I've had trismus for over 3 weeks now after having a cracked tooth pulled. This tooth had considerable work done on it and was going to get a crown when the dentist discovered it was cracked all the way down to the root. My jaw was getting very stiff each time work was done. Two days later I had it pulled and got the trismus. I am currently going to both the oral surgeon, and a physical therapist. I can assure you that nothing so far has worked. Would botox? If so, where would be a good place to have this type of treatment?
Trismus is a common complacation after lower molar extraction. However, it tends to resolve within a week if appropriate antibiotics is administered. Another common cause of trismus is disc displacement without reduction. If there is no disc pathology involved, application of cold spray along masseter muscle , restoration of normal rang of motion is generally immediately restored. Seeing a tmj specialist is advised.
Botox exserts it's therapeutic effect by blocking neuromuscular junction, which resultis in paralysis of targeted muscle. However, therapeutic effect lasts 3-6 months. The clinician really needs to know whether mechanical blockage of tmj is present or not. Seeing a competent tmj specialist is advised.
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