Trismus
Conditions
Brief summary
Without appropriate early intervention, prolonged trismus can lead to lasting complications like reduced jaw mobility or temporomandibular joint disorders.Therefore joint mobilization will impact on trismus, that will offer valuable insights into how these interventions will affect inflammation, muscle function and overall healing process within TMJ besides rocabado exercises that involves a series of movements and stretches targeting the muscles and joints involved in chewing,swallowing and speaking and minimizing muscle tension and opening the mouth, preventing further deterioration of jaw function and improving overall quality of life of individuals. If found effective, this will be added to the literature for the treatment of trismus after third molar extraction.
Interventions
PROCEDUREElectrotherapy
Therapeutic ultrasound: pulse mode - 1:4, frequency 3 MHz, intensity- 0.8 watt/cm2 for about 3-4 minutes.
PROCEDURERocabado exercises
6 Rocabado exercises 6 Reps each.
PROCEDUREMaitland oscillatory mobilizations
Mobilizations will be performed in Grade 1 initially and then progressed to Grade 2 and 3. Techniques used are anterior, lateral and inferior glides
Sponsors
Foundation University Islamabad
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
This is a randomized controlled trail, having two groups. One group will receive Maitland joint mobilization along with rocabado exercises and the second will receive rocabado exercises only. Both groups will be recruited concurrently.
Eligibility
Sex/Gender
ALL
Age
18 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
* Referral or consultation from a dentist to confirm the diagnosis of trismus. * Age 18-45 years * Both genders (Male and Female) * Maximal interincisal opening ≤ 35mm (Restricted jaw motion). * Unilateral/Bilateral impacted lower third molars. * 3 days Post mandibular Third molar extraction
Exclusion criteria
* Local Infection or bleeding post third molar extraction. * Patients with Acute pericoronitis * Patient undergoing chemotherapy and radiotherapy. * Type I diabetes, renal failure and chronic liver disease were excluded as immunocompromised state. * Pregnant or lactating women. * Cyst or tumor associated with impacted tooth
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity | 1 week | pain will be measured using Numeric pain rating scale |
| Range of motion | 1 week | A Vernier caliper will be used to measure maximal incisal opening (MIO) ≤ 35 mm (ROM) |
| Functional Performance | 1 week | Gothenburg Trismus Questionnaire will be used for assessing functional performance or trismus-related quality of life. |
Countries
Pakistan
Outcome results
None listed