The usefulness of acetic acid wash and chemiluminescent illumination (Vizilite) in the visualization of oral mucosal white lesions

Farah, C. S. and McCullough, M. J. (2006). The usefulness of acetic acid wash and chemiluminescent illumination (Vizilite) in the visualization of oral mucosal white lesions. In: Journal of Oral Pathology & Medicine: International Association of Oral Pathologists. The 13th International Congress on Oral Pathology and Medicine Abstracts. The 13th International Congress on Oral Pathology and Medicine, Brisbane, Australia, (451-451). 21 - 25 June, 2006. doi:10.1111/j.1600-0714.2006.00463.x


Author Farah, C. S.
McCullough, M. J.
Title of paper The usefulness of acetic acid wash and chemiluminescent illumination (Vizilite) in the visualization of oral mucosal white lesions
Conference name The 13th International Congress on Oral Pathology and Medicine
Conference location Brisbane, Australia
Conference dates 21 - 25 June, 2006
Proceedings title Journal of Oral Pathology & Medicine: International Association of Oral Pathologists. The 13th International Congress on Oral Pathology and Medicine Abstracts   Check publisher's open access policy
Journal name Journal of Oral Pathology   Check publisher's open access policy
Place of Publication Copenhagen
Publisher Munksgaard
Publication Year 2006
DOI 10.1111/j.1600-0714.2006.00463.x
ISSN 0904-2512
Volume 35
Issue 7
Start page 451
End page 451
Total pages 1
Language eng
Abstract/Summary A diligent and careful examination of the mouth and oral structures has been historically deficient in revealing premalignant and malignant oral lesions. Conventional screening practice for oral neoplastic lesions involves visual scrutiny of the oral tissues with the naked eye under projected incandescent or halogen illumination. Visualization is the principal strategy used to find patients with lesions at risk for malignant transformation; hence, any procedure which highlights neoplastic lesions should aid the clinician. This pilot study examined the usefulness of acetic acid wash and chemiluminescent light (Vizilite) in enhancing visualization of oral mucosal white lesions, and its ability to highlight malignant and potentially malignant lesions. Fifty five patients referred for assessment of a white lesion, were prospectively screened with Vizilite, and an incisional biopsy performed for a definitive diagnosis. The age, sex, and smoking status of all patients were recorded, and all lesions were photographed. The visibility, location, size, border, and presence of satellite lesions, were also recorded. The Vizilite tool enhanced intraoral visualization of 26 white lesions, but it could not distinguish between epithelial hyperplasia, dysplasia, or carcinoma. Indeed, all lesions appeared ‘‘aceto-white’’, regardless of the definitive diagnosis. On one occasion, Vizilite aided in the identification of a satellite lesion that was not observed by routine visual inspection. Vizilite appears to be a useful visualization tool, but it does not aid in the identification of malignant and potentially malignant lesions of the oral mucosa.
Subjects CX
Keyword Dentistry, Oral Surgery & Medicine
Pathology
Q-Index Code CX

 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 1 times in Thomson Reuters Web of Science Article | Citations
Google Scholar Search Google Scholar
Created: Tue, 14 Aug 2007, 02:21:15 EST