ABSTRACT

Background: Oral hygiene plays a vital role in maintaining overall health but can be compromised by habits like betel nut chewing. Betel nut consumption is a primary cause of Oral Submucous Fibrosis (OSMF), a progressive disorder marked by chronic inflammation and fibrosis of the oral mucosa. The condition develops gradually, leading to restricted mouth opening (trismus), burning sensations, difficulty in eating, and, in severe cases, difficulty swallowing (dysphagia). In Ayurveda, OSMF shares similarities with Sarvasara Mukhapaka, which occurs due to the imbalance of tridoshas (Vata, Pitta, and Kapha). Objective: This study aims to explore the efficacy of Ayurvedic therapies in managing OSMF, emphasizing the role of localized treatments such as Pratisarana (therapeutic rubbing) and Kavala (oil pulling) as part of a comprehensive treatment approach. Methods: A single patient diagnosed with OSMF was treated using Ayurvedic interventions designed to alleviate symptoms and address the root causes. The treatment protocol included Pratisarana and Kavala to reduce fibrosis and inflammation. Systemic medications and lifestyle modifications, including cessation of betel nut consumption, were also prescribed to enhance therapeutic benefits. Results: Significant improvement was observed in the patient, including increased interincisal distance and reduced symptoms such as burning sensation and eating difficulty. The treatments not only provided symptom relief but also contributed to reversing the pathological changes characteristic of OSMF. Conclusion: This case highlights the effectiveness of Ayurvedic treatments in managing OSMF. Localized therapies like Pratisarana and Kavala demonstrated anti-inflammatory, wound-healing, and fibrosis- reducing properties, resulting in improved patient outcomes. Further research is recommended to validate these findings and establish Ayurveda as a complementary approach to OSMF management. Keywords: Oral submucous fibrosis, Kavala, Pratisarana, Mukhapaka
Publication date: 01/05/2026

https://www.ijbpas.com/pdf/2026/May/MS_IJBPAS_2026_10079.pdf

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https://doi.org/10.31032/IJBPAS/2026/15.5.10079