Recommendations for Research to Develop a Patient-Centered Clinical Follow-Up Protocol for Oral Epithelial Dysplasia
Küçük Resim Yok
Tarih
2024
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Wiley
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Oral epithelial dysplasia (OED) is the primary histological marker for assessing the progression of oral potentially malignant disorders (OPMDs) to cancer. Despite challenges in grading and low inter-pathologist reproducibility, OED severity remains the key predictor of malignant transformation. However, globally accepted guidelines for OED monitoring are lacking, despite calls for individualized management based on host and lesion characteristics. The proposed research protocol involves acquiring high-quality intraoral images, assessing oral hygiene and periodontal status, eliminating chronic mechanical irritation and Candida infections, and applying adjunctive diagnostic methods like toluidine blue staining, optical evaluation, and brush cytology. Tailored follow-up regimens based on individual risk assessments are emphasized, with frequent monitoring for high-grade dysplasia or patients at higher risk of progression. Therefore, effective OED management should consider the patient's immune status, dietary habits, and oral microbiota, aiming to develop personalized treatment strategies that optimize patient-centered care.
Açıklama
Anahtar Kelimeler
comprehensive health care, follow-up monitoring, oral cancer, oral epithelial dysplasia
Kaynak
Head and Neck-journal for The Sciences and Specialties of The Head and Neck
WoS Q Değeri
Q1
Scopus Q Değeri
Q1
Cilt
47
Sayı
1
Künye
Güneri, P., Bolukbasi, G., Ilhan, B., Epstein, J. B., & Warnakulasuriya, S. (2025). Recommendations for research to develop a Patient‐Centered clinical Follow‐Up protocol for oral epithelial dysplasia. Head & Neck, 47(1), 7-13.