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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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I Am Unable To Open My Mouth At Full. Shall I Need To Undergo Any Kind Of Surgery ?

Hi,I have been chewing pan masalas and gutkhas for about 5 years and now since past 4 years i have completely left it.but i found myself a problem that i am unable to open my mouth at full. so could you please tell me the solution and to which specialist should i need to consult and is it a curable or shall i need to undergo any kind of surgery
Mon, 15 Apr 2013
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  User's Response
You are suffering from a disorder that is called Submucous Fibrosis, which is not uncommon in Betel nut chewers. Once formed It never cures, rather it worsens with time even if you discontinue your habit. There is no definitive treatment. Oral medications like vitamins or antioxidents are of no use, rather some different injections into the affected site along with mouth opening exercise is effective. Surgery should be the last option as it commonly recurs after surgery. YOU SHOULD BETTER CONTACT TO ORAL MEDICINE DEPARTMENT OF SOME NEARBY DENTAL COLLEGE than to visit local dentist, who may take unnecessary chances without knowing proper treatment.
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Dentist, Periodontics Dr. Arati C Koregol's  Response
Hello
welcome to HCM
As you have history of tobacco chewing ,this condition may be submucous fibrosis of cheek mucosa where it becomes fibrosed causing difficulty in mouth opening or reduced mouth opening. this has phasevise treatment so consult a oral medicine doc for diagnosis and treatment of it.
another reason may be TMJ problem that can be con firmed after x-ray and thorough diagnosis.
so consult a oral medicine and radiology (OD)Specialist for diagnosis and therapy.
Take care.
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Dentist Dr. Sushant Benjamin's  Response
Since you mention your habit of chewing Tobacco-products, then the probable implication is that you have already consulted a doctor, and you know that your problem is OSMF (Oral sub-mucousal fibrosis), and not any TMJ (Temporo-Mandibular Joint) problem. DO NOT CONSIDER ANY SURGICAL OPTIONS, as after radical ressection (surgery for OSMF), more chances are that your mucosa may contract even more than at present state, when it heals over the surgical scars, making your mouth close even further. Your best option is to completely quit Tobacco consumption (in any & all forms), considerably reduce and limit the use of spices in food (bland food would be best though), completely avoid all mucosal irritants like Alcohol, Soda, Aerated Drinks, Vinegar etc., & stay on a diet of fresh fruit and vegatables, for no less tha 6-9 months. Antioxidants & Physiotharapy will help, for which you should seek proper medical help from a good Hospital or Medical & Dental college, but be assured, that once OSMF sets in, it can never be properly cured, but only further degeneration can be stopped, if properly intervened and tackled in time.
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Dentist Dr. Qazi Ammara's  Response
Hi,

Thanks for asking the query,

Your clinical history and symptoms suggest that you have developed with an condition known as Oral submucous fibrosis (OSMF).
In this condition there is fibrosis of the oral tissues leading to stiffness and difficulty in mouth opening.

I would suggest you to quit the habit of gutkha chewing.
Avoid eating of hot and spicy food stuffs.
Go for symptomatic treatment of scaling and polishing of the mouth.
Take multivitamin tablets.
Take warm saline gargles 3-4 times a day.
Follow the mouth excercises of slowly opening and closing the mouth by keeping one finger in mouth, followed by two, three and so on.

I would suggest you to visit to an Oral and Maxillofacial Surgeon and get the checkup done.

Hope this helps out.

Regards...
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  Anonymous's Response
Anonymous's  Response

It is curable through some surgical procedures and conventional therapies. A M.D.Medicine doc could help you out or you may directly visit a General Surgeon, but your M.D. guy could refer you more appropriatley after a examination.

Dentist, Orthodontics Dr. Aabhishek Agrawal's  Response
IT IS SIMPLY A CASE OF SUBMUCOUS FIBROSIS, U NEED NOT TO UNDERGOI ANY SURGERY,BUT 4 CORRECTION TAKE PLENTY OF ANTIOXIDENTS VITAMINS 4 LONG NOT LESS THAN 6 MONTH.
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  User's Response
Dr. Devidas Vellodi's  Response
Dear ajai mehta,

What is your age? do you suffer from any other problems like numbess, lose of taste, pain etc.

We have to find out if there is any problem happened with tobacco chewing.

try the folowing;

apply arimedadi thail over the face and head, take face steam for 15 minutes

2.drop anu thailam 4 drops on each nostrils and inhale it, if any phlem coming you may spit it out. Continue for r seven days
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I Am Unable To Open My Mouth At Full. Shall I Need To Undergo Any Kind Of Surgery ?

You are suffering from a disorder that is called Submucous Fibrosis, which is not uncommon in Betel nut chewers. Once formed It never cures, rather it worsens with time even if you discontinue your habit. There is no definitive treatment. Oral medications like vitamins or antioxidents are of no use, rather some different injections into the affected site along with mouth opening exercise is effective. Surgery should be the last option as it commonly recurs after surgery. YOU SHOULD BETTER CONTACT TO ORAL MEDICINE DEPARTMENT OF SOME NEARBY DENTAL COLLEGE than to visit local dentist, who may take unnecessary chances without knowing proper treatment.