Clinician’s Handbook of Oral and Maxillofacial Surgery by Daniel M. Laskin
Author:Daniel M. Laskin
Language: eng
Format: epub
Publisher: International Quintessence Publishing Group
Published: 2011-12-08T16:00:00+00:00
Trismus
Postinjection trismus will result from trauma to muscles and blood vessels in the pterygomandibular space and infratemporal fossa. Muscle trauma and inflammation can result either directly from needle injury or indirectly from hematoma formation.
High concentrations of vasoconstrictor resulting from multiple injections can also cause tissue necrosis and trismus.
Postinjection trismus is treated with nonsteroidal anti-inflammatory drugs (NSAIDs), moist heat applications, and muscle relaxants, if necessary. Physiotherapy, including mouth opening and lateral excursive movement exercises, is also recommended.
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