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An Official Publication of the Indian Association of Oral and Maxillofacial Pathologists


 
ORIGINAL RESEARCH Table of Contents   
Year : 2004  |  Volume : 8  |  Issue : 2  |  Page : 73-81
An assessment of oral epithelial dysplasia using criteria of `Smith & Pindborg Grading System' & `Ljubljana Grading System' in oral precancerous lesions


Department of Oral and Maxillo Facial Pathology, Government Dental College & Hospital, Nagpur, India

Correspondence Address:
Mahendra C Mahajan
Rameshwar Nagar, Ambad-Link Road, Nashik - 10, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


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Histopathologically assessed severity of Oral Epithelial Dysplasia (OED) are considered as 'gold standards' for the prediction of malignant transformation of precancerous lesions, since the role of immunohistochemical and molecular biological parameters is still uncertain. Grades such as mild, moderate and severe dysplasia obtained with conventional grading system do not provide adequate information regarding therapeutic management of OED. Also assessing risk and deciding management of 'moderate dysplasia' an intermediate category remains problematic. H & E stained slides of precancerous lesions (30 cases) were comparatively assessed using 'Smith & Pindborg' grading system and 'Ljubljana' grading system for "Epithelial Hyperplastic Laryngeal Lesions' (EHLL). Our study showed that, Ljubljana grading system provides more objectivity in evaluation of OED. It attempts to utilize a two-grade system, i.e. A 'Low' and 'High' grade thus having merit since it eliminates intermediate category. Also, it is a therapeutically informative system of grading, which provides immense information to the clinician and surgeons regarding accurate diagnosis and management of the same.


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Journal of Oral and Maxillofacial Pathology | Published by Wolters Kluwer - Medknow
Online since 15th Aug, 2007