Oral premalignant lesions, technically speaking encompasses a term for pathologies or lesions that are described as having more chances of transforming into a cancer. In other words, the oral premalignant lesions are the precursors for oral cancer. Since they are so subtle in nature, they can be easily overlooked in its initial stages. Oral cancer is one of the leading cancer in India, both in males and females. Staging of oral cancer directly implies the chances of survival at the time of detection. Hence, a patient in whom cancer that is detected in earlier stage, is more likely to have a longer survival chance as compared to patient who suffered with cancer in its advanced or late stage.
Tobacco consumption has widely been acknowledged as the primary or leading cause for the oral cancer. But absence of tobacco consumption does not rule out chances of cancer in an individual. It’s best remembered as ‘5 S’ which are considered causative agents for oral cancer other than tobacco – smoking, spirit (alcohol), spice, sharp tooth, syphilis (infection). Any of these agents can lead to formation of Oral premalignant lesion as well.
Initial symptoms for any of these condition can be burning sensation of the oral cavity or bleeding from the lesion. The patient generally complains of inability to tolerate hot and spicy food. In patients with OSMF, the mouth opening gradually starts to reduce, the patient also finds it difficult to move his tongue and complains of lack of any taste sensation while consuming any food. If left untreated, it progresses very rapidly and the mouth opening can be reduce to as low as 1 finger breadth and finally transforms into a full blown oral cancer. OSMF, by itself is a lifelong debilitating condition, whereby the patient finds some changes in his oral cavity even after all the possible treatment options are carried out.
Dr. Anurag Bhargava is well trained to diagnose any of these conditions at its very early stage. We understand how mentally challenging it is for any patient to be diagnosed with any form of cancer. We also emphasize to our patient about early detection and appropriate management, hence, we encourage them to be vigilant about any of the suspicious lesion in the oral cavity.
As and when required, we also render surgical treatment for these premalignant lesions, thereby minimizing its progression to an advanced stage. The treatment for OSMF is much different from the treatment for other premalignant lesions. In its earlier stages, we try and manage these condition by injecting certain medications into the oral cavity which helps to reduce the stiffness of these muscles. However, in its more advanced stage, we carry out surgical treatment to release the stiff bands and reconstruct the oral cavity so that proper mouth opening is achieved. This is followed by strict physiotherapy regimen which helps improve the mouth opening. Needless to say, patients with OSMF are also reinforced about the need to stop the harmful habits, failing which all these treatment options prove futile.
Oral cancer has been a menace in the 21st century in developing countries like India and requires medical expert management. However, as mentioned earlier the best way to treat oral cancer is to prevent it by looking for the earlier signs which indicate the cancer formation. We are trained and equipped with facilities to manage such conditions and thereby reduce the burden of cancer on the society.
Your treatment plan is designed for steady progress, with every phase promptly implemented.
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Dr. Anurag Bhargava
I got a three molars removed from Dr Anurag Bhargav. The surgery was performed in around 30-40 minutes for all the molars. The surgery was performed really well and I had a good experience. After the surgery, I experienced pain for around a week, but the painkillers prescribed really helped. I was satisfied with the quality of surgery and the medical staff at the clinic were also very courteous. They followed up a couple of days after the surgery to take feedback and remind me of the steps needed to heal faster. Overall, I would recommend Dr Anurag Bhargav for teeth extraction. Thank you.
Mar 18, 2020