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Oral Submucous Fibrosis Treatment

oral submucous fibrosis treatment in india

What is oral submucous fibrosis

Oral submucous fibrosis (OSF) is a premalignant disorder associated with the chewing of areca nut (betel nut). The habit is widespread in Asian populations but is nowadays also recognized in North America and Europe. The combination of are canut and tobacco has resulted in a marked increase in OSF frequency. Blanching and stiffness of oral mucosa, trismus, burning sensation, loss of tongue mobility, and loss of gustatory sensation are characteristic of the disease.

Definition of Oral Submucous Fibrosis – OSMF is a chronic disease observed in persons who chew betel (Areca catechu) nuts, gutkha or pan masala – and is defined by tightening of the buccal, and sometimes palatal and lingual mucosae, causing trismus.

oral submucous fibrosis treatment in india

Oral Submucous Fibrosis Symptoms

In the beginning phase of the disease, the mucosa feels leathery with palpable fibrotic bands. In the advanced stage, the oral mucosa loses its resiliency and grows blanched and hard. The disease is believed to begin in the back part of the oral cavity and slowly spread outward.

Other OSMF symptoms include:

  • Pain in the ear or deafness
  • Repeated ulceration
  • Xerostomia
  • Dryness of the mouth
  • Burning sensation (stomatopyrosis)
  • Limited mouth opening
  • The nasal tone of the voice
  • Restriction of the movement of the soft palate
  • Pigmentation of the oral mucosa
  • Tongue protrusion

Causes of Oral Submucous Fibrosis:

The identified causes for triggering Oral Submucous Fibrosis, such as chili intake, genetic and immunological processes, and nutritional deficiencies are now excluded.

Areca nuts have also been shown to have a high copper content, and chewing areca nuts for 5-30 minutes maximizes the soluble copper content in oral fluids, chewing of betel quid containing areca nut is the risk factor. It depends on quantity and frequency in a day.

Prevention of Oral Submucous Fibrosis

  • Avoid pan or tobacco chewing
  • Stop smoking
  • Maintain oral hygiene.
  • Avoid alcohol consumption
  • Minimize the intake of spicy foods, coffee, and tea.

Stages of OSMF

  • Clinical stage:

-Faucial bands only.

-Faucial and buccal bands.

-Faucial, buccal and labial bands.

  • Functional stage:

Early-stage: Burning sensation in the mouth, acute ulceration, recurrent stomatitis & not associated with mouth opening limitation. Mouth opening >20mm

Moderate stage: Buccal mucosa appears mottled & marble-like. Mouth opening 11-19mm

Advance stage: Severe trismus, thickened faucial pillars, shrunken uvula, a circular band around lip and mouth, restricted tongue movement. Mouth opening <10mm

Oral Submucous Fibrosis Treatment:

Patients should be informed about the disease and its possible malignancy. Mindful counseling on de-addiction should be provided. Support by awareness and activism.

It depends on the stage if it is in the initial stage just like mouth ulcers, raised papillae, etc. It can be cured by home remedies too.

Some oral submucous fibrosis home treatment – Intake of red tomatoes, green leafy vegetables, and fresh fruit should be included in the daily diet. Green tea works well for this disease. You can chew a few tulsi leaves with a pinch of turmeric every day.

OSMF treatment in Ayurveda- You can use Triphala Kashayam or Yashtimadhu Kashayam to rinse twice a day. To reduce the burning sensation, drink a glass of aloe vera juice once a day. Take Triphala churna or Avipattikar churna with warm water at bedtime, if you have constipation. Oral Submucous Fibrosis treatment in Patanjali also.

Vitamins, iron, and mineral-rich diets are recommended for OSMF patients. Routine HB levels accompanied by iron supplements should be included in the course of OSMF treatment. Oral Submucous Fibrosis treatment in Homeopathy also.

Oral physiotherapy:

oral submucous fibrosis exercises of muscle stretching like a mouth opening with the help of sticks, hot water gargling, and ballooning of mouth. Forceful mouth opening with mouth gag and acrylic surgical screw. This is thought to put pressure on fibrous bands.


Microwave diathermy( Low current – 20 watts * 2450 cycles) is useful in some early or moderate stages. Acts by fibrinolysis of bands.


It selectively raises the temperature in some well-circumscribed areas. It’s an efficient mode of deep heating. The majority of the heat generated by the ultrasound is due to volume heating rather than structural heating. The ultrasound used for therapeutic purposes has a frequency of approximately 0.8-1 MHz and an intensity of 0.5-3 w / cm^2.

In an extreme case, a patient may have to go through surgery.

An international day to raise awareness of cancer and to encourage its prevention, detection, and treatment.

The OSMF, if not treated can lead to oral cancer.

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