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OpenTrials
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NCT Number: NCT06534619

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

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.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

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Key information

Conditions

Trismus Nervous System Diseases Neurologic Manifestations Neuromuscular Manifestations Pathological Conditions, Signs and Symptoms Signs and Symptoms Spasm

Age range

18 year–45 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Foundation University College of Physical Therapy

Rawalpindi, Punjab Province, 46000, Pakistan

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Electrotherapy

Procedure

Therapeutic ultrasound: pulse mode - 1:4, frequency 3 MHz, intensity- 0.8 watt/cm2 for about 3-4 minutes.

Rocabado exercises

Procedure

6 Rocabado exercises 6 Reps each.

Maitland oscillatory mobilizations

Procedure

Mobilizations will be performed in Grade 1 initially and then progressed to Grade 2 and 3.

Techniques used are anterior, lateral and inferior glides

Primary outcomes

  1. Pain intensity

    Time frame: 1 week

    pain will be measured using Numeric pain rating scale

  2. Range of motion

    Time frame: 1 week

    A Vernier caliper will be used to measure maximal incisal opening (MIO) ≤ 35 mm (ROM)

  3. Functional Performance

    Time frame: 1 week

    Gothenburg Trismus Questionnaire will be used for assessing functional performance or trismus-related quality of life.

Sponsors and collaborators

Lead sponsor

Foundation University Islamabad

Other

Registry information

Important dates

Study start
2024
Primary completion
2024
Study completion
2024
First posted
Aug 2, 2024
Registry last updated
Aug 2, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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