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CRI
• Lesion- whitish non scrapable on his right buccal mucosa
• INVESTIGATIONS-
BIOPSY
Linea alba
Leukoedema
Lichen planus
Hyperplastic candidiasis
White sponge nevus
Morsicato
LESION FEATURES
LINEA ALBA ALONG OCCLUSAL PLANE
LEUKOEDEMA BILATERALLY
DISAPPEARS ON STRETCHING
ANTIOXIDANTS PRESCRIBED
MONTHS
• Simple small non-alarming white lesion
DYPLASIA
• TOLUIDINE BLUE TEST
• CHEMILUMINESCENCE- VIZILITE
a w h i c h i s
g d y sp l a si
e m o n s t ra t in
ec ti v e i n d le
• Ef f e co g n i z a b ta te s
l ly r f a ci l i
not clinica p l a s ti c e p i th e l i um
I P LE - D y s
• P R IN C . n o t
n o f d y e ce l l s b u t
penetratio t e r ia l o fd y s p l a st ic
u c l ea r m a
• Stain s n
o r m a l c el ls
other n
BEFORE APPLICATION AFTER APPLICATION OF STAIN
CHEMILUMINESCENCE
-VIZILITE
• Commercially available diagnostic tool
• Hand held , single use , deposable light
stick that emits 430 , 540 and 580 nm
wavelength
• Highly acceptable
• VELSCOPE
• SALIVARY BIOMARKERS
CONCLUSION
REFERENCES
• Advanced diagnostics aids in detection of oral cancer-Chaudhary R
et al
• Oral luminoscopy : an adjuvant in oral screening cancer-Anshul
agarwal
• Efficacy of oral luminoscopy
• Picture courtesy - www.vizilite.com