Oral Cancer, Premalignant Lesion
Conditions
Keywords
teledentistry, oral cancer screening, oral potentially malignant lesions
Brief summary
The aim of study is to evaluate the sensitivity and specificity of using mobile phone photographs versus conventional clinical examination as a screening tool for early detection of oral cancer.
Detailed description
Tele-dentistry is a method of providing oral healthcare and dental services through real-time transmission of clinical information using electronic medical records, digital imaging, photography, ICT, and the internet. Oral medicine is a dental specialty that uses tele-dentistry services to manage patients with systemic diseases and comorbidities. However, some oral disorders may have systemic consequences, necessitating additional diagnostic techniques and skilled doctors. Issues such as lack of oral medicine specialists, inexperienced community health workers, and inadequate training for managing complex oral conditions also pose challenges. Delayed diagnosis of oral cancers in underserved communities, poor patient management, high transportation costs, and lengthy waiting lists are some of the challenges faced by patients. The COVID-19 pandemic has further complicated these issues, causing disruptions in educational programs and access to oral medicine services. Tele-dentistry can facilitate efficient communication between patients and healthcare professionals for various purposes. There is limited research on using tele-dentistry in oral medicine, especially for results like accuracy. Consequently, the present study is designed to evaluate the sensitivity and specificity of using mobile phone images versus conventional clinical examination as a screening tool for early detection of oral cancer.
Interventions
DIAGNOSTIC_TESTDiagnosis by mobile phone imaging
The photographs will be taken with a smartphone iPhone 14 Pro in a one-year period. Imaging will follow the recommendations regarding intraoral photography in oral mucosal screening set by (Lin et al., 2021). Personal data and a brief description of the present illness concerning the main complaint will be informed by the patients and recorded in a diagnosis chart of the Oral medicine department Cairo University. Complete intraoral physical examination will be performed by the main investigator under supervision of the main supervisor and the co-supervisor using dental equipment with artificial light.
Sponsors
Cairo University
Study design
Observational model
OTHER
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
12 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Patients have any visible oral mucosal lesions including: 1. Normal Variants 2. Reactive and inflammatory lesions 3. Potentially malignant lesions (PML) 4. Oral cancer
Exclusion criteria
\- 1. Patients unable to open their mouth properly due to trismus, pain, fibrosis or scleroderma. 2\. Patients unable to follow instructions such as mental disability and children below 12-year-old.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Categorization of oral mucosal lesions | one year | to categorize the oral lesions into: 1. Normal variance 2. Reactive or inflammatory lesions 3. Potentially malignant lesions 4. Oral cancer |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Referral decision | one year | when to take a decision of referral to a specialist |
Contacts
Primary ContactMary F Mikhail, TA
Backup ContactSalsabeel A Afifi, Lecturer
Outcome results
None listed