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Difficulty in opening and closing mouth post articular eminence surgery, using dentures and implants with abutments. Any remedy?

My Mom has TMJ and had surgery she had the articular eminence surgery. ! month post op and she still spasms open and cannot chew the minute she opens her mouth a slight but it widens and cannot open and close her mouth at all she tries but it is very hard and painful. She wear dentures on top and impants with abutments on the bottom. They have prescribed valum and felxeral but her body is immune to it. Is there anything that can be done for the muscle spasms? Will she ever be able to use her mouth to open and close ? She cannot control the jaw. Help me Im so stressed out.
Asked On : Fri, 14 Dec 2012
Answers:  3 Views:  40
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Dentist 's  Response

Thanks for asking the query,

Difficulty in opening and closing of the mouth can be due to muscle spasms.
I would suggest you to give her muscle relaxants.

Take a towel dipped in warm water and apply on her TMJ on both the sides for 3-4 times a day.
Do warm saline gargles 3-4 times a day to give a soothing effect.

Take a soft diet.
Maintain a good oral hygiene.

If the symptoms persists or even worsen visit to the concerned Dentist and get the checkup done.

Hope this helps out.

Answered: Sun, 14 Apr 2013
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Orthopaedic Surgeon Dr. Praveen Tayal's  Response
Thanks for writing to us.
The muscle spasms that your mother is having is commonly seen after such procedures. Oral muscle relaxants and a regular hot fomentation can help to relieve her symptoms to some extent. You can also get her examined to rule pout any collection in the area.
I hope this information has been both informative and helpful for you.
Dr. Praveen Tayal
Answered: Wed, 19 Dec 2012
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Dentist Dr. Khushboo Bhatia's  Response
* Massaging your jaw line can also help alleviate the pain. Gently place two fingers on both cheeks and apply pressure on both. Massage the jaw in a circular pattern for about ten times, similar to the open and close mouth exercise.
* You can also apply ice packs to the sore spots. Ice packs usually numb the area and decrease the inflammation and pain. Wrap the ice pack in a clean, dry towel while using and apply it for no longer than 15 minutes. The ice can be alternated with a heat pack which will help to relax muscles and also reduce pain. Wrap the heat pack in a towel to avoid burns. Apply either heat or cold to the side of your face.
Answered: Sat, 22 Dec 2012
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