Conversation: The conversation between human and AI assistant.
[|Human|] Hi Dr, I have developed OSMF because of tobacco chewing habits, currently undergoing treatment, My mouth opening is normal 41 mm-42mm , however my buccal mucosa is white and blanched and chronic inflmmation. What kind of treatment I need to take , will the buccal mucosa will regain its original texture . My dentist is doing a biopsy now and most probably he will go ahead with steroid injection. I have stopped all my habits - will my mouth opening will shrink in future
[|AI|]  Hello, Oral submucous fibrosis is a condition in which there is the formation of thick fibrous bands below the mucosa of cheeks and lips leading to stiffening and difficulty in mouth opening. It is a precancerous condition [although not cancer] and should be taken care of. It is commonly seen in individuals with tobacco and area nut chewing habit. White appearance is due to blanching of the mucosa. It is difficult to regain the complete pink appearance. However, if you stop tobacco completely and also take proper treatment and exercise then the mouth opening will not get lesser. You need to consult an oral physician or a dentist and get evaluated. They can advise him to apply a steroid ointment in combination with hyaluronate containing ointment to break fibers. Intraluminal injections of steroid and hyaluronate can be advised to be injected after every three to four days. Anti-oxidant like lycopene is also advised. Physiotherapy, like blowing cheeks, trying to open the mouth under pressure etcetera, can be demonstrated and advise to be done daily. Complete cessation of a habit of tobacco if you have chewing is a must. Hope I have answered your query. Let me know if I can assist you further.