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OSMF and ulceration
I have ulceration inside my right cheeks which has areas of grey pigmentation. I have OSMF as well. I am hell worried. I have consulted an ENT and i am taking Turmi Q tablet once a day. According to the ENT, the patches will never regress, Just the redness on those patches will go off with time. I am unable to eat a particle of chilly even. Wanted to know what should the action and line of treatment. How can i get rid of these patches.I was in habit of smoking and chewing pan masala for 10years and these patches have developed post the cessation of my habit of chewing pan masala. Wanted to know why after cessation i got these patches because when i was using the pan masala i just had osmf and not these patches. I am much worried about these patches. And every day i see somewhere or the other deep pink areas inside my cheeks. Can you please help me doctor and what should b done.
Answers (6)
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Hi,
For ur ulceration u can take Kenacort Ointment for relief.
According to your symptoms your OSMF might be aggressive.
You might need Biopsy as well.
Stop the habits first and go to Dentist.
Health Tips
Take antioxidant rich foods like Tomato,Green Tea etc...
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Visit MDS oral surgeon or MDS oral pathologist or MDS oral medicine and radiology.
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Dr. Upasana Gosalia
Dentist
15 yrs exp
Mumbai
Quite common for tobacco and pan chewers to experience this.
Next Steps
visit an oral surgeon
Health Tips
multivitamins sometimes provide relief but it's not guaranteed and also the issue may come back.
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Dr. Enosh Steward
Oral And MaxilloFacial Surgeon
10 yrs exp
Vadodara
Dr Enosh Steward here
Oral & Maxillofacial and Facial Plastic Surgeon,
Vadodara.
First or all, the ideal person to deal with this would be an oral and maxillofacial surgeon. Now as you have a long history of pam masala chewing, what has happened is the mucosa of your cheeks have got atrophic getting fibrous adhesions in the submucosal layer leading to reduction in mouth opening. And due to atrophic mucosa, any hot or spicy stuff you eat, you would get burning sensation.
Next Steps
if your complain is with discoloration and your mouth opening is good enough, then laser therapy can be done
if mouth opening to be improved, would recommend you a surgery called fibrotomy and using interpositional fat or nasolabial flap.
if just burning sensation, then anesthetic tubes would provide you symptomatic treatment
Health Tips
Good Luck
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Dr. Surendra Kumar Alluri
Dentist
29 yrs exp
Hyderabad
Namaskaram
Grey pigmentation can be due to few conditions, which can be confirmed upon complete investigation by biopsy and evaluation of your oral cavity. It's a condition that occurs on constant irritation to your cheeks, commonly because of smoking and tobacco use,pan masala, other causes include rough teeth surfaces, injury, alcohol etc.
A habit of 10 years is an irritation and trauma since ten years, it has been manifesting from that long, thus it appeared even after cessation of habits.
It can be a condition which has high chance of turning into an oral cancer, burning sensation is experienced because of it, but not to worry, a dentist is well equipped to treat this issue properly and resolve your patches.
Completely stop intake of pan masala and smoking.take a vegetable and fruit rich diet, especially the ones with abundant vitamin A. Immediately visit a dentist.
Team shambhala.
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Dr. Prathibha
Dentist
7 yrs exp
Hyderabad
Better you visit an oral medicine MDS department, go to some dental college which is near to you so that you can get final solution
Health Tips
make your treatment done as soon as possible
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.