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Case Reports
. 2021 Mar 23;14(3):e238718.
doi: 10.1136/bcr-2020-238718.

Oral submucous fibrosis in children: an alarming condition and challenges in management

Anshul Rai  1 , Anuj Jain  2 , Aakash Arora  3 , Tejas Motiwale  4
Affiliations
Case Reports

Oral submucous fibrosis in children: an alarming condition and challenges in management

Anshul Rai et al. BMJ Case Rep. .

Abstract

Oral submucous fibrosis (OSF) is a well-documented potentially malignant condition. It affects most commonly the adult patients of India and Indian subcontinent, only few cases affecting children have been reported in the literature. This paper presents three cases of OSF below the age of 12 years and reviews the aetiology, clinical presentation, treatment modalities in children with improved follow-up results. Clinical features like restricted mouth opening, burning sensation and history of betel nut chewing helps in the diagnosis of the patients, which can be confirmed by histopathological examination. Conservative management and oral physiotherapy in children help in improved mouth opening. Counselling the children, their friends and parents also plays a vital role. The present paper highlights that children on a larger scale are using tobacco products and further studies are required with larger sample size.

Keywords: dentistry and oral medicine; smoking and tobacco.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Nine-year-old patient with restricted mouth opening.
Figure 2
Figure 2
Fibrous bands and blanched labial mucosa of lower lip.
Figure 3
Figure 3
Fibrosis bands seen on upper labial vestibule and mucosa.
Figure 4
Figure 4
Restricted mouth opening in case 2 patient.
Figure 5
Figure 5
(A) Fibrous bands on lower labial mucosa and vestibule.(B) Fibrous bands on upper labial mucosa and vestibule. (C) Fibrous bands and blanching on buccal mucosa.
Figure 6
Figure 6
Restricted mouth opening and fibrous bands on lower labial mucosa in case 3 patient.
Figure 7
Figure 7
Improved mouth opening of case 3 patient.
See this image and copyright information in PMC

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