### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi , i am 33 year old male and have been diagnosed with OSMF , although I didnt abstain from chewing pan masala immediately after the diagnose , and kept eating until 3 months back .I have now completely quit chewing the Panmasala.My mouth opening is about two fingers I.e 25 mm with very moderate tounge coming out of the mouth10 mm the serious issues revolves around my third molar which is coming out and the doctor is unable to get to the impact area of extraction due to mouth opening issues , I have been going through this for the past 2 years , and the pain is there occasionally , but now I have finally decided to get it extracted , but the doctors are unable to do so , the pain when happens is unbearable and I am unable to eat during the peak pain period , it happens usually once in a couple of months ( the pain wasnt that bad when I used to eat pan masala).I have consulted a lot of oral maxilofacial surgeons , and they arent sure of how to go about it , some suggest general anesthesia , until I saw a laser treatment for the same , where in they will do the laser treatment for OSMF and once th mouth opening is achieved the third moral can be  extracted easily ( they say 10 days total and post treatment pysiotherapy)My doctor in the interim has not given any injection but a medicine SM FIBRO 2 tab daily ( multi vitamin).Is this the correct course , and will it help achieve the desired mouth opening to get the third molar extracted any time soon .Please advice .ThanksAtul

### output:

Thanks for your query, I have gone through your query. The OSF can be treated with Erbium Chromium Yttrium Scandium Gallium Garnet (Err:YEGG) laser which shows promising results. Consult a good oral maxillofacial surgeon and get it treated. The SM FI BRO is an Antonio, the dose you are taking is fine. You can take this for 15 days to a month. Once the mouth opening is achieved you can get the wisdom tooth removed. Even under general anesthesia, your mouth opening will be this much only so you can't get it removed till you improve the mouth opening. I hope my answer will help you, take care.