OMFS question: Rec. Tx. for Trismus after ext's

[omfsj]

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Can any OMFS residents recommend a treatment for trismus following wisdom teet extractions? open 7 times for 7seconds, 7 times a day, warm compress, what pain meds, any antibiotics?
Is Norgesic good for this purpose ?
What muscle relaxer can a general dentist prescribe for trismus if any is indicated?
Thanks in advance

 

[Bifid Uvula]

I predict this thread will close....

 

[Dr. Dai Phan]

Can any OMFS residents recommend a treatment for trismus following wisdom teet extractions? open 7 times for 7seconds, 7 times a day, warm compress, what pain meds, any antibiotics?
Is Norgesic good for this purpose ?
What muscle relaxer can a general dentist prescribe for trismus if any is indicated?
Thanks in advance

Let me jump in before a lock is put on it. Warm pad application, muscle relaxants and taped together tounge blades (put in mouth for 3 minutes then repeat). DP

 

[scalpel2008]

Can any OMFS residents recommend a treatment for trismus following wisdom teet extractions? open 7 times for 7seconds, 7 times a day, warm compress, what pain meds, any antibiotics?
Is Norgesic good for this purpose ?
What muscle relaxer can a general dentist prescribe for trismus if any is indicated?
Thanks in advance

most surgical extractions have some degree of trismus for a couple of days. no need to treat. usually resolves w/i 1 week. i don't like throwing pills at patients to treat a normal physiologic response such as this. if trismus persists beyond a few days, some gentle jaw opening exercises a few times a day should suffice. prolonged trismus should make you start thinking of tmj trauma (use of too large of a bite block, or too much torque) resulting in hemearthrosis. Then jaw exercises are important especially in the younger population. I don't like the shoving a stack of tongue blades technique.

 

[Dr. Dai Phan]

I don't like the shoving a stack of tongue blades technique.

Interesting as that method works wonder for me. DP

 

[toofache32]

Interesting as that method works wonder for me. DP

How do you know, when they get better anyway?

 

[Dr. Dai Phan]

How do you know, when they get better anyway?

They will get better on their own but you can speed up the process faster if intervention is done right away. DP

 

[NUKE]

i don't like throwing pills at patients to treat a normal physiologic response such as this.

Do you "throw pills" at the normal response of pain??

 

[scalpel2008]

Do you "throw pills" at the normal response of pain??

yes.