Document Type : Case Report

Authors

1 Professor of Oral and Maxillofacial Radiology, Oral and Maxillofacial Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

2 Professor of Oral and Maxillofacial Surgery, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran

3 Department of Prosthodontics, Faculty of Dentistry and Dental Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

4 Department of Oral and Maxillofacial Radiology, Mashhad University of Medical Sciences, Mashhad, Iran

5 Department of Pediatrics, Mashhad University of Medical Sciences, Iran

Abstract

We describe an interesting case of oral sub mucous fibrosis accompanied by severe trismus in a 23 years old man. The patient had initially been diagnosed as having internal derangement of the temporomandibular joint and conservative treatment had failed to decrease the symptoms. Despite extremely limited temporomandibular joint movement, cone beam computed tomography revealed no important abnormality. The patient had been referred to Mashhad Dental School for further evaluation. On detailed case history, the patient revealed oral adverse habits such as pan & tobacco chewing and on palpation fibrous bands were noticed on the anterior and some parts of buccal mucosa; therefore, the patient was diagnosed with oral submucous fibrosis and underwent surgical excision of fibrous bands.

Keywords

  1. Solanki G. A case reporting a patient of oral submucous fibrosis. International Journal of Biomedical Research 2012; 3(7):362-3.
  2. Auluck A, Rosin MP, Zhang L, Sumanth KN. Oral submucous fibrosis, a clinically but potentially malignant disease: report of 3 cases and review of the literature. J Can Dent Assoc 2008; 74(8):735-40.
  3. Rajalalitha P, Vali S. Molecular pathogenesis of oral submucous fibrosis- a collagen
  4. Metabolic disorder. J Oral Pathol Med 2005; 34(6):321-8.
  5. Shafer WG, Hine MK, Levy BM. A Text Book of Oral Pathology. 4th ed. US: Saunders; 1983.
  6. Kiliaridis S, Mahboubi PH, Raadsheer MC, Katsaros C. Ultrasonographic thickness of the masseter muscle in growing individuals with unilateral crossbite. Angle Orthod 2007; 77(4):607-11.
  7. Senthil Kumar B, Nazargi Mahabob M. Ultrasound in dentistary- A review. JIADS. 2010; 1(4): 44-45.
  8. Chakarvarty A, Panat SR, Sangamesh NC, Aggarwal A, Jha PC. Evaluation of masseter muscle hypertrophy in oral submucous fibrosis patients -an ultrasonographic study. J Clin Diagn Res 2014; 8(9):ZC45-7.
  9. Kiliaridis S, Kalebo P. Masseter muscle thickness measured by ultrasonography and its relation to facial morphology. J Dent Res 1991; 70(9):1262-5.
  10. Liao LJ, Lo WC. High-resolution sonographic measurement of normal temporomandibular joint and masseter muscle. Journal of Medical Ultrasound 2012; 20(2):96-100.