A Clinician, untrained or uneducated in the diagnosis of Oral submucous Fibrosis, deployed by profession in clinical practice, is a bigger threat to the mission accomplishment of conquering the  disease rather than the disease itself. The clinical profile of OSF is multi-dimensional and includes factors such as age, sex, clinical features, clinical presentations, histopathology, and tobacco habits. Systemic effects of areca nuts chewing have been recognized in recent times. Every one of these variables influences OSF's clinical profile, and these elements communicate with one another.

Because of the complexity of the clinical pattern of OSF and since the disease does not project a single constant clinical presentation, few clinicians believe that OSF is not a single disease but a syndrome. Dual pathology (occurrence of two OPMDs simultaneously eg. OSF with Leukoplakia) of the two…