Additional Effects of Joint Mobilization in Addition to Rocabado Exercises on Alleviating Trismus Following Third Molar Extraction

Additional Effects of Joint Mobilization in Addition to Rocabado Exercises on Alleviating Trismus Following Third Molar Extraction

Without appropriate early intervention, prolonged trismus can lead to lasting complications like reduced jaw mobility or temporomandibular joint disorders.Therefore joint mobilization will impact on trismus, that will offer valuable insights into how these interventions will affect inflammation, muscle function and overall healing process within TMJ besides rocabado exercises that involves a series of movements and stretches targeting the muscles and joints involved in chewing,swallowing and speaking and minimizing muscle tension and opening the mouth, preventing further deterioration of jaw function and improving overall quality of life of individuals. If found effective, this will be added to the literature for the treatment of trismus after third molar extraction.

Inclusion Criteria:

• Referral or consultation from a dentist to confirm the diagnosis of trismus.
• Age 18-45 years
• Both genders (Male and Female)
• Maximal interincisal opening ≤ 35mm (Restricted jaw motion).
• Unilateral/Bilateral impacted lower third molars.
• 3 days Post mandibular Third molar extraction

Exclusion Criteria:

• Local Infection or bleeding post third molar extraction.
• Patients with Acute pericoronitis
• Patient undergoing chemotherapy and radiotherapy.
• Type I diabetes, renal failure and chronic liver disease were excluded as immunocompromised state.
• Pregnant or lactating women.
• Cyst or tumor associated with impacted tooth