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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Difficulty In Opening The Mouth Wide After Discontinuing Tobacco Consumption?

Hello, My issue is I can not open my mouth properly. I was chewing tobacco but since last 4 months I stopped it completely. But still I am not able to open my mouth. I want to ask you that is there any medicines available on this problem? And if it is available then please tell me and also tell me if it is available in India as well.
Tue, 15 Nov 2016
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Dentist,  's  Response
Hi..
Welcome to HEALTHCARE MAGIC..

I have gone through your query and can understand your concerns..

As per your query and presentation of symptoms of reduced mouth opening with a tobacco chewing history 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..

Once it occurs it will not reverse even if you stop chewing tobacco and you need to get it treated for improvement in mouth opening..

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 ...
And yes, all treatments are available in India..

Hope this information helps..

Thanks and regards.
Dr.Honey Nandwani Arora..
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What Causes Difficulty In Opening The Mouth Wide After Discontinuing Tobacco Consumption?

Hi.. Welcome to HEALTHCARE MAGIC.. I have gone through your query and can understand your concerns.. As per your query and presentation of symptoms of reduced mouth opening with a tobacco chewing history 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.. Once it occurs it will not reverse even if you stop chewing tobacco and you need to get it treated for improvement in mouth opening.. 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 ... And yes, all treatments are available in India.. Hope this information helps.. Thanks and regards. Dr.Honey Nandwani Arora..