I have trismus now what?
Muscle trismus Treatment
Bottom line for trismus treatment
5. If the pain is persistent and continues for more than 10 days I want a phone call. That could be a sign of an infection setting in.
Another similar condition is jaw joint and muscle strain/sprain (JAMSS)
JAMSS describes acute trauma to the joint or muscles from dental work. It is a common occurrence.
What is JAMSS feel like?
Symptoms vary and last for just a few days to several weeks in the acute phase. Patients will experience any or all of the following.
- Pain in front of the ear (joint pain)
- Inability to open all the way
- Pain to chewing or speaking
What are the higher risk procedures? What procedures should you consider pre-dosing ibuprofen for?
- The further back the more risk.
- The longer the procedure will take the more risk.
- The more pressure that the dentist uses the more risk, which likely means an extraction.
- A female patient is also higher risk, although that may relate to mouth size.
We have a few risk factors that we use to decide whether or not to give anti-inflammatory medication before we start. These are guides more than rules for us and we just give 400 mg ibuprofen but if they can not take that then we do 500 mg Tylenol.
- Does the patient already suffers from chronic pain or TMD then they get ibuprofen at the start of their visit.
- If we are working on a molar for over an hour or more on a female.
- If we are taking out a tooth.
- If we are doing a root canal.
Long term issues with these acute injuries
These acute injuries can trigger chronic TMD in susceptible patients. More than 50% of patients state their TMD report their initial onset of pain was from dental care.
Treatment for JAMSS is similar to Trimus as both are about getting inflammation under control quickly.
We use similar recommendations as Brady April 2017 Inside Dentistry
- Limit clenching, grinding, and other forms of overuse of the jaws.
- Tylenol and Advil alternating
- Hydrotherapy or alternating hot and cold packs.