A Comparative Efficacy Of Ayurvedic With That Of Modern Treatment Protocol In Management Of Oral Sub Mucous Fibrosis: A Prospective Clinical Study

Abstract

Introduction: Oral sub mucous fibrosis (OSMF) is a chronic, progressive, scarring precancerous condition of oral cavity seen predominantly in the Indian subcontinent and south-east Asia. In modern science, various medical and surgical treatment are available but all methods are quite painful, costly and not in the reach of every lay person but results obtained are not satisfactory due to recurrence and adverse effects worsening the condition. In Ayurvedic classical texts, no any direct references about the disease quoted but on understanding the disease condition OSMF can be correlated with Vata Pradhana Tridoshaja Mukharoga which needs to be treated at local and systemic level. Aim: To compare efficacy of Ayurvedic with that of modern treatment protocol in the management of patients of oral sub mucous fibrosis. Materials and Methods: It was an open‑label randomized clinical trial and randomly divided into two groups. In Group A, comprising of Ayurvedic approach, 17 patients of OSMF completed the treatment in which Pratisarana (external application) with Madhupippalyadi Yoga, Kavala (gargling) with Nishadi Taila and internally Rasayana Yoga and in Group B, 17 patient advised Physiotherapy i.e. mouth opening exercise with the help of top to perform at home, daily- 30 minutes morning and 30 minutes evening from the first day of treatment and internally Methylocobalamine were given for 1 months and followed for 1 month. Results: It was shown statistically significant relief (<0.05) in almost all signs and symptoms as well in inter incisor distance improvement (25.16%) and also sustained relief was observed in follow‑up period. Conclusion: It was concluded that Ayurvedic treatment protocol was effective in the management of OSMF.