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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Stiffness In Jaw?

Hello sir..I have been smoking for a while now.I even use to take rajnigandha a severe intake at least 20 packet of 4gms in a day..slowly I started to see that I cannot open my mouth all I can insert is 3 fingers if i force them..even when in blow my cheeks on the left side that is my left cheek is fine no pain but contrary to my right cheek it doesn t open up fully..Please give me a solution for this..Help me
posted on Wed, 1 Apr 2015
Twitter Mon, 22 Jun 2015 Answered on
Twitter Mon, 22 Jun 2015 Last reviewed on
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Dentist,  's  Response
Hi..
Can understand your concern..

As per your complain difficulty in opening the mouth and blowing cheek with a history of eating rajnigandha which contains tobacco clearly indicates that you are suffering from Oral Submucous Fibrosis (OSMF) which a pre cancerous condition BUT it is not cancer.

In OSMF there is formation of thick fibrous bands beneath the mucosa which makes the area rigid leading to difficulty in opening the mouth as well as there is burning in mouth and atrophy of mucosa..

I would suggest you to consult a dentist and get a clinical evaluation done..

In case of OSMF first thing is to stop the intake of tobacco and smoking completely..

Apply steroid based ointments on inner cheeks like Kenacort..

Hyluronidase should also be topically applied..

Antioxidants like lycopene should be taken orally..

Intralesional injection of steroid directly over the bands and adding hyluronidase can help..

Mouth opening exercises like trying hard to open the mouth as much as possible.

Blowing the cheeks and holding for some time and repeating the same can help..

Surgical breaking of bands can be done by an oral surgeon but at times scar formed after surgery can further reduce the mouth opening..

Hope your query is solved..

If you find the answer helpful kindly write a positive review and click on found this answer helpful as the token of appreciation..

Hope this information helps..

Thanks and regards..
Dr.Honey Nandwani Arora..
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What Causes Stiffness In Jaw?

Hi.. Can understand your concern.. As per your complain difficulty in opening the mouth and blowing cheek with a history of eating rajnigandha which contains tobacco clearly indicates that you are suffering from Oral Submucous Fibrosis (OSMF) which a pre cancerous condition BUT it is not cancer. In OSMF there is formation of thick fibrous bands beneath the mucosa which makes the area rigid leading to difficulty in opening the mouth as well as there is burning in mouth and atrophy of mucosa.. I would suggest you to consult a dentist and get a clinical evaluation done.. In case of OSMF first thing is to stop the intake of tobacco and smoking completely.. Apply steroid based ointments on inner cheeks like Kenacort.. Hyluronidase should also be topically applied.. Antioxidants like lycopene should be taken orally.. Intralesional injection of steroid directly over the bands and adding hyluronidase can help.. Mouth opening exercises like trying hard to open the mouth as much as possible. Blowing the cheeks and holding for some time and repeating the same can help.. Surgical breaking of bands can be done by an oral surgeon but at times scar formed after surgery can further reduce the mouth opening.. Hope your query is solved.. If you find the answer helpful kindly write a positive review and click on found this answer helpful as the token of appreciation.. Hope this information helps.. Thanks and regards.. Dr.Honey Nandwani Arora..