A Comparative Evaluation of Mouth Opening using Different Treatment Modalities in OSMF

Abstract

Background: Oral submucous fibrosis is a chronic disease affecting the oral mucosa, as well as the pharynx and the upper two-thirds of the esophagus. The present study compared conservative management of OSMF.

Materials & Methods: 45 clinically confirmed cases of OSMF were divided into 3 groups of 15 each. Group I were treated with topical application of kenacort twice a day, group II were given mixture of turmeric and jaggery application twice a day and group III were advised exercise such as use of ice cream stick to open the mouth and ballooning twice daily. Patients mouth opening was compared with baseline at the interval of 4 weeks.

Results: Group I had 12 males and 3 females, group II had 10 males and 5 females and group III had 11 males and 4 females. The mean pre- operative mouth opening in group I was 20.3 mm and post- operative was 35.2 mm, in group I was 20.6 mm pre- operatively and 27.4 mm post- operatively and 20.2 mm pre- operatively and 25.2 mm post- operatively. The difference was significant (P< 0.05).

Conclusion: Topical application of kenacort found to be better in increasing maximum mouth opening as compared to use of jaggery and physiotherapy.