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I cannot open my mouth fully due to chewing tobacco

hi , my problem is , i cant open my mouth because of chewing gutkha. Plz help me. hi, i m shoukat ,& my problenm is my mouth is not open fully as normal because of chewing gutkha. Plz answer my problem.
Asked On : Wed, 16 Mar 2011
Answers:  15 Views:  5794
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Dentist, Orthodontics 's  Response
hello shoukat
thank you for writing in hcm
you are facing result of your gutkha chewing habit.
the area where you keep gutkha , has lost elasticity , became stiff and that is why you are not able to keep your mouth open.
stop the habit immediately.
visit a dentist for prescription of multivitamins , lycopene ,inject-able drug in localized area.
avoid spicy food
do mouth dilating exercises as advised by your dentist.
get scaling polishing done.
maintain good oral hygiene
visit maxillofacial surgeon for surgical procedures opinion.
take care
Answered: Thu, 1 Aug 2013
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Dentist Dr. Yogesh Tripathi's  Response
hello shoukat
what you are suffering is called oral sub mucous fibrosis.following can be done
1.stop any sort of tobacco and choona products
2.avoid spicy food
3.visit your dentist who will perform following
a.interlesional inj of placentrex once a week for 5 weeks
b.steroid inj in same fashion
c.methylcobalamine inj in same fashion
d.lycopene oral tablet
e.placentrex oral gel for local application
f.jaw dialating exercise
hope that helps
Answered: Wed, 31 Jul 2013
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Dentist, Endodontics Dr. Manisha Rao's  Response
Hi, your gutka chewing habit has landed you in trouble.You are suffering from a condition called Oral Submucous Fibrosis. It is an irreversible condition wherein the fibrous bands of the cheeks become thick and the mouth opening reduces considerably. Please stop the gutka chewing and avoid spicy food. Local injection of placental extract 2ml every week for 10 weeks may improve your symptoms.Lycopene (10%) 2000mcg is usually prescribed orally. Methylcobalmin injection (1500mcg) given intramuscularly every week. Jaw dilators exercises to be taken every day. Advanced cases of trismus or lock jaw are treated by jaw dilation under general anesthesia with incision of fibrous bands. please consult an oral surgeon to carry out all these treatment modalities. All the best!
Answered: Wed, 16 Mar 2011
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Dentist Dr. Gunjan Gupta's  Response
Hello there,

Thanks for your query.

According to details provided by you ,it seems that you are suffering from oral submucous fibrosis.

Oral submucous fibrosis is an irreversible fibrosis of oral muscles because of regular use of tobacco.
The area where you use to keep gutkha in your mouth,underlying muscles in that area became fibrosed and has been lost their elasticity.
Therefore you are having problem to open your mouth.
It can not be treated by medicines,the treatment of this is surgery.
But i would suggest you leave tobacco at the earliest and visit an oral and maxillofacial surgeon and get the thorough clinical check up don and take a proper treatment.

Hope this will be helpful.

Take care.

Dr. Gunjan Gupta
Answered: Sat, 4 May 2013
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Dentist Dr. Qazi Ammara's  Response

Thanks for asking the query,

According to your clinical symptoms i suspect that you have developed a condition known as Oral submucous Fibrosis. It is a irreversible condition in which there is formation of fibrous bands in the cheek mucosa leading to stiffness and difficulty in mouth opening.
I would suggest you to visit the Dentist and get the checkup done.
Stop the habit permanently.
Follow the mouth exercises, take multivitamin tablets.
Oral injections can be given.
Avoid eating of hot and spicy foods.
Maintain a good oral hygiene.

Hope this helps out.

Answered: Sat, 4 May 2013
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Dentist Dr. Bindiya Bhaskar's  Response
Thanks for writing in.

Difficulty in mouth opening is due to the stiffness of oral mucosa due to chewing gutkha aggressively.

This is a pre-cancerous condition called oral submucous fibrosis.
I would advice you to stop chewing gutkha.
Avoid intake of hot,spicy foods.
Maintain good oral hygiene.
Drink plenty of water and fluids.
Nutritional supplements has to be taken in.
Rinse your mouth using chlohexidine as well as warm saline.
Steroids are usually administered under supervision of dentist.
Please get a dental check up at the earliest.
Take care.
Answered: Sat, 4 May 2013
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Dentist Dr. Farah Hussain's  Response

Hello there ,

Thanks for writing your query,

Your clinical history is suggestive of ORAL SUB MUCOUS FIBROSIS .

It is inflammatory condition of the oral mucosa caused due to chronic use of tobacco , hot and picy food habits.

It is charecterized by formtaion of fibrotic bands in the cheek and lip mucosa which may progress to other tisses , this leads to restricted mouth opening and symptoms of pain , sensitivity and burning sensation in the mouth.

i would first advise you to discontinue the habit of tobacco chewing , avoid hot and spicy foods and condiments.

start with multivitamin supplements , antioxidnts like LYCOPENE 2000MCG ,vitamin C lozenges will help in resolving the problem.

Steroid injection are found to be helpful please consult an oral surgeon and get the examination done.

i hope this helps ,

take care.
Answered: Sun, 5 May 2013
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Dentist Dr. Neha Sumra's  Response
Welcome to HCM

I would like to tell you that your tobacco chewing habit has resulted in premalignant condition known as oral submucous fibrosis.It results in fibrous bands formation in oral mucosa along with that blanching of mucosa,difficulty in tongue protrusion,limited mouth opening.
Its better to stop tobacco chewing habit at earliest.
Also start with multivitamin with methylcobalmin & lycopene.
Its better to consult maxillofacial surgeon for further treatment.

Take Care
Answered: Sun, 5 May 2013
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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Feb 2014
Thanks for writing to us.
first you should leave all bad habits chewing gutkha completely your condition is called Oral submucous fibrosis. As you told that you leave all habits its good you have various treatment for this if you facing this problem with strong pain than you should consult with dentist as soon as possible and if pain is not than you can overcome from this problem with some exercise
Exercise step as follow
1-Open your mouth as much you can
2- Keep your two fingers in between your teeth for 5 min.
3- Repeat this 5-10 times each day
4- After 3 to 4 days try 3-4 finger same as last step.
5- Do this exercise for 2-3 weeks
Hope this helps you.
Wishing you good health...
Answered: Thu, 1 Aug 2013
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Dentist, Oral and Maxillofacial Surgery Dr. Chaithanyaa Nemaly's  Response
hello there...chewing tobacco would cause an irreversible condition known as Oral submucous fibrosis (OSMF)....muscles underneath your cheek gets rigid and looses its elastic property... we call that fibrosis...Once the elasticity of the muscles are lost you would loose the ability to open mouth... Continuos chewing of tobacco would result in depletion of glycogen to the muscles...the muscle becomes fatigue....blood supply decreases...As this happens your muscles tend to get more fibrosed. Based upon the severity, in terms of mouth opening, the management plan differs...
If you are unable to open more than 1 finger space then you are a candidate for surgery... Get your evaluated and examined by a Oral and Maxillofacilal Surgeon...These specialists are apt in managing these conditions...Medication wont improve...Get yourself evaluated...
Answered: Wed, 2 Jan 2013
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Dentist Dr. Shefali Gupta's  Response
Thanks for asking query,
According to your discription you might be having oral submucous fibrosis ,it is a chronic disease and is due to chronic irritation due to ,chillies ,tobbaco,lime betel nut etc. In your case is due to gutkha.
I suggest you to stop the gutkha chewing imediately , take the vitamin rich diet or vitamin B complex tab, consult the dentist he will give you local steroid injectables.
If it canot be corrected by medicine there are surgical intervention to , so no need to worry consult your dentist as soon as possible.
Answered: Sat, 4 May 2013
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Dentist Dr. Anshumala Singh's  Response
Dear friend.

Thanks for sharing your concern.

This type of restricted mouth opening is called oral sub mucous fibrosis.

This is generally encountered in cases of gutkha or pan chewers.

For this you need to discontinue usage of gutkha.

Also avoid spicy food stuff.

Please visit your dentist and get oral examination done, to check the degree of mouth opening.

An intra lesional injection of fibrinolytics might helps.


Take care.
Answered: Sat, 4 May 2013
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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Feb 2014
Hello and Welcome to HCM,
Thanks for writing to us.
you are suffering from oral sub-mucous fibrosis.
In patients with moderate oral submucous fibrosis, weekly submucosal intralesional injections or topical application of steroids may help prevent further damage.
Placental extracts
The use of topical hyaluronidase has been shown to improve symptoms more quickly than steroids alone.
Newer studies highlight the benefit of lycopene oral nutritional supplement at a daily dose of 16 mg.
Hope this helps you.
Wishing you good health...
Answered: Sun, 5 May 2013
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General & Family Physician Dr. Ramesh M.Vachharajani's  Response
first thing you have to do is, stop gutkha chewing ! due to gutkha there is suvmucous fibrosis in mouth which cause difficulty in opening start exercise of opening mouth,trying maximum opening mouth,keep open for some time and then relax.again do this stretching exercise,
you do this exercise, tin mint in the morning and ten mnt in the evening for long period will definitely help and you will be able to open your mouth till that extent that you will be able to eat panipuri !
some local use of gargles of some brand available,result is some serious trouble opening mouth,local injection of steroid is recommanded,but its help in the problen is doubtful'
Answered: Wed, 23 Mar 2011
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General & Family Physician Dr. Tina Jacob Das's  Response
Hello Shoukat,
Welcome to HealthcareMagic. If you are unable to open mouth wide, then it could be a temporomandibular joint disorder, which again has numerous causes like it could be due to any kind of arthritis, some internal joint derangement, due to hypermobility etc. The best person to judge this is a Dentist.So pl pay a visit to a Dentist soon. Your having Gutkha, is ofcourse not something appreciable but the problem per say , might be due to other reasons.
Answered: Wed, 16 Mar 2011
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