Concluded Case

C/c Difficulty in opening of oral cavity Partially trismus Dr's please dx ND treatment plan There is no pain Top - ive in all quadrant ND teeth H/o normal opening 1month back No history of trauma

(Edited)

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Concluded answer

It should fall in these only -Motor disturbance in Trigeminal nerve? -Tetanus Infection? -Dental infection? Root pieces seen. odontogenic (pulpal/periodontal/pericoronal) non odontogenic (Tonsil/parodid) -Trauma - u ruled out however. -Recent dental treatment? -TMD/TMJ associated -Disc Arthritis -Myo facial spasm -Tumour/cysts? .... -Myositis ossificans ....feel the hardness of the Masseter......muscles of mastication -OSMF .....feel the texture of the mucosa. -Drugs? Tricyclic antidepressants? Phenothyazine? Metaclopromide? -Any history or radiotherapy? Post radiation fibrosis possibilities? Lupus? Treatment- as of now Heat therapy. physiotherapy soft diet & chewing sugar free gum. Analgesics Anti spasmodics / Muscle relaxants

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It should fall in these only -Motor disturbance in Trigeminal nerve? -Tetanus Infection? -Dental infection? Root pieces seen. odontogenic (pulpal/periodontal/pericoronal) non odontogenic (Tonsil/parodid) -Trauma - u ruled out however. -Recent dental treatment? -TMD/TMJ associated -Disc Arthritis -Myo facial spasm -Tumour/cysts? .... -Myositis ossificans ....feel the hardness of the Masseter......muscles of mastication -OSMF .....feel the texture of the mucosa. -Drugs? Tricyclic antidepressants? Phenothyazine? Metaclopromide? -Any history or radiotherapy? Post radiation fibrosis possibilities? Lupus? Treatment- as of now Heat therapy. physiotherapy soft diet & chewing sugar free gum. Analgesics Anti spasmodics / Muscle relaxants

Agreed with Dr Narayana
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Is there any paan or betal nut chewing habit? Any history of burning sensation in oral cavity? Check whether there is blanching of buccal mucosa or any fibrous band palpable? D/D- OSMF coronoid hyperplasia

Well explained @Dr. Narayana S sir All the causes have been mentioned

Looking more like submucous fibrosis ask for history. Also get a CT done to see if some pharyngeal space infection

Try to open the mouth with in 10 days .first one finger then 2finger then 3 finger .give musele relaxant also

Trismus occur with in 10 days u have to correct it.otherwise stiff

If any extraction done in betveen.

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