I have been chewing tobacco from past 15 years .basically I have been chewing kaini, paan masala with zarda .from past 4 years the dosages has increased and I have been chewing any time apart from sleeping and eating food .now I consulted a doctor for tooth pain .they said there is little whitish formation inside the cheeks and it is tobacco pouch keratosis .also I am not able to put all the three fingers at once in my mouth as my mouth is not widening fully. Now I want to know the treatment for the disease and also want to quit tobacco .from past one week I reduced tobacco dosages to half .but I want to quit completely. Pls help.

Dr. Karun GuptaDentist13yrs exp

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I understand that you've been chewing tobacco for the past 15 years and have recently developed tobacco pouch keratosis, a condition that causes white patches to form inside the cheeks. You're also concerned about your inability to open your mouth fully and are looking for ways to quit tobacco completely. Addressing your tobacco pouch keratosis: cease tobacco use: the primary treatment for tobacco pouch keratosis is to completely stop using tobacco products, including chewing tobacco, paan masala, and zarda. This will allow the white patches to heal and reduce the risk of further complications. Regular dental checkups: maintain regular dental checkups to monitor the healing of the white patches and ensure your overall oral health is on track. Your dentist may also recommend additional treatments, such as cryotherapy or laser therapy, to speed up the healing process. Maintaining oral hygiene: practice good oral hygiene by brushing your teeth twice a day, flossing once a day, and using mouthwash. This helps remove bacteria and plaque that can contribute to oral health problems. Quitting tobacco: seek support from a healthcare professional: consult your doctor or a tobacco cessation specialist to discuss your specific needs and develop a personalized quitting plan. They can provide counseling, medication, and other resources to help you quit successfully. Consider nicotine replacement therapy (nrt): nrt products, such as patches, lozenges, and gum, can help reduce withdrawal symptoms and cravings by providing a controlled dose of nicotine. Identify triggers and develop coping mechanisms: identify situations or activities that trigger your urge to use tobacco and develop strategies to cope with them without resorting to tobacco. Join support groups: connect with others who are trying to quit tobacco. Support groups can provide encouragement, motivation, and a sense of community. Be patient and persistent: quitting tobacco is a process, and setbacks are common. Don't get discouraged if you slip up. Acknowledge your progress, learn from the experience, and recommit to your goal. Remember, quitting tobacco is one of the best things you can do for your overall health. It can improve your oral health, reduce your risk of cancer, and enhance your quality of life. With determination and support, you can successfully quit tobacco and improve your well-being.  

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