Brief Answer:
This could be due to oral submucosal fibrosis.

Detailed Answer:
Hi,
Welcome to healthcare magic.
This could be due to oral submucosal fibrosis.
Prolonged local irritation caused by chewing tobacco could gradually lead to fibrosis of submucosa of oral cavity. This fibrous bands limit the mouth opening.
I recommend the following.
1) Avoidance of tobacco, betel but and other tobacco based preparations.
2) Local injections with steroid and hylase are useful in the initial stages.
3) Antioxidant supplements.
4) Local anesthetic based gels to apply in the oral cavity, to relieve burning sensation in oral cavity that is usually present with this condition.
5) Avoid spicy foods.
6) For advanced stages, there are surgeries to get adequate mouth opening.

Hope I have answered your question. If you have any questions, I am happy to help.

Wish you a good health.

Regards,
Dr Paparaja S MBBS MS

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Brief Answer:
Surgery is indicated for advanced stages.

Detailed Answer:
Hi
Thanks for your follow up.

Surgery is indicated when mouth opening is severely limited. Submucosal resection of fibrotic bands and replacement with split thickness skin graft, buccal fatpad, tongue flap is used to improve mouth opening.

If my answer is helpful, kindly close the discussion and rate it.

Regards,
Dr Paparaja S MBBS MS

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Brief Answer:
You might improve.

Detailed Answer:
Hi,
Thanks again for your follow up.
Good that you have quit smoking.
Yes with regular treatment and your effort to quit tobacco, you might get one finger improvement in mouth opening.

Wish you a speedy recovery.

If you are happy with my answer, kindly close the discussion and rate my answer.

Truly,
Dr Paparaja S MBBS MS

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