Osmf

oral submucous fibrosis

1. SHIFAYA NASRIN.S 2009-2014 stage3 Shrunken uvula Restricted mouth opening 66% with sunken cheeks Restricted tongue movements Mild blanching Moderate blanching Mouth opening reduced by 33% Areca nut Betel quid Pan chewing Involving pterygo mandibular raphe increases trismus Treatment Medical management Stop the habits Antioxidants , Placental extracts Intralesional injection of dexamethasone +hyaluronidase Human interferon gamma Surgical management Microwave diathermy;