Comparison Between Buccal Pad Of Fat Graft And Collagen Membrane In Surgical Management Of Oral Submucous Fibrosis

ABSTRACT

Aims and objectives: To evaluate and compare the effectiveness of the buccal pad of Fat (BPF) and collagen membrane for the reconstruction of the defects secondary to the resection of the Fibrotic bands in oral submucous fibrosis (OSMF). Materials and methods: 20 patients of OSMF diagnosed clinically with mouth opening less than 25 mm were selected. Patients were divided into group I (BPF) and II (collagen membrane) of 10 patients each. After excision of the fibrotic bands, mouth opening was checked and if it was found to be < 35 mm, then bilateral coronoidectomy was carried out along with extraction of third molars. Results were compared within the parameters of maximal mouth opening (MMO), postoperative pain and duration taken for epithelialization. Result: Study showed statistically insignificant difference in the postoperative mouth opening and pain, significant difference in time taken for epithelisation. Conclusion: Present study indicates both BPF and Collagen membrane are versatile materials for the treatment of OSMF. Collagen membrane is superior to BPF in terms of time taken for epithelisation.