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What Causes Trismus While Having The Habit Of Chewing Tobacco?

Posted on Tue, 24 Jan 2017

Question: Hi Doctor,
I am 30 years old,upto 2014 I was eating tobbacco and supari, due to that i am not able to open my mouth and but i stopped it now from 2014 means i never it after that and also i am not eating tobacco or any thing like that. still i am not able to open my mouth and only single finger wider space can be opened, also mouth gets dry and my energy level also goes down very early. I feel very weak many times even my diet is not bad.
please suggest me the right way.

Thanks and Regards

Answered by Dr. Honey Arora (23 minutes later)

Brief Answer:
Seems like Oral Submucous Fibrosis..

Detailed Answer:
Hi..
Welcome to HEALTHCARE MAGIC.

As per your query and presentation of symptoms of reduced mouth opening to just 1 finger can be due to most common reason that is Oral Submucous Fibrosis in which there is formation of thick fibrous bands below the mucosa of cheeks and lips leading to stiffening and difficulty in mouth opening..

It is a precancerous condition [although not cancer] and should be taken care of.

It is commonly seen in individuals with tobacco and areca nut chewing habit..

You need to consult an Oral Physician or a Dentist and get evaluated and he can advise him to apply a Steroid ointment in combination with hyluronidase containing ointment to break fibres..
Intra lesional injections of steroid and hyluronidase can be advised to be injected after every 3 to 4 days..
Anti-oxident like Lycopene is also advised..
Physiotherapy like blowing cheeks, trying to open the mouth under pressure etc can be demonstrated and advise to be done daily..
Complete cessation of habit of tobacco if you have chewing is must ..

But above all you should completely stop chewing tobacco or supari and be regular in treatment.

Please revert back for further queries...

Hope this information helps..

Thanks and regards.
Dr.Honey Nandwani Arora..

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Honey Arora (19 minutes later)

Thank you doctor.

Some people said it is irreversible. Is it true?

Also..Internallly mouth colour looks like whiter
And its paining while opening to eat
And its very difficult to open at morning.

Please admit your advise on this also.

Thanks and regards

Answered by Dr. Honey Arora (4 hours later)

Brief Answer:
Complete recovery is not always seen..

Detailed Answer:
Hi..
Welcome back..

As per your queries, yes it is true that complete mouth opening is not seen to occur but some improvement in mouth opening can occur with above explained treatment..

Also burning sensation is due to thinning of oral mucosa..

Whiter mucosa is due to blanching and is commonly seen in OSMF..

So proceed for treatment soon..

Hope this helps..

Regards..

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Honey Arora (39 minutes later)

Ok thank you for your answer.

I have some other queries. those also help me more to get rid of this problem and also help me to manage the all things during treatment.

1. If I go to treatment. So will this kind of treatment require bed rest or any thing like rest.

2. How much time need for phase one treatment?

3. What would be the maximum duration for this kind of treatment? Answer of this question will help me more to make plan.

4. Would I continue my job while this treatment.

5. My job is mostly depends on communication I.e. oral communication. Would treatment allow me to continue my job as is? This answer also help me more to plan accordingly.

6. And finally. Would you like to share the approx cost as well as duration of this kind of treatment?

Thanks for your valuable time and answer which can make my life healthy and easier.

Thank you so much

Answered by Dr. Honey Arora (12 hours later)

Brief Answer:
No bed rest needed..

Detailed Answer:
Hi..

Here are answers to your questions..

1.No, you do not need bed rest..
2.Treatment can take about 6 months to one year to see improvement to a considerable amount..
3.Yes, you can continue your job and no restrictions in speaking are there, however the more you exercise the more the quick chances of improvement..
4. Cost will depend on the doctors and area you are located..

Please feel free to ask further queries..

Hope this helps..

Regards .

Note: Find out which dental treatment will work best for your teeth. Ask here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar