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Dental trismus is defined by difficulty in opening the jaw. It is a temporary condition that usually lasts no more than two weeks. Dental trismus is caused by an injury to the masticatory muscles, such as opening the jaw for an extended period of time or having a needle pass through a muscle.
Intraosseous anaesthetic injection involves the deposition of anaesthetic solution directly into the cancellous alveolar bone adjacent to the apex of the root of the tooth to be anaesthetised through a small hole. Additionally, more complex dental procedures like surgery or endodontic therapy (like root canals) might make use of it.
Also if the needle is placed too medially the medial pterygoid muscle can be injected, resulting in trismus. The sphenomandibular ligament may act as a barrier to the agent if the injection is given too shallow and the lingual nerve is only anesthetized. [3] This injection can rarely cause needle tract infections of the pterygomandibular space.
‘The risk of MRONJ after dental extraction was significantly higher in patients treated with ARD (antiresorptive drugs) for oncological reasons (3.2%) than in those treated with ARD for OP (osteoporosis) (0.15%) (p < 0.0001). Dental extraction performed with adjusted extraction protocols decreased MRONJ development significantly.
The risk of nerve injury in relation to mandibular dental implants is not known but it is a recognised risk requiring the patient to be warned. [10] If an injury occurs urgent treatment is required. The risk nerve injury in relation deep dental injections has a risk of injury in approximately 1:14,000 with 25% of these remaining persistent.
The goals of a PT in reference to treatment of TMD should be to decrease pain, enable muscle relaxation, reduce muscular hyperactivity, and reestablish muscle function and joint mobility. PT treatment is non-invasive and includes self-care management in an environment to create patient responsibility for their own health. [26]
Due to its high vascularity, injections into the pterygomandibular space carry a high risk of intravascular injection (injecting into a blood vessel). [4] Another possible complication of an inferior alveolar nerve block occurs when the needle is placed too deep, passing through the pterygomandibular space and into the parotid gland behind.
Local anaesthetic is used routinely for dental procedures in oral surgery, restorative, periodontal, and prosthetic dentistry. Infiltration injections are a safe and effective method for dealing with daily dental procedures and dental pain. [4] Nevertheless, some complications can arise from infiltrations.