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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Oral Submucous Fibrosis

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
Mon, 10 Nov 2014
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Dentist, Oral and Maxillofacial Surgery 's  Response
Thanks for your query, I have gone through your query.
The OSMF can be treated with Erbium Chromium Yttrium Scandium Gallium Garnet (ErCr:YSGG) laser which shows promising results. Consult a good oral maxillofacial surgeon and get it treated. The SM FIBRO is an antoxid, the dose you are taking is fine. You can take this for 15days to a month. Once the mouth opening is achieved you can get the wisdom tooth removed. Even under general anesthesia, your mouth opening will be this much only so you cant get it removed till you improve the mouth opening.
I hope my answer will help you, take care.
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Suggest Treatment For Oral Submucous Fibrosis

Thanks for your query, I have gone through your query. The OSMF can be treated with Erbium Chromium Yttrium Scandium Gallium Garnet (ErCr:YSGG) laser which shows promising results. Consult a good oral maxillofacial surgeon and get it treated. The SM FIBRO is an antoxid, the dose you are taking is fine. You can take this for 15days to a month. Once the mouth opening is achieved you can get the wisdom tooth removed. Even under general anesthesia, your mouth opening will be this much only so you cant get it removed till you improve the mouth opening. I hope my answer will help you, take care.