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The main risk factor is areca nut chewing. Due to its high morbidity and high malignant transformation rate, constant efforts have been made to develop effective management. Despite this, there have been no significant improvements in prognosis for decades. This expert opinion paper updates the literature and provides a critique of diagnostic and therapeutic pitfalls common in developing countries and of deficiencies in management. An inter-professional model is proposed to avoid these pitfalls and to reduce these deficiencies.<\/jats:p>","DOI":"10.1186\/s40463-020-0399-7","type":"journal-article","created":{"date-parts":[[2020,1,8]],"date-time":"2020-01-08T11:02:47Z","timestamp":1578481367000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":195,"title":["Oral submucous fibrosis: A contemporary narrative review with a proposed inter-professional approach for an early diagnosis and clinical management"],"prefix":"10.1177","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2805-7255","authenticated-orcid":false,"given":"Naman R.","family":"Rao","sequence":"first","affiliation":[{"name":"Harvard Medical School, Harvard University, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Villa","sequence":"additional","affiliation":[{"name":"Division of Oral Medicine and Dentistry, Brigham and Women's Hospital, Boston, MA, USA"},{"name":"Harvard School of Dental Medicine, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chandramani B.","family":"More","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine and Radiology, K. 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