Oral submucous fibrosis — an impediment for maintenance of good oral hygiene: A questionnaire-based study

Introduction: Oral submucous fibrosis (OSMF) is characterized by stiffness of the oral mucosa with progressive limitation in opening of the mouth, thus causing difficulty in eating, phonation, and loss of hearing. These changes have a significant impact on the oral hygiene status. Several studies have been conducted to ameliorate the symptoms and improve the overall quality of life. However, not many studies have been performed taking into account the changes in the oral hygiene practices. Through this study, we intend to determine the oral hygiene practices and explore difficulties in oral hygiene maintenance among OSMF patients. Materials and Methods: Thirty OSMF patients were included in the study. Demographic data and habit history were recorded. Oral hygiene instructions were modified, providing each participant with a toothbrush (360 superflex designed for patients who have difficulty reaching some sites in the mouth). Participants were recalled for follow-up after 15 days. Their feedbacks regarding the efficacy of the toothbrush were taken. Results were subjected to statistical analysis. Results and Conclusion: Percentage of participants experiencing soft-tissue trauma reduced from 90% to 10%. Accessibility to posterior molar teeth improved from 16.7% to 73.3% of participants at the end of the study. Oral health is a reflection of one’s physiological, social, and psychological well-being. Hence, our aim should be to achieve better and cleaner mouths by utilizing readily available resources and providing patients with efficient and easy take home oral hygiene instructions.