OSMF mouth opening exercise ✅😮 Dental Wala Gyan

Oral Submucous Fibrosis (OSMF) is a chronic, progressive condition that leads to stiffness of the oral mucosa and restricted mouth opening. It’s commonly associated with areca nut (betel nut) chewing, and treatment focuses on relieving symptoms and halting progression.

Goals of Treatment:
• Improve mouth opening
• Reduce fibrosis and burning sensation
• Prevent malignant transformation (OSMF has premalignant potential)

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Treatment Options

1. Cessation of Areca Nut and Tobacco Use
• Essential first step to prevent further progression.

2. Medical Management
• Topical steroids (e.g., triamcinolone)
• Intralesional steroid injections (e.g., dexamethasone)
• Hyaluronidase or interferon-gamma injections to reduce fibrosis
• Antioxidants like lycopene, vitamin A, E, and beta-carotene
• Pentoxifylline and levamisole (help improve blood flow and immunity)

3. Physiotherapy
• Mouth opening exercises: Using devices like:
• Tongue blades (stacked and inserted between teeth gradually)
• Jaw-stretching devices (e.g., Heister’s mouth gag)
• Finger-assisted stretching or ballooning techniques

4. Surgical Treatment

Recommended in severe cases where fibrosis leads to trismus:
• Fibrotic band excision
• Coronoidectomy (if coronoid process restricts opening)
• Reconstruction using:
• Buccal fat pad
• Nasolabial flap
• Split-thickness skin grafts
#osmf #dentaltreatment #mouthcare ‪@DentalWalaGyan‬

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