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Specific findings include the following: Reduction of the mouth opening (trismus) Stiff and small tongue Blanched and leathery floor of the mouth Fibrotic and de-pigmented gingiva Rubbery soft palate with decreased mobility Blanched and atrophic tonsils Shrunken budlike uvula Sinking of the cheeks, not commensurate with age or nutritional status Stage 3 Leukoplakia is precancerous and is found in more than 25% of individuals with oral sub-mucous fibrosis

Clinical Assessment to Screen for Oral Cavity Cancer and Potentially Malignant Disorders in Apparently Healthy Adults

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Kowanetz, M