OSMF TREATMENT//How can I improve my mouth opening?//HOME REMEDIES//MOUTH EXERCISE//DRUGS TREATMENT

#OSMF ‘An insidious chronic disease affecting any part of the oral cavity and sometimes the pharynx. Although occasionally preceded by and/or associated with vesicle formation, it is always associated with a juxta-epithelial inflammatory reaction followed by a fibro-elastic change of the lamina propria, with epithelial atrophy leading to stiffness.’

The treatment of oral submucous fibrosis includes iron, multivitamins including lycopene, pentoxifylline, local submucosal injections of steroids, hyaluronidase and chylomicrons, aqueous extract of healthy human placenta, and surgical excision of the fibrous bands.

Corticosteroids are immunosuppressive agents which are believed to decrease inflammation and collagen formation, thereby reducing the symptoms and resulting in increased mouth opening.

Corticosteroids such as hydrocortisone, triamcinolone, dexamethasone and betamethasone have been used in the treatment of OSMF.

Enzymes such as collagenase, hyaluronidase and chymotrypsin are being used for the treatment of OSMF. Hyaluronidase by breaking down hyaluronic acid (the ground substance in connective tissue) lowers the viscosity of intercellular cement substance. Better results are observed with
respect to trismus and fibrosis. Patients receiving hyaluronidase alone showed a quicker improvement in the burning sensation and painful ulceration produced by the effects of local by-products, although combination of dexamethasone and hyaluronidase gave better long-term results than other regimens.

Vitamins, micronutrients and minerals are effective in controlling the burning sensation and ulceration in OSMF.

Management of OSMF should include counseling of patient along with lycopene/spirulina/multivitamin/minerals in the initial stages. Moderate stages of OSMF should be treated with intralesional steroids or pentoxifylline, where as advanced stages should be treated surgically.

Hi me Dr.Rahul Tripathi B.D.S and M.D.S in Prosthodontics and Implantology
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