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Not able to open mouth fully. No improvement with injections and painkillers. What I am suffering with?

hi, sir my father could not open mouth fully from 3 months onwards we visited dental doctors at govt and pvt hospitals , and they are not able to tell what is the desease infected to my father they are giving injections to both the jaws and some medicines of painkiller but there is no improvement let me know the desease.
Asked On : Fri, 22 Jun 2012
Answers:  4 Views:  81
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Dentist 's  Response
hello, mouth opening can be restricted because of two reasons- first the soft tissue (muscular or mucosa,etc) part , second the hardtissues ( bones) related to Tempromandibular joint/ jaw joint..
In India ,Oral Submucous fibrosis is commonest due to gutkha, supari,spicy food chewing habits., it is characterized by loss of elasticity of cheek mucosa which hampers oral opening.. its treatment involves injections in cheek mucosa and sometimes surgery along with oral physiotherapy- forceful opening of mouth by certain exercises after medicines..
some muscular spasm also restricts opening but they are resolved as soon as muscles relaxes by medicines and do not persist for long period like 3 months mostly..
regarding temperomandibular joint- the problem in the articular space by its fibrosis due to trauma,autoimmune diseases of joints-arthrosis,arthritis,etc can cause restricted oral opening.. for it the injections are given in joint spaces to resolve fibrosis.. and if it doesnt help then surgery is advised which is slight complicated.. so if the joint space responds to injectable treatments the surgery is avoided.. though it takes time but problem will resolve later on..
a proper clinical evaluation supported with few radiographs including OPG, TMJ view (open and closed), MRI of joint etc.. will help in reaching the correct diagnosis..
U can consult an oral medicine and diagnosis specialist along with an oral surgeon for treatment..
Meanwhile maintain oral hygiene.. and follow all the instructionsexercises advised by the docs treating him..
take care
Answered: Fri, 29 Jun 2012
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Dentist Dr. Vishal Jain's  Response

There are many reasons for closed mouth.

as you mentioned in the history that your father is getting injections in the cheek on regular basis suggesting that there is fibrosis.

fibrosis can be caused because of tobacco intake for long, smoking, chronic infection in the regions of pterygomandibular region.

these injections do effect but it is a slow process.

If still you are not satisfied, just take a second opinion.


Dr. Vishal Jain.
Answered: Fri, 22 Jun 2012
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Dentist, Oral and Maxillofacial Surgery Dr. Kamal Hasan's  Response
hi.from ur history it appears that ur father is suffering from oral submucous fibrosis, a condition which decreases the mouth opening.main cause of fibrosis is gutka chewing and betelnut chewing.there r two treatment options available.1.take antifibrinolytic injections and medications followed by aggressive physiotherapy 2.surgical resection of fibrous bands. Habit of gutka chewing or betelnut chewing if present should be stopped immedately.wish u good health
Answered: Sat, 23 Jun 2012
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Dentist Dr. Gunjan Gupta's  Response
as you gave the details,it seems that he is having oral submucous fibrosis,this condition is because of heavy smoking and tobacco treatment with injections,painkillers for pain is must.and most important thing he should leave his habit immediately.without leaving habit everything is useless. so ask him to leave his habit as soon as possible.take care
Dr.Gunjan Gupta
Answered: Mon, 25 Jun 2012
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