I have been eating gurkha and tobacco since last 12 years. Have quit gutkha completely 5 months back. My mouth is not able to open. I can insert barely two fingers vertically. Please suggest treatment/medicine/exercise to increase the opening of the mouth.
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Good you have stopped tobacco consult a maxillofacial surgeon you may require surgery med n physiotherapy don't delay its likely to be osmf a disease called precancerous.
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Hi Lybrate user, with your concern, it is appearing to be you may be suffering from oral submucous fibrosis , which causes fibrosis of mouth due to tobacco products which you have used for a period of 12 years .mouth opening is reduced considerably, in this, you will have to see oral maxillofacial surgeon, for the treatment. Pls visit maxillofacial surgeon for the treatment. It can't be cured automatically ,u need to intervene as soon as possible ,before it progresses into something major. Thanks!
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You have given a typical history and complain of oral submucous fribrosis. Fibrous leathery bands of tissue have developed inside your cheek and palatal mucosa. The first step is to visit an oral pathologist. The protocol of treatment is usually starting a medicines and getting a histopathological report since this is a premalignant condition and have chances to turn into malignancy. Do not worry, do not panic, its a common disease in chewing tobacco users. Stop all oral habits and you can start with antioxidants and vitamin tablets, like sm firbo (2tabs each, twice a day) and absolute 3g (1 tab after breakfast) for a month, very effective for initial osf. Use a hexidine mouthwash twice a day and brush properly as much as you can. Visit you dentist for a scaling once mouth opening increases slightly and he/she can guide you for the rest. You can start with medicines and mouthwash from now. For severe cases, injecting intralesional hydrocortisone can help in mouth opening.
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Stop tobacco first. Kindly visit a nearby dentist to judge the thickness of fibrotic bands. Rest you may be given a tablet form. If that doesn't help injection form may be given. If that is of no help either then surgery is advised.
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Treatment is surgical that can be done by experienced person only. Medicines are helpful in great extent but cannot cure the disease completely. Antioxidants, muscle relaxants, analgesic and steroids are the drugs commonly used. Exercises are few like blowing balloons, ice cream sticks supported stretching. Please consult in person to get accurate treatment plan specially for you.
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