Oral Squamous Cell Carcinoma (OSCC) was previously described as the five “S” disease regarding smoking, spirits, syphilis, spices, and sharp/ septic teeth. Chewing of plant-derived compounds such as betel and areca nut is a well-known habit associated with oral potentially malignant disorders (OPMD) such as submucosal oral fibrosis and OSCC. Both of these conditions are frequent in Southeast Asia.
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