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Ulcer in osmf
Dear concern,
Suffering from osmf...left tobacco 3 years back ...checked with ent doc when quit bad habits and getting treatment from there and in these 3 years things getting better as in mouth start getting pink but in small pace but from last 26 days getting this . something look like ulcer..using kenakort and taking antioxidant sm fibro..but still it's not getting any relif kind of thing ..please find the attached of this ulcer look things.. worried that it won't be a cancerous ulcer...
Answers (9)
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if it is not painful, then dont apply Kenacort or any other steroid. contact me on practo for further consultation.
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Need complete medical history
Prescription of previous treatment taken
Next Steps
Biopsy
Health Tips
In mean time continue with medicines u are taking
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That Can be advance stage of OSMF.. so please don't be worried about any malignancy,before any diagnosis.. .. You can continue using sm fibro, Kenacort.... That can be secondary overlying infection.. for that you can take Augmetin -625 3 times for 5 days with Betadine gargle and Zerodol-sp tab. 3times for 3 days , Pan-40 once in morning 30 min. before meal..
Next Steps
For better diagnosis and treatment please consult to VASHI OROFACIAL CARE ..
Health Tips
maintain good oral hygiene.. avoid spicy food
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Hi,
As you saying you suffering from OSMF.
Can you able to eat spicy food?
You have any digestion problem?
For detail discussion contact on personal chat box.
Next Steps
Visit dentist for clinical examination once lockdown is over
Health Tips
Use kenacort aa prescribed.
Cap SM fibro
SMF drops ( add 7-8 drops in a cup of lukewarm water and rinse your mouth thrice daily ) for 15 days.
Take plenty of orange juice vitamin C supplements .
For medicine details contact on personal chat box
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Hi dear u know that, u r suffering from OSMF but u not write complete your problems like
-Ur mouth opening
-Ur tongue protrusion (movement)
- status of cheek blowing
-status of uvula (swallowing conditions).
Basically above sign & symptoms are required for ur stage.
Here I telling you OSMF stages:
Stage 1: only burning sensation
Stage2: stage1+burning sensation with restricted mouth opening (3.5cm or more)
Stage 3: stage2+ rest. mouth opening (2-3.5cm) with restricted tongue movement
Stage 4: stage3 + rest. mouth opening (below 2cm)+difficulty in swallowing (deviated uvula) +/- unhealed ulcer
In stage 4 sometimes it may gives symptoms of malignancy
So for confirmatory diagnosis required its incisional biopsy.
If u need any query consult direct me
Dr. Vikas Kumar (Oral & Maxillofacial Surgeon) Lucknow
or any oral and maxillofacial surgeon.
Next Steps
Sometimes it's unhealed ulcer healed with LASER therapy.
Health Tips
1.Kanakort thrice daily for atleast 15mins daily after meal
2. Dologel CT thrice daily before meal for 1mins
3. SM Fibro twice daily
4.Nutritional diet(rich Omega3 fatty acid) like wallnut, flaxseed, Linceed oil and fruits
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Hi
My advice always would be all MG with your medication
No spice(green chillies)
No smoking or hot fermentation
Any cheek bite
Any sharp tooth
Pls get that rectified
All your medication is right
Once out of lock down
Meet your Dentist
He will put you on to maxillo facial surgeon
Gargle with chlohex
If tooth is sharp immediately call your Dentist
Get it round it off
Tc
Stay safe
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No need to worry
•.Apply ORAWAYS buccal paste thrice daily for 7 days
•Diet modifications:- Green leafy vegetables, green tea,tomatoes,skimmed milk
•Apply home made paste of tumeric (haldi)mixed with water thrice daily for 15 days
•Avoid SLS containing toothpastes.You may do Himalaya Complete Care
•Avoid alcohol and alcohol based mouthwashes like listerine
•Avoid hot ,spicy,crunchy foods.
☆☆☆If no relief from all this till one week then biopsy should be planned
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Looks like a leukoplakia,are u able to eat spicy foodstuffs?
Keep applying kenacort
Keep taking SM fibro
Vitamin A supplements may help
Quit habit
Eat lots of green leafy veggies, drink plenty of water and fresh juicy fruits
Visit ur oral surgeon after the lockdown is over
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Dr. Prabhu Venugopal
Cosmetic/Aesthetic Dentist
16 yrs exp
Chennai
Looks like oral submucous fibrosis with hyper keratotic areas.
As of now use antiseptic/ analgesic gel
Next Steps
visit your Dentist/ Oral surgeon for a check up followed by a biopsy
you may require hyaluronidase injection .
Health Tips
you need to be on
Triamcinalone acetonide gel application
Vitamin A
Multivitamins
All under Your Dentist Supervision only.
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