JuniorDentist.com

Oral Care Tips by a Dentist

You are here: Home / Oral And Maxillofacial Surgery / Oral Leukoplakia Classification and Staging System

Oral Leukoplakia Classification and Staging System

May 17, 2013 by Dr. Varun Pandula 1 Comment

Oral Leukoplakia: It is defined as a predominantly white lesion of the oral mucosa which cannot be characterized as any other definable white lesion.

Floor of the mouth is the are with worst prognosis followed by the tongue and  then Lips. About 50% of the lesions in floor of the mouth show features of epithelial dysplasia, carcinoma in situ and invasive carcinoma.

Modified Classification for Oral Leukoplakia:

  • L1: Size of Leukoplakia <2 cm
  • L2: Size of Leukoplakia 2-4 cm
  • L3: Size of Leukoplakia > 4cm
  • Lx: Size of Leukoplakia not Specified
  • P0: No Epithelial Dysplasia
  • P1: Distinct epithelial dysplasia
  • Px: Dysplasia not specified in the pathology report

Classification and Staging of Leukoplakia

OLEP (Oral Leukoplakia) Staging System:

Staging system for Oral leukoplakia was designated to determine the Spread of Leukoplakia and the malignanat changes is any seen in the White lesion. L – determines the size of the lesion and P – determines the Dysplastic changes which will further lead to malignancy.

  • Stage 1: L1P0
  • Stage 2: L2P0
  • Stage 3: L3P0 or L1L2P1
  • Stage 4: L3P1

Treatment of Leukoplakia is determined by the stages of Leukoplakia, with the Increase in size and the presence of Dysplasia the prognosis of the lesion is decreased. So early intervention and prevention of further spread of the disease by stopping the etiological factors like beetle Quid Chewing will be helpful.

Comments

  1. Vijayalakshmi Janakiraman says

    September 28, 2017 at 1:27 am

    Hi,
    Dentist found isolated white lesions on the upper right side gum.
    There is no coloration he said. He has ordered for a biopsy.
    The lesions are very small in size, 1 to 2 mm clusters, each of them having about 5 isolated lesions of size of a pin point.

    Is it very serious condition?

    I am 67 yrs old woman. No bad habits like eating betal, smoking, tobacco chewing etc.
    Thanks,
    Viji

  2. Varun says

    October 8, 2017 at 6:37 am

    Without any image, it is difficult to come to a diagnosis of the exact condition or differential diagnosis. From what you have explaining they appear like – Fordyce Granules – https://www.juniordentist.com/fordyce-granules.html. If the lesions on your gums are similar to the ones in the link I have posted they are most likely harmless Fordyce Granules. But in case they are malignant a Biopsy will rule it out.

Leave a Reply

Your email address will not be published. Required fields are marked *

Recent Posts

  • Gum infection can lead to Hearth Arrhythmia – Research by Hiroshima University
  • Classification of Fluorosis Stains on Teeth
  • Indian Orthodontic Society complain against at-home Aligner providers to DCI
  • Triple Antibiotic Paste Composition and use in Root Canal Treatment
  • Frequently asked Questions regarding Dental Braces and Water Sports

Search Juniordentist.com

Popular P Topics

  • Dry Socket Pictures | Pictures of Alveolar Osteitis
  • Kennedy’s Classification of Edentulous Space and Applegate’s Rules
  • List of Papillae of Tongue – Location and Histology
  • Gum infection can lead to Hearth Arrhythmia - Research by Hiroshima University
  • Types of Bevels and their Uses in Tooth or Cavity Preperation
  • Finish Lines in Tooth preparation - Indications, Advantages and Disadvantages
  • How many days does it take for Antibiotics to get rid of tooth infection or abscess
  • Protocol for Management and handling of Dental Hospital Waste - Color coding for waste disposal
  • Krasner and Rankow - Guidelines or Laws of Pulp Chamber Anatomy to help in Access Opening
  • Types of Periodontal probes and their Classification

Categories

Disclaimer

Juniordentist.com is intended for educational, informative and entertainment purposes only. It is not intended to replace your Dental Visit. Only a proper dental Checkup by a professional in person can help diagnose the problem you are suffering from and help give you the required treatment. You should always understand that a Patient to Doctor interaction is the only way to properly diagnose the problem and decide its cure.

Varun Pandula

Varun Pandula

A Dentist by profession but a tech enthusiast by heart, trying to learn and enjoy both the professions.

View Full Profile →

Recent Posts

  • Gum infection can lead to Hearth Arrhythmia – Research by Hiroshima University
  • Classification of Fluorosis Stains on Teeth
  • Indian Orthodontic Society complain against at-home Aligner providers to DCI
  • Triple Antibiotic Paste Composition and use in Root Canal Treatment
  • Frequently asked Questions regarding Dental Braces and Water Sports

Recent Comments

  • Dr. Varun Pandula on Dry Socket Pictures | Pictures of Alveolar Osteitis
  • Humphrey Mbwilo on Dry Socket Pictures | Pictures of Alveolar Osteitis
  • Dr. Varun Pandula on Can Tooth infection cause Sinus infection ??
  • Dr. Varun Pandula on Hyper Salivation or Sialorrhea in Denture Wearing Patients – Causes and Treatment
  • Dr. Varun Pandula on How are Dental points calculated for SSB interviews and Medical Test