Management of trismus following radiation therapy by cost. It is characterized by a burning sensation of the mouth, accompanied or followed by the formation of vesicles. Novel mouthexercising device for oral submucous fibrosis pravinkumar g. It is characterized by inflammation, increased deposition of submucosal collagen and formation of fibrotic bands in the oral and paraoral tissues, which increasingly limit. Oral submucous fibrosis is defined as a chronic disease of oral mucosa characterized by inflammation and progressive fibrosis of the lamina propria and deeper connective tissue layers. Pdf prosthetic rehabilitation of oral submucous fibrosis. An innovative prosthodontic approach in managing oral submucous. Oral submucous fibrosis is a chronic inflammatory disease, which results in progressive juxta. Oral submucous fibrosis recuperated with prosthodontic. Oral submucous fibrosis osmf is a potentially malignant disorder of the oral cavity. Etiopathogenesis and management of oral submucous fibrosis seema basoya department of oral medicine and radiology, s. Limited mouth opening can be caused by the head and neck radiation, surgically treated head and neck tumors, connective tissue diseases, facial burns, reconstructive lip surgeries and the most common factor oral submucous fibrosis.
Oral submucous fibrosis is defined as an insidious chronic disease affecting any part of the oral cavity and sometimes the pharynx. Borle, bdst three hundred twentysix patients with oral submucous fibrosis were divided into two groups and treated either with conventional submucosal injections of steroids and hyaluronidase, or with topical vitamin a, steroid applications, and oral iron. Prosthodontic management of a patient with limited mouth. Oral submucous fibrosis osf is a premalignant disorder associated with the chewing of areca nut betel nut. Oral submucous fibrosis recuperated with prosthodontic approach a. Petersons principles of oral and maxillofacial surgery. Exercising device for oral submucous fibrosis, journal of prosthodontics on deepdyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips.
The surgical management of this condition involves excision of the fibrotic bands and interpositional grafts to retain the increased oral opening. Pdf prosthetic rehabilitation of microstomia patients due to oral submucous fibrosis presents difficulties at all stages as the maximal oral opening. Conservative management, oral submucous fibrosis, prosthodontic rehabilitation i. Prosthetic rehabilitation of microstomia patients due to oral submucous fibrosis presents difficulties at all stages as the maximal oral opening is smaller than the size of a complete denture. Management of patient with oral sub mucous fibrosis presents difficulties at all stages, from. Prosthodontic rehabilitation of an edentulous patient affected with. Pdf oral submucous fibrosis is a precancerous condition affecting the oral cavity and sometimes the pharynx. The treatment of severe trismus requires a combination of surgical release and physiotherapy. Contents introduction definition epidemiology nomenclature classification etiopathogenesis clinical features histopathology differential diagnosis special investigations malignant potential treatment and management. Our collaboration on this writing attempt has grown out of a longstanding dating that started on a professional degree with mutual interest in and admiration for each others paintings and a common bond in our microsurgical education underneath drs. The fabrication of prosthesis is very difficult due to abnormal jaw relations, influencing the longterm prognosis of the patient. An innovative prosthodontic approach in managing oral.
Patil, mds2 1department of prosthodontics, government dental college and hospital, nagpur, india 2department of orthodontics and dentofacial orthopedics, sdks dental college and hospital, nagpur, india keywords mouth exercising device. Oral submucous fibrosis, skin grafts, surgery, trismus. This clinical report describes prosthodontic management of a completely edentulous patient with microstomia developed due to oral sub mucous fibrosis. Interventions for the management of oral submucous fibrosis oral submucous fibrosis is a chronic disease which is commonly found in patients in the asian subcontinent and the far east and is characterised by the build up of constricting bands of collagen in. All of these greatly interfere with patient quality of life. Patient with oral submucous fibrosis and microstomia.
Oral submucous fibrosis osmf is a chronic inflammatory disease resulting in progressive juxtaepithelial fibrosis of the oral soft tissues and can cause increasing difficulty in mastication, swallowing, speaking, and mouth opening. Following this conservative management for a period of 3 months, an increase in mouth opening was noticed. Download pdf microsurgical reconstruction of the head and neck. Request pdf prosthodontic management of a patient with limited mouth opening.
To present a case of oral submucous fibrosis with severely resorbed edentulous ridges which. It is a precancerous disorder and transforms into a malignant tumor in 1. The 3rd edition of petersons ideas of oral and maxillofacial surgery continues this culture and gives an prepared and systematic method to the whole strong point for residents and clinicians who practice completescope oral and maxillofacial surgical procedure. Prosthetic rehabilitation of oral submucous fibrosis. A practical approach dentists occasionally come across patients with constricted oral openings. Download pdf surgery of trismus in oral submucous fibrosis.
Management of patients with microstomia poses a great challenge in the field of prosthodontics. Prosthodontic management of oral submucous fibrosis vinayagavel k, sabarigirinathan c, sriramaprabu g, anshul choubey, jeyanthi k. Prosthodontic rehabilitation of an edentulous patient. It is a chronic insidious scarring disease of oral. Oral sub mucous fibrosis is an insidious chronic disease and a precancerous condition, affecting any part of the oral cavity and sometimes the pharynx. Oral submucous fibrosis is a potentially malignant disorder of the oral cavity, with a high rate of malignant transformation.
Oral cavity is an entrance to the rest of the body and a disability in this crucial area leads to impaired function, psychology and aesthetics. It is initially associated with vesicle formation in the oral cavity, followed by inflammatory reactions juxta epithelially that cause stiffness of the oral mucosa, leading to trismus and difficulty eating. Prosthetic rehabilitation of oral submucous fibrosis patients. The symptoms and signs depend on the progression of the lesions and number of affected sites. Antioxidants relieve the signs and symptoms of oral submucous fibrosis by decreasing the load of free radicals. An innovative prosthodontic approach in managing oral submucous fibrosis patient mandar kajave, santosh shingote, rashmi mankude, kirti chodankar department of prosthodontics, crown and bridge, vasantdada patil dental college and hospital, sangli, maharashtra, india. Download textbook of oral and maxillofacial surgery 4th ed.
Oral submucous fibrosis osf is a premalignant condition mainly associated with the practice of chewing betel quid containing areca nut, a habit common among south asian people. Symptoms include submucous fibrosis, ulceration, xerostomia, a burning sensation, and restricted mouth opening. Oral submucous fibrosis osmf, surgical treatment of orofacial carcinoma, damage to the masticatory mucosa, cleft lip3,4,5 etc among these causes, most common reason for restricted mouth opening is osmf. Crossarch arrangement in complete denture prosthesis to. Etiopathogenesis and management of oral submucous fibrosis. Conservative management, oral submucous fibrosis, prosthodontic rehabilitation. Oral submucous fibrosis osmf is a debilitating condition of oral cavity which has significant potential for malignant transformation. Oral submucous fibrosis osf is a chronic oral disease caused by betel nut chewing. It is very common among habitual areca nut chewers. O ral submucous fibrosis is a chronic, insidious disease affecting the oral cavity and sometimes pharynx. Download microsurgical reconstruction of the head and neck. Classification system for oral submucous fibrosis chandramani bhagvan more, swati gupta, jigar joshi, saurabh n varma abstract oral submucous fibrosis osmf is a potentially malignant disorder pmd and crippling condition of oral mucosa.
Prosthodontic management of a completely edentulous patient with microstomia is challenging for both the operator and the patient. Trismus because of oral submucous fibrosis is a specific condition involving the mouth. Pdf prosthodontics rehabilitation of an edentulous. Prosthodontic management of a completely edentulous. The habit is prevalent in south asian populations but has been recognized nowadays also in europe and north america. Oral submucous fibrosis osmf is a disease of unknown etiology. Although occasionally preceded andor associated with vesicle formation, is. In this case report, oral submucous fibrosis and related problems in prosthodontics rehabilitation and the techniques that improves the retention, stability, functional esthetics and comfort with.
Oral submucous fibrosis is a disease due to a chronic, insidious change in fibroelasticity, characterized by burning sensation in the oral cavity, blanching, and stiffening of the oral mucosa and oropharynx leading to trismus and inability to open the mouth. Limited mouth opening is the chief complaint of most. Management of trismus following radiation therapy by costeffective approach. A wide range of treatment including drug therapy, surgical therapy, and physiotherapy have been attempted till date, with varying degrees of benefit, but none have been able to cure this disease. Prosthodontic management of surgically treated oral sub mucous fibro. Oral submucous fibrosis osmf is a chronic inflammatory disease that results in progressive. Interventions for the management of oral submucous fibrosis. Surgical fibrolysis and skin grafts in the management of oral. Novel mouthexercising device for oral submucous fibrosis. In spite of over 20 years of research, the pathogenesis of the condition is still obscure and no single management modality is effective.
Oral submucous fibrosis osmf is defined as a chronic disease of the oral mucosa characterized by inflammation and progressive fibrosis of the. Pdf prosthetic rehabilitation of oral submucous fibrosis patients. Dental college, hospital and research institute, india introduction oral submucous fibrosis was first described by schwartz in 1952 among five. A total of 96 patients with oral submucous fibrosis have received four regimens of treatmentlocal dexamethasone, local hyaluronidase, local combination of dexamethasone and hyaluronidase, and local placental extract. Sectional maxillary denture was fabricated using a sectional impression tray technique. Pdf prosthodontic management of a completely edentulous. A patient with oral submucous fibrosis and resorbed ridges poses a challenge for prosthodontic rehabilitation because of the limited mouth opening and fibrotic mucosa. Oral submucous fibrosis osf is characterized by abnormal collagen deposition. Current protocols in the management of oral submucous. The ultimate prosthetic treatment is usually started after the required preliminary management 5. Download surgery of trismus in oral submucous fibrosis.
241 123 448 1499 739 473 493 394 1221 308 675 38 87 1129 737 1515 673 957 1034 1354 373 1422 1238 821 960 1250 426 451 839 786 990 9