A Case Report on Management of a Patient with Severe Trismus with Bilateral Recurrent Pericoronitis Along With Chronic Oral Submucous Fibrosis: A Premalignant Lesion
Nanda Kishore Ghoshal
A 37 years, old male patient reported with the chief
complaint of inability to open mouth since 10-11 months
and recently pain and swelling resulting from wisdom teeth
of both sides limited the mouth opening severely (<9 mm,
less than one finger opening) that he could not take solid
food properly. After partial relief and mouth opening (12
mm) with antibiotic therapy patient was examined and
diagnosed as Oral Submucous Fibrosis (OSMF) along with
impacted molars in both sides. Treatment was planned with
conservative approach consisted of pharmacotherapy and
physiotherapy for OSMF and surgical removal of impacted
third molars of both sides. Mouth opening was improved
gradually (>15 mm after 3 weeks, >22 mm after 6
weeks,>27 mm after 9 weeks).
