TURKISH JOURNAL OF ONCOLOGY 2025 , Vol 40 , Num 3
Evaluation of Risk Factors for Oral Premalignant Lesions
Rümeysa ŞENDİŞÇİ GÖK1,Bilay STEVANOVIC SANCAR1,Sevcihan GÜNEN YILMAZ1
1Department of Oral and Maxillofacial Radiology, Akdeniz University Faculty of Dentistry, Antalya-Türkiye DOI : 10.5505/tjo.2025.4487 OBJECTIVE
Oral cancer is a serious global problem. Oral cancers sometimes arise on the premise of clinically visible lesions that are not initially cancerous and are therefore called premalignant. This study was conducted to contribute to the determination of the patient profile with oral premalignant lesions and the risk factors of the disease.

METHODS
This prospective cross-sectional study included 180 patients. The research was conducted using a questionnaire comprised of closed-ended questions directed at the patients. Statistical analysis of the data was conducted using the IBM SPSS Statistics software. The Pearson chi-square test was employed to analyze potential differences between groups, while the Mann-Whitney U test was utilized to evaluate lesion locations, with p<0.05 being significant.

RESULTS
Upon evaluating the areas of premalignant lesions in the case group, the predominant location was the cheek mucosa at 37.8% (n=68), followed by the tongue and lip mucosa at 12.2% (n=22). Our study identified a significant correlation between the presence of premalignant lesions and various factors, including paraphunctional habits, smoking, tobacco use, systemic diseases, amalgam fillings, aspirin consumption, and educational status (p<0.001 for all except p=0.004 for educational status). No statistically significant difference was seen between gender and premalignant lesions (p=0.297).

CONCLUSION
The early identification of clinically observable oral premalignant lesions is essential for the prevention of oral cancer. This study enhances the literature by assessing the risk variables associated with oral premalignant lesions. Keywords : Oral cavity; premalignant lesion; risk factor