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Treating trismus with dynamic splinting: a case report.

David H Shulman¹, Barry Shipman, Frank B Willis

¹Shulman & Associates Physical Therapy, Towson, MD, USA.

Journal of Oral Science

|March 28, 2009

Summary

This summary is machine-generated.

Dynamic splinting effectively reduced severe trismus (limited jaw opening) in a patient post-dental surgery. This noninvasive treatment significantly improved maximal interincisal distance, restoring normal function.

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Area of Science:

Oral Medicine
Physical Therapy
Rehabilitation Medicine

Background:

Trismus, characterized by restricted jaw movement, often follows dental procedures, oral surgery, or head and neck cancer radiation.
Mastication muscle spasticity can severely impact a patient's quality of life, affecting eating and speaking.
Conventional treatments may include physical therapy modalities such as massage, ultrasound, neuromuscular electrical stimulation (NMES), and moist heat.

Observation:

A 26-year-old male presented with severe trismus and pain after multiple dental procedures on his lower right molars.
The patient exhibited a maximal interincisal distance (MID) of only 5mm and significant mastication muscle spasticity.
This case report focuses on a patient experiencing trismus secondary to extensive dental work.

Findings:

A comprehensive treatment plan involving physical therapy and dynamic splinting was implemented.
Following two months of physical therapy and four weeks of dynamic splinting (three times daily), the patient's MID increased to 52mm.
The patient successfully regained normal eating and speaking capabilities.

Implications:

Dynamic splinting presents a promising noninvasive therapeutic option for managing trismus.
This case highlights the potential of combining physical therapy with dynamic splinting for optimal patient outcomes.
Further research into dynamic splinting for post-dental procedure trismus is warranted to establish its efficacy across diverse patient populations.