minquan E. Rd., Neihu Dist., Taipei City, 11490, Taiwan, ROC
| | - Yuan-Wu Chen
- Division of Oral and Maxillofacial Surgery, Tri-Service General Hospital, No. 325, Cheng-Kung Rd., Sec. 2, Neihu District, Taipei City, 11490, Taiwan, ROC. .,School of Dentistry, National Defense Medical Center, No. 161, Sec. 6, Minquan E. Rd., Neihu Dist., Taipei City, 11490, Taiwan, ROC.
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Chiang TE, Lin YC, Wu CT, Yang CY, Wu ST, Chen YW. Comparison of the accuracy of diagnoses of oral potentially malignant disorders with dysplasia by a general dental clinician and a specialist using the Taiwanese Nationwide Oral Mucosal Screening Program. PLoS One 2021; 16:e0244740. [PMID: 33428642 PMCID: PMC7799778 DOI: 10.1371/journal.pone.0244740] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2020] [Accepted: 12/16/2020] [Indexed: 01/08/2023] Open
Abstract
Screening for oral potentially malignant disorders (OPMDs) with dysplasia in high-risk groups is suggested in countries with a high prevalence of the disorders. This study aimed to compare the accuracy of diagnoses of OPMDs with dysplasia made by a primary examiner (general dental clinician) and a specialist (oral and maxillofacial surgeon) using the current Taiwanese Nationwide Oral Mucosal Screening Program (TNOMSP). A total of 134 high-risk participants were enrolled for oral mucosal screening via the TNOMSP. A primary examiner and a specialist examined each participant. Mucosal biopsies were obtained and subjected to histopathological analysis. The OPMD most frequently diagnosed by the primary examiner was thin homogeneous leukoplakia (48/134; 35.8%), and in 39/134 participants (29.1%) the diagnosis was uncertain, but abnormalities were suggested. The OPMDs most frequently diagnosed by the specialist were erythroleukoplakia (23/134; 17.2%) and thin homogeneous leukoplakia (21/134; 15.7%), and 51/134 participants (38.1%) were diagnosed with other diseases. Via histopathology, 70/134 participants (52.3%) were diagnosed with dysplasia, and 58/134 (43.3%) were diagnosed with benign conditions. The specialist's diagnoses exhibited a higher specificity, positive predictive value, and accuracy than the primary examiners. A specialist using the current TNOMSP for high-risk participants diagnosed OPMDs with dysplasia more accurately than a primary examiner. Early diagnosis of high-risk OPMDs is crucial in countries with a high prevalence of the disorders. Proficient examination via the current TNOMSP by trained clinician is effective for the management of OPMDs with dysplasia.
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Affiliation(s)
- Tien-En Chiang
- Division of Oral and Maxillofacial Surgery, Tri-Service General Hospital, Taipei, Taiwan, R.O.C
- School of Dentistry, National Defense Medical Center, Taipei, Taiwan, R.O.C
| | - Yu-Chun Lin
- Department of Pathology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, R.O.C
| | - Chi-Tsung Wu
- Division of Oral and Maxillofacial Surgery, Tri-Service General Hospital, Taipei, Taiwan, R.O.C
- School of Dentistry, National Defense Medical Center, Taipei, Taiwan, R.O.C
| | - Cheng-Yu Yang
- School of Dentistry, National Defense Medical Center, Taipei, Taiwan, R.O.C
| | - Sheng-Tang Wu
- Division of Urology, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, R.O.C
- Department of Medical Planning, Medical Affairs Bureau, Ministry of National Defense, Taipei, Taiwan, R.O.C
| | - Yuan-Wu Chen
- Division of Oral and Maxillofacial Surgery, Tri-Service General Hospital, Taipei, Taiwan, R.O.C
- School of Dentistry, National Defense Medical Center, Taipei, Taiwan, R.O.C
- * E-mail:
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Li YH, Chiang TE, Chen YW. Full mouth reconstruction with immediate implant placement in multiple extraction sockets. J Dent Sci 2019; 14:99-100. [PMID: 30988886 PMCID: PMC6445923 DOI: 10.1016/j.jds.2017.12.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2017] [Revised: 12/10/2017] [Accepted: 12/11/2017] [Indexed: 11/29/2022] Open
Affiliation(s)
- Yu-Hsuan Li
- Division of Oral and Maxillofacial Surgery, Tri-Service General Hospital, Taipei, Taiwan, ROC.,Division of Oral and Maxillofacial Surgery, Tri-Service General Hospital, Taipei, Taiwan, ROC.,School of Dentistry, National Defense Medical Center, Taipei, Taiwan, ROC
| | - Tien-En Chiang
- Division of Oral and Maxillofacial Surgery, Tri-Service General Hospital, Taipei, Taiwan, ROC.,Division of Oral and Maxillofacial Surgery, Tri-Service General Hospital, Taipei, Taiwan, ROC.,School of Dentistry, National Defense Medical Center, Taipei, Taiwan, ROC
| | - Yuan-Wu Chen
- Division of Oral and Maxillofacial Surgery, Tri-Service General Hospital, Taipei, Taiwan, ROC.,School of Dentistry, National Defense Medical Center, Taipei, Taiwan, ROC
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Chiang TE, Lin YC, Chang WC, Chen YW. The nasolabial subcutaneous pedicle flap for lower-lip defect reconstruction. J Dent Sci 2019; 13:177-178. [PMID: 30895116 PMCID: PMC6388862 DOI: 10.1016/j.jds.2017.08.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2017] [Revised: 08/27/2017] [Indexed: 11/30/2022] Open
Affiliation(s)
- Tien-En Chiang
- Division of Oral and Maxillofacial Surgery, Department of Dentistry, Tri-Service General Hospital, Taiwan, ROC.,School of Dentistry, National Defense Medical Center, Taiwan, ROC.,Department of Pathology, Tri-Service General Hospital, Taiwan, ROC.,Division of Oral and Maxillofacial Surgery, Department of Dentistry, Tri-Service General Hospital, Taiwan, ROC.,School of Dentistry, National Defense Medical Center, Taiwan, ROC
| | - Yu-Chun Lin
- Department of Pathology, Tri-Service General Hospital, Taiwan, ROC.,Division of Oral and Maxillofacial Surgery, Department of Dentistry, Tri-Service General Hospital, Taiwan, ROC.,School of Dentistry, National Defense Medical Center, Taiwan, ROC
| | - Wei-Chin Chang
- Division of Oral and Maxillofacial Surgery, Department of Dentistry, Tri-Service General Hospital, Taiwan, ROC.,School of Dentistry, National Defense Medical Center, Taiwan, ROC
| | - Yuan-Wu Chen
- Division of Oral and Maxillofacial Surgery, Department of Dentistry, Tri-Service General Hospital, Taiwan, ROC.,School of Dentistry, National Defense Medical Center, Taiwan, ROC
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Chiang TE, Chen CF, Li YH, Chen YW. Comprehensive orthognathic correction of post-traumatic Le-Fort II deformity. J Dent Sci 2019; 13:281-282. [PMID: 30895133 PMCID: PMC6388836 DOI: 10.1016/j.jds.2017.08.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2017] [Revised: 08/27/2017] [Indexed: 12/04/2022] Open
Affiliation(s)
- Tien-En Chiang
- Division of Oral and Maxillofacial Surgery, Department of Dentistry, Tri-Service General Hospital, Taiwan, ROC.,School of Dentistry, National Defense Medical Center, Taiwan, ROC.,School of Dentistry, National Defense Medical Center, Taiwan, ROC.,Division of Oral and Maxillofacial Surgery, Department of Dentistry, Tri-Service General Hospital, Taiwan, ROC.,School of Dentistry, National Defense Medical Center, Taiwan, ROC
| | - Chien-Feng Chen
- School of Dentistry, National Defense Medical Center, Taiwan, ROC.,Division of Oral and Maxillofacial Surgery, Department of Dentistry, Tri-Service General Hospital, Taiwan, ROC.,School of Dentistry, National Defense Medical Center, Taiwan, ROC
| | - Yu-Hsuan Li
- Division of Oral and Maxillofacial Surgery, Department of Dentistry, Tri-Service General Hospital, Taiwan, ROC.,School of Dentistry, National Defense Medical Center, Taiwan, ROC
| | - Yuan-Wu Chen
- Division of Oral and Maxillofacial Surgery, Department of Dentistry, Tri-Service General Hospital, Taiwan, ROC.,School of Dentistry, National Defense Medical Center, Taiwan, ROC
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Chiang TE, Ho CL, Lin CS, Chen YW. Complete remission in very advanced oral cancer by docetaxel, cisplatin, 5-fluorouracil based induction chemotherapy followed by concurrent chemoradiation. J Dent Sci 2017; 13:82-84. [PMID: 30895100 PMCID: PMC6388851 DOI: 10.1016/j.jds.2017.05.004] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2017] [Revised: 05/25/2017] [Indexed: 11/17/2022] Open
Affiliation(s)
- Tien-En Chiang
- Division of Oral and Maxillofacial Surgery, Department of Dentistry, Tri-Service General Hospital, Taiwan
- School of Dentistry, National Defense Medical Center, Taiwan
- Division of Hematology and Oncology, Department of Medicine, Tri-Service General Hospital, Taiwan
- Department of Radiation Oncology, Tri-Service General Hospital, Taiwan
- Division of Oral and Maxillofacial Surgery, Department of Dentistry, Tri-Service General Hospital, Taiwan
- School of Dentistry, National Defense Medical Center, Taiwan
| | - Ching-Liang Ho
- Division of Hematology and Oncology, Department of Medicine, Tri-Service General Hospital, Taiwan
- Department of Radiation Oncology, Tri-Service General Hospital, Taiwan
- Division of Oral and Maxillofacial Surgery, Department of Dentistry, Tri-Service General Hospital, Taiwan
- School of Dentistry, National Defense Medical Center, Taiwan
| | - Chun-Shu Lin
- Department of Radiation Oncology, Tri-Service General Hospital, Taiwan
- Division of Oral and Maxillofacial Surgery, Department of Dentistry, Tri-Service General Hospital, Taiwan
- School of Dentistry, National Defense Medical Center, Taiwan
| | - Yuan-Wu Chen
- Division of Oral and Maxillofacial Surgery, Department of Dentistry, Tri-Service General Hospital, Taiwan
- School of Dentistry, National Defense Medical Center, Taiwan
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