<s>[INST] Hi I was chewing guthka due to which Ive limited mouth opening. However Ive quit the same.Now Ive a problem with my wisdom teeth as they are not alligned properly for which I am suffering from swelling gums and pain. Now I want them to be surgically removed but my limited mouth opening is creating problems. Kindly suggest [/INST] Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have reduced mouth opening due to chewing habit of tobacco, this can be due to fibrosis in buccal mucosa. This condition Oral Submucous fibrosis is treated by medicine and surgical removal of fibrous band You can do Mouth opening exercises by consulting your dentist. Apply ointment Tess on cheek twice daily for 15 days. One Tablet vitamin A once daily for 15 days. One Tablet Antioxidant twice daily. Consult dentist for exercises and oral examination Hope this will help you. </s>