Management of Severe Trismus with Bilateral Recurrent Pericoronitis alongwith Chronic Oral Submucous Fibrosis - A Case Report

Abstract

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 (<9mm, less than one finger
opening) that he could not take solid food properly. After partial relief and mouth opening (12mm) 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 (>15mm after 3 weeks, >22mm after 6 weeks,>27
mm after 9 weeks).