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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Inability To Open Mouth After Eating Excessive Chewing Tobacco

hello sir
past i was chewing panmasala
so my mouth is 12mm opening.
and i take treatment by dr s k dewan
he take out my 8 dent
but mouth is not open more than 15mm
and next i tale 4 hydrocortisone inj but no effect.
and next i do lacer treat ment in leftside
i have left side fibrosis.
so now 18mm open mouth.
i have mouthgag
i do daily excercise with mouthgag
now what i do sir please help me
my mo no. 0000 gujarat
Fri, 29 May 2015
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Dentist,  's  Response
Hi..
Can understand your concern..

As per your complain you are suffering from ORAL SUB MUCOUS FIBROSIS (OSMF). In this case once fibrosis is taken place it is really a challenge to increase the mouth opening and its really a good sign that you have increased mouth opening from 12 mm to 18 mm..


In case of steroid injections its a course of mostly 10 injection and 4 are not sufficient to show results..

Other thing is that if you are doing mouth exercises it can help you in improving the mouth opening as multiple surgical procedures can lead to scar formation which can shrink the tissues and further reduce the mouth opening and it is not advisable..

You can also start with antioxidant capsule containing lycopene one tablet per day for a month..

You can also take a proper course of Hydrocortisone injections weekly and can add up topical steroids and topical hyluronidase for better results..

You should never consume tobacco in future as well as you will have to continue doing your exercises as well as keep checkups done by your dental surgeon for avoiding future complications.

Hope your query is solved..

If you find the answer helpful please write a positive review and click on find this answer helpful as a token of appreciation..

Thanks and regards..
Dr.Honey Nandwani Arora

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Suggest Treatment For Inability To Open Mouth After Eating Excessive Chewing Tobacco

Hi.. Can understand your concern.. As per your complain you are suffering from ORAL SUB MUCOUS FIBROSIS (OSMF). In this case once fibrosis is taken place it is really a challenge to increase the mouth opening and its really a good sign that you have increased mouth opening from 12 mm to 18 mm.. In case of steroid injections its a course of mostly 10 injection and 4 are not sufficient to show results.. Other thing is that if you are doing mouth exercises it can help you in improving the mouth opening as multiple surgical procedures can lead to scar formation which can shrink the tissues and further reduce the mouth opening and it is not advisable.. You can also start with antioxidant capsule containing lycopene one tablet per day for a month.. You can also take a proper course of Hydrocortisone injections weekly and can add up topical steroids and topical hyluronidase for better results.. You should never consume tobacco in future as well as you will have to continue doing your exercises as well as keep checkups done by your dental surgeon for avoiding future complications. Hope your query is solved.. If you find the answer helpful please write a positive review and click on find this answer helpful as a token of appreciation.. Thanks and regards.. Dr.Honey Nandwani Arora