TO STUDY THE CLINICAL IMPROVEMENT BY VARIOUS EXISTING MEDICAL METHODS OF MANAGEMENT OF ORAL SUBMUCOUS FIBROSIS

Abstract

Background & Method: Diagnosis is made by history and clinical examination. Patients present with trismus, stiff and small tongue, blanched and leathery floor of the mouth, fibrotic and depigmented gingiva, and rubbery soft palate with reduced mobility, blanched and atrophic tonsils, shrunken uvula and sinking of the cheeks, not commensurate with age or nutritional status. The source of data for our study is patients attending OPD of department of ENT of Amaltas Institute of Medical Sciences, Dewas (M.P.)     

Result: The mean value of interincisor distance before treatment was 11.47 mm and standard deviation was 3.007, whereas the mean value of interincisor distance after treatment is 17.26mm and standard deviation was 3.05. The t value is 13.518, the t value is the difference between mean of interincisor distance before and after treatment, and the p value is .000 which shows significant improvement in interincisor distance.

Conclusion: A definitive improvement was noted in all clinical features including in mouth opening.  The patients of oral submucous fibrosis are having addiction of arecanuts (98%). This included arecanut chewed alone or in combination with paanmasala, ghutka and betel quid, and the other important associated factor was smoking in 47% of cases. The percentage of improvement was 100% in burning in oral cavity, dryness of oral cavity, ulcers and vesicles in oral cavity.

Keywords: Oral, Submucous, Fibrosis & Clinical.