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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for oral submucous fibrosis

I have OSMF for last few years and I could not open my mouth properly (25mm) and last year I have given 5 nos. of oral vitamin injection. I do't have any problem in eating but I am suffering for dental problem. Ple suggest what are the other alternative treatment.
Mon, 13 Oct 2014
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Dentist, Oral and Maxillofacial Surgery 's  Response
Thanks for your query, I have gone through your query.
The dental problems are due to the limited mouth opening which make the maintainence of the oral hygiene difficult. You have to get your oral cavity checked every 3-6months once, get the teeth cleaned every 6-8months. If any decayed teeth are there, then get it filled when they are in the initial stage prophylactically. Get the wisdom teeth removed prophylactically. For improving mouth opening, take intralesional steroid like dexamethasone and hyaluronidase bi weekly for 6-8weeks which improves the mouth opening and makes you to maintain the oral hygiene.
I hope my answer will help you, take care.
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doctor1 MD

Hello doctor. I am Bijoy have suffering from oral submucous fibrosis for last 1 year. I have habit of chewing gutkha for last 5 years. I have not yet consulted any doctor yet. My mouth can be open up to 25 mm.could not take spicy food. Burning sensation on tung. Lips got rigid like. Mouth got dried.Please help me. What are the treatment available.? Is there is any alternate medicine available? Please help.

doctor1 MD

Hi , i am 33 year old male and have been diagnosed with OSMF , although I didn t abstain from chewing pan masala immediately after the diagnose , and kept eating until 3 months back . I have now completely quit chewing the Panmasala.My mouth opening is about two fingers I.e 25 mm with very moderate tounge coming out of the mouth10 mm the serious issues revolves around my third molar which is coming out and the doctor is unable to get to the impact area of extraction due to mouth opening issues , I have been going through this for the past 2 years , and the pain is there occasionally , but now I have finally decided to get it extracted , but the doctors are unable to do so , the pain when happens is unbearable and I am unable to eat during the peak pain period , it happens usually once in a couple of months ( the pain wasn t that bad when I used to eat pan masala). I have consulted a lot of oral maxilofacial surgeons , and they aren t sure of how to go about it , some suggest general anesthesia , until I saw a laser treatment for the same , where in they will do the laser treatment for OSMF and once th mouth opening is achieved the third moral can be extracted easily ( they say 10 days total and post treatment pysiotherapy) My doctor in the interim has not given any injection but a medicine SM FIBRO 2 tab daily ( multi vitamin). Is this the correct course , and will it help achieve the desired mouth opening to get the third molar extracted any time soon . Please advice . Thanks Atul

doctor1 MD

Dear Sir, I have read your quote regarding Oral Submous Fibrosis. I think have also the same issue with me and able to open mount approx two finger. Please suggest me good doctor in Kolhapur, Maharastra to follow your writings with him. Regards, Santosh Dash