title: Oral submucous fibrosis: a premalignant condition in a 14-year-old Indian girl.
abstract: A 14-year-old Indian girl presented with difficulty in mouth opening and burning sensation while eating. On examination, blanching of the oral mucosa with diffuse white pigmented lesion of size 3.5 to 2 cm along with melanotic pigmentation was seen on the left buccal mucosa posteriorly. The patient was diagnosed with oral submucous fibrosis. A comprehensive treatment plan was made based on conservative management that included motivation and intense counselling of the patient and her parents so that she quits the habit of chewing areca nut and tobacco, along with systemic treatment of vitamin B complex supplements, antioxidants, multivitamins and oral physiotherapy. We present this case to highlight the difficulties faced by the clinical practitioners in providing treatment because of the taboos and myths associated with surgical treatment modality in rural population as well as to emphasise the menace of increasing consumption and availability of tobacco and areca nut to children.
authors: Department of Pedodontics and Preventive Dentistry, K M Shah Dental College and Hospital, Sumandeep Vidyapeeth, Vadodara, Gujarat, India.
authors: Anshula
authors: A
authors: Deshpande
authors: Shital
authors: S
authors: Kiran
authors: Steffi
authors: S
authors: Dhillon
authors: Rachappa
authors: R
authors: Mallikarjuna
mesh_terms: D000293:Adolescent; D001114:Areca / Q000009:adverse effects*; D003376:Counseling; D003469:Culture; D003937:Diagnosis, Differential; D019587:Dietary Supplements; D005260:Female; D006801:Humans; D009062:Mouth Neoplasms / Q000209:etiology* / Q000628:therapy; D009914:Oral Submucous Fibrosis / Q000209:etiology* / Q000628:therapy; D026741:Physical Therapy Modalities; D011230:Precancerous Conditions / Q000209:etiology* / Q000628:therapy; D014030:Tobacco, Smokeless / Q000009:adverse effects*