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ORIGINAL ARTICLE
Year : 2020  |  Volume : 15  |  Issue : 1  |  Page : 78-81

Comparison of the efficacy of cytodiagnostic instruments in exfoliative cytology


1 Department of Oral Pathology and Microbiology, Sharad Pawar Dental College and Hospital, DMIMS (Deemed to be University), Sawangi(Meghe), Wardha, Maharashtra, India
2 Department of Oral Medicine, Sharad Pawar Dental College and Hospital, DMIMS (Deemed to be University), Sawangi(Meghe), Wardha, Maharashtra, India

Correspondence Address:
Dr. Preethi Sharma
Assistant Professor, Department of Oral Pathology and Microbiology, Sharad Pawar Dental College and Hospital, DMIMS (Deemed to be University), Sawangi (Meghe), Wardha, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jdmimsu.jdmimsu_205_20

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Aims and Objectives: The aims and objectives of the study were to determine the efficacy of wooden spatula, cytobrush, and toothbrush in obtaining cytology smears for early detection of oral premalignant lesions and also to compare the analysis of cytology smears with the histopathological diagnosis. The smears were observed and analyzed under a compound light microscope. Materials and Method: Fifty patients of clinically diagnosed oral leukoplakia patients attending the outpatient department of oral pathology and microbiology were considered for the study. The smear samples were obtained using wooden spatula, cytobrush, and toothbrush. The samples were manually analyzed in a double-blinded fashion. Histopathological diagnosis was confirmed using scalpel biopsy and a comparison was made between cytological and histopathological diagnosis. Statistical analysis was performed using Chi-square test. Results: In our study, toothbrush cytology was comparatively better (P < 0.05) than the cytobrush and wooden spatula in terms of analyzing uniformity of cells, adequacy of abnormal cells, and higher grades of dysplasia. Conclusions: Toothbrush biopsy is a relatively quick, easy, noninvasive, and effective tool for screening suspicious premalignant lesions as compared to the invasive, painful scalpel biopsy procedure which is often impractical. Early detection, diagnosis, and management of such lesions decrease the risk for malignant changes increasing the survival rates.


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