John S Isaac, Usha Isaac, Ayub Shah.
Oral Submucous Fibrosis - a report of 250 cases.
Med Channel Jan ;10(3):9-13.

OBJECTIVES: To evaluate presentation, early features and response to Palliative management of Oral Submucous Fibrosis (OSF). SUBJECTS AND METHODS: A total of 250 patients with Oral Sub mucous Fibrosis (OSF) who reported more than 2 times were included in this study and were transcripted on a proforma, age, sex, presenting complaints, inter-incisor edge mouth opening, site and stage of disease were noted along with oral hygiene and use of dentifrice and managed palliatively and followed up for three years. RESULTS: Males were pore frequent sufferers. Burning sensation on eating food and restricted mouth opening were the most common presenting complaints. Palliative management succeeded in stabilizing mouth opening and restoration to painless ingestion of food. In recalcitrant cases contributory, factors particularly irritating dentifrices were detected and appear to be strong propagating factors even when areca nut chewing was discontinued. CONCLUSION: Palliative management, abstinence from areca nut chewing and use of a bland dentifrice in otherwise healthy patient may arrest progress of Oral Submucous Fibrosis.

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