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Hi i have a habit of chewing tobaco gutkha and due to this i'am not able to open mouth properly. Please advise

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Dr. Yasmin Asma Zohara answered : 9 years ago

Quit habits strictly. Seems like you have oral submucous fibrosis (OSMF). Kindly consult an oral & maxillo facial surgeon in person for further suggestion. We need more investigations with clinical examination to decide upon treatment. You may need conservative or surgical management for mouth opening depending upon the stage of OSMF .Advise full mouth opening, ballooning exercise & side to side movement of the jaw. Wrap 25 to 30 ice-cream sticks, make a bundle, put it between upper & lower front teeth for 15 minutes thrice a day increase 1 sticks each day. As for now advice T.SM fibre-30nos, once a day for a month, C. Becosules 5 cap ( enriched with Vitamin A , Vitamin B & Vitamin E specifically ) , for five days in the morning after meals. Advance procedures can be done with laser. You may consult me in person. DENTAL TIPS: - Visit a dentist every six months for cleaning and a thorough dental check-up. Limit sugary food to avoid tooth decay. Gargle your mouth thoroughly after every meal. Scrub gently to clean your tongue with a tongue cleaner. Floss all your teeth inter dentally & brush twice daily, morning & night, up & down short vertical strokes, with ultra-soft bristles, indicator brush. Tooth brush to be changed every 2 months.

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