Persistent trismus following mandibular third molar extraction and its management: A case report and literature review

Zhang,Yingjie; Zhuang,Peilin; Jia,Bo; Xu,Jing; Cui,Qiuju; Nie,Lihuan; Wang,Zhiping; Zhang,Zhaoqiang

doi:10.3892/wasj.2020.73

January-February 2021 Volume 3 Issue 1

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January-February 2021 Volume 3 Issue 1

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Case Report Open Access

Persistent trismus following mandibular third molar extraction and its management: A case report and literature review

Authors:
- Yingjie Zhang
- Peilin Zhuang
- Bo Jia
- Jing Xu
- Qiuju Cui
- Lihuan Nie
- Zhiping Wang
- Zhaoqiang Zhang
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Affiliations: Department of Orthodontics, Stomatological Hospital, Southern Medical University, Guangzhou, Guangdong 510280, P.R. China, Department of Stomatology, Sun Yat‑Sen Memorial Hospital, Sun Yat‑Sen University, Guangzhou, Guangdong 510120, P.R. China, Department of Oral and Maxillofacial Surgery, Stomatological Hospital, Southern Medical University, Guangzhou, Guangdong 510280, P.R. China, Department of Pediatric Dentistry, Haizhu Square Branch, Stomatological Hospital, Southern Medical University, Guangzhou, Guangdong 510120, P.R. China

Copyright: © Zhang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
Article Number: 2
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Published online on: November 9, 2020

https://doi.org/10.3892/wasj.2020.73
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Abstract

Trismus is one of the common complications which occur following the extraction of mandibular impacted third molars. This generally occurs due to low‑grade infection, repeated muscle stimulation, as well as other causes. This symptom is usually relieved after 1 to 2 weeks; however, it may persist for >1 month post‑operatively in very rare cases. The present study reports the case of a patient with trismus at 45 days following mandibular third molar extraction. The patient received local and systemic anti‑inflammatory treatment, combined with incision and drainage therapy under local anesthesia. In the present study, an analysis of the factors associated with the occurrence and development of trismus is also included, as well as appropriate management strategies in order to provide an effective treatment method for affected patients and for the prevention of trismus in the future.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Persistent trismus following mandibular third molar extraction and its management: A case report and literature review

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