EAS Publisher | Rehabilitation after Ankylosis Surgery with the Use of a Personalised Expansion Trismus Relieving Appliance

Rehabilitation after Ankylosis Surgery with the Use of a Personalised Expansion Trismus Relieving Appliance

DOI : https://doi.org/10.36349/easjdom.2025.v07i01.005

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Temporomandibular joint (TMJ) ankylosis is a condition where the mandible is fused to the fossa, causing discomfort and potentially life-threatening issues. Factors include trauma, odontogenic and non odontogenic infections, prior surgical interventions, congenital defects, iatrogenic/idiopathic causes, with trauma being the most common cause. Treatment is mainly surgical, followed by long-term physiotherapy, preferably through a trismus opening appliance. We present a case of a young female patient who was surgically treated for right-side TMJ ankylosis. The patient had a limited mouth opening, which made impression making difficult. A double-sided, spring-loaded expansion appliance was fabricated that was customised to the patient's occlusal surfaces of maxillary and mandibular arches. The appliance was difficult to wear initially, but after continuous expansion over a time period, the trismus was relieved and normal mandibular movements were restored. Patient was thoroughly satisfied with the outcome of the treatment.

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Lecturer, Dept. of Pharmacology and Therapeutics, Shaheed Monsur Ali Medical College & Hospital, Uttara, Dhaka-1230, Bangladesh

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