Fibrotomy and interposition of the graft in surgical defects followed by intense physiotherapy is the accepted surgical management for OSMF. The use of Abdominal Dermal Fat Pad (ADFP) as an inter-positional graft has proven successful in advanced OSMF cases. Ease of harvest with abundant volume, minimal morbidity, and ease of contouring to fit any defect, healing without complication. Additional benefits were marked improvement in mouth opening, and excellent healing of intraoral defect by re-epithelisation, with minimal donor site morbidity even after one year of follow-up, proving more beneficial as compared to other grafts.

Keywords: OSMF, Fibrotomy, Abdominal dermal fat pad graft, Oral screen