Sarang Suresh Hotchandani

Final year BDS Student @Bibi Aseefa Dental College,

SMBBMU, Larkana, Sindh, Pakistan.

Paan, Ghutka, Shaleea…… They will KILLLLLL you.!!!!!!!!!!

Oral Sub-mucous Fibrosis

OSMF is chronic, pre malignant condition of oral cavity,

characterized by Stiffening of Oral Mucosa due to fibrosis

resulting in Limitation of Mouth.

Introduction

Causes

PAAN / Betel Quid

Areca Nut mixed with Slaked Lime wrapped in Betel Leaf…

Areca Nut Contain ALKALOIDS which are potent Carcinogens and Addictive

toooo!!!

Basic INGREDIENTS of Paaan……….

Smoking

Genetic Predisposition

Other Causes

Staining of Teeth..!!

Leukoplakia / Erythroplakia / Erythema at the site of Placement of Paan…

Pallor Oral Mucosa due to Fibrosis!!

Clinical Features

Limited Mouth Opening!!!

Horizontal Palpable Bands in Mucosa…

Loss of Mucosal Elasticity

Histological Features!!!

Lamina propria become thickened, hyaline & avascular with infiltration of small quantity of chronic inflammatory cells..

Epithelium becomes thinned & may show cellular atypia…

Atrophy of underlying muscle with replacement by dense fibrous scar tissue!!

Stop Causative Habit XXXXStabilization of Trismus / Limited Mouth opening

Intra lesional Corticosteroid injectionsMuscle stretching exerciseSurgical excision

Slowing the progression of lesionReduce the risk of malignant transformationRegular follow up & Biopsy..

MANAGEMENT.

Follow on Twitter; @hotchandaniss

THANKS!