Oral Submucous Fibrosis is a complex condition characterized by the significant stiffening of the mucosal lining inside the mouth, leading to a progressive inability to open the mouth. This condition is considered precancerous and is primarily caused by the consumption of tobacco.
OSMF typically begins in the posterior part of the mouth’s interior and spreads outward, potentially affecting the entire oral cavity. Since it is a precancerous condition, there is a risk of it transforming into oral cancer. OSMF develops in stages:
Inflammation: The condition starts with inflammation of the oral mucosa.
Fibrosis: This is followed by the development of fibrous tissue and blanching of the oral mucosa.
Trismus: In advanced stages, patients experience restricted mouth opening, a condition known as trismus, due to the formation of fibrous bands.
The primary cause of OSMF is the use of tobacco, whether in the form of chewable tobacco or through smoking. To prevent OSMF, the following steps are recommended:
OSMF can lead to various oral health issues, including:
OSMF is categorized into four grades based on severity:
Grade I: Burning sensation is present, but no fibrotic bands are observed.
Grade II: Burning sensation is present, and fibrous bands are visible. Mouth opening is between 26 to 35mm.
Grade III: Blanching of the oral mucosa is evident, and the tongue is involved. Mouth opening is between 6 to 25mm.
Grade IV: Fibrosis extends to the lips, and the mouth opening is less than 5mm.
At Kayakriti, OSMF is diagnosed based on specific features:
The treatment of OSMF depends on the stage at which it is detected:
Early Stage (Grade I & II): Medical management is recommended, including the use of anti-inflammatory, oxygen radical scavenging, and antifibrotic drugs. Corticosteroids may be used during the early inflammatory phase. Other treatments such as hyaluronidase, chymotrypsin, collagenase, pentoxifylline, iron, and lycopene have limited roles.
Advanced Stage (Grade III & IV): Surgical intervention is necessary. This may involve excising fibrous bands and using grafts or flaps to maintain increased mouth opening.
Various surgical procedures are performed based on the extent and severity of OSMF:
Post-surgery care is crucial and includes extensive physiotherapy to maintain mouth opening achieved through surgery. Cessation of tobacco use is essential to prevent relapse. Prosthetic devices may also be used to guide healing tissues and stabilize grafts.
Physiotherapy with mouth openers, dietary supplementation, and regular monitoring of mouth opening are key components of post-operative care.
Consulting with Dr. Amit Agarwal at Kayakriti is essential to determine the most suitable treatment plan based on the specific stage and condition of OSMF.
Where Compassionate Care Meets Advanced Medicine, Guiding You on the Path to Recovery and Well-being.
OSMF is a chronic, potentially precancerous condition that affects the oral mucosa. Common causes and risk factors include chewing of betel quid, areca nut, and tobacco, as well as genetic susceptibility.
OSMF is characterized by symptoms like progressive difficulty in opening the mouth (trismus), burning sensation in the oral cavity, and the development of fibrous bands in the oral mucosa.
Diagnosis involves a clinical examination, assessment of oral symptoms, and sometimes, biopsy of the affected tissue to confirm the presence and stage of OSMF.
Treatment options may include cessation of betel nut and tobacco use, use of topical medications, physiotherapy, and in severe cases, surgical intervention to release fibrous bands.
Kayakriti Clinic specializes in OSMF management with a focus on early diagnosis, personalized treatment plans, and rehabilitation. Their approach includes a team of experts experienced in addressing this condition.
Kayakriti Clinic offers a patient-centric approach to OSMF management, providing counseling for lifestyle changes, medical therapy, and surgical solutions when required to optimize the treatment outcomes.
Privacy is of utmost importance to us. Rest assured, all your personal and medical information is handled with strict confidentiality.
Our Surgeon is highly qualified and internationally certified with a team of skilled staff to perform any surgical or non-surgical treatment on your body.
Safety is our priority. We maintain stringent protocols to ensure a secure environment for all patients and staff members.
Breast augmentation and breast reduction are two very different procedures. Augmentation (breast enlargement) increases breast volume and alters shape, usually for cosmetic or reconstructive goals. Reduction removes breast tissue and skin to make breasts smaller and relieve symptoms. In general, augmentation is chosen by patients who want fuller, more symmetrical breasts (or as reconstruction after…
Rhinoplasty, commonly known as a “nose job,” is a surgical procedure to reshape the nose. It can be performed for cosmetic enhancement of appearance or for functional improvement of breathing (and often both). If you’re medically informed and considering rhinoplasty, it’s important to understand the types of rhinoplasty, what the surgery involves, and how the…
When diet and exercise don’t address certain stubborn fat deposits, liposuction can be a safe and effective solution—when chosen for the right reasons and in the right patient. As a commonly performed body-contouring procedure, liposuction reshapes specific areas of the body rather than serving as a weight-loss method. At Kayakriti Plastic Surgery & Dental Center…
