Additional Effects of Joint Mobilization in Addition to Rocabado Exercises on Alleviating Trismus Following Third Molar Extraction

Foundation University Islamabad

Status: Active, not recruiting

Conditions: Trismus

Treatments: Procedure: Rocabado exercises; Procedure: Maitland oscillatory mobilizations; Procedure: Electrotherapy

Study type: Interventional

Funder types: Other

Identifiers

NCT06534619

FUI/CTR/2024/18

Details and patient eligibility

About

Without appropriate early intervention, prolonged trismus can lead to lasting complications like reduced jaw mobility or temporomandibular joint disorders.Therefore joint mobilization will impact on trismus, that will offer valuable insights into how these interventions will affect inflammation, muscle function and overall healing process within TMJ besides rocabado exercises that involves a series of movements and stretches targeting the muscles and joints involved in chewing,swallowing and speaking and minimizing muscle tension and opening the mouth, preventing further deterioration of jaw function and improving overall quality of life of individuals. If found effective, this will be added to the literature for the treatment of trismus after third molar extraction.

Enrollment: 54 estimated patients

Sex: All

Ages: 18 to 45 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Referral or consultation from a dentist to confirm the diagnosis of trismus.
• Age 18-45 years
• Both genders (Male and Female)
• Maximal interincisal opening ≤ 35mm (Restricted jaw motion).
• Unilateral/Bilateral impacted lower third molars.
• 3 days Post mandibular Third molar extraction

Exclusion criteria

• Local Infection or bleeding post third molar extraction.
• Patients with Acute pericoronitis
• Patient undergoing chemotherapy and radiotherapy.
• Type I diabetes, renal failure and chronic liver disease were excluded as immunocompromised state.
• Pregnant or lactating women.
• Cyst or tumor associated with impacted tooth

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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54 participants in 2 patient groups

Maitland joint mobilization + Rocabdo exercises

Experimental group

Description:

Therapeutic ultrasound: pulse mode - 1:4, frequency 3 MHz, intensity- 0.8 watt/cm2 for about 3-4 Minutes. Mobilizations will be performed in Grade 1 initially and then progressed to Grade 2 and 3. Techniques used are anterior, lateral and inferior glides Frequency: 3-4 times in 1 week . 4 sessions in total.

Treatment:

Procedure: Electrotherapy

Procedure: Maitland oscillatory mobilizations

Procedure: Rocabado exercises

Rocabado exercises

Experimental group

Description:

Participants of this Group will receive the conventional physical therapy along with 6 Rocabado exercises.6 reps each Therapeutic ultrasound: pulse mode - 1:4, frequency 3 MHz, intensity- 0.8 watt/cm2 for about 3-4 Minutes. Frequency: 3-4 times in 1 week . 4 sessions in total.

Treatment:

Procedure: Electrotherapy

Procedure: Rocabado exercises