Sixty eight patients who have TMJ pain and ROM restriction after maxillofacial surgery participated in this study , they are selected from government hospitals (general and insurance ).

Will be randomly divided into two equal groups ( group A, group B ). Their ages range from 20 - 35 years.

The Purpose of the study is to evaluate the therapeutic efficacy of VR in decreasing pain and improve ROM for Patients after maxillofacial surgery.

Sixty eight patients who have TMJ pain and ROM restriction after maxillofacial surgery participated in this study , they are selected from government hospitals (general and insurance ).

Will be randomly divided into two equal groups ( group A, group B ). Their ages range from 20 - 35 years.

The VR glasses which were the source of visual and auditory feedback, were connected by Bluetooth to a mobile phone and all the videos of selected tasks (tasks of Active mobility exercises and isometric contraction exercises, massage exercises) were turned on. Active mobility exercises (jaw opening 6 times of 30 s; lateralization 10 times of 5 s; protrusion 10 times Of 5 s).

• Self-massage masticatory Muscles, After each session.
• Isometric contraction exercises The Purpose of the study is to evaluate the therapeutic efficacy of VR in decreasing pain and improve ROM for Patients after maxillofacial surgery.

Inclusion Criteria:

• The subject selection will be according to the following criteria:

  • Patients after Arthrocentesis .
  • Patients after Temporomandibular joint condylar discopexy.
  • Age ranges between 30 - 45 years.
  • All patients will have informed consent .Exclusion Criteria:

• • Surgery That conducted on the temporomandibular joint (meniscectomy, arthroscopy, etc.).

  • oral surgery (e.g., surgery for impaction of the third molar), as well as patients with concomitant systemic or neurological conditions.