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Pain and tenderness on palpation in the muscles of mastication, or of the joint itself (preauricular pain – pain felt just in front of the ear). Pain is the defining feature of TMD and is usually aggravated by manipulation or function, [ 2 ] such as when chewing, clenching, [ 12 ] or yawning, and is often worse upon waking.
Trismus may be caused by spasm of the muscles of mastication or a variety of other causes. [3] Temporary trismus occurs much more frequently than permanent trismus. [4] It is known to interfere with eating, speaking, and maintaining proper oral hygiene.
The four classical muscles of mastication elevate the mandible (closing the jaw) and move it forward/backward and laterally, facilitating biting and chewing. Other muscles are responsible for opening the jaw, namely the geniohyoid , mylohyoid , and digastric muscles (the lateral pterygoid may play a role).
The mandible is moved primarily by the four muscles of mastication: the masseter, medial pterygoid, lateral pterygoid and the temporalis. These four muscles, all innervated by V 3, or the mandibular division of the trigeminal nerve, work in different groups to move the mandible in different directions. Contraction of the lateral pterygoid acts ...
2) Muscles. Begin by simply palpating the muscles concerned with the occlusion of the teeth. These muscles include the muscles of mastication and other muscles within the head and neck area, such as the supra-hyoid muscles. It is best to palpate the muscles simultaneously and bilaterally. [28]
A concerted effort of the lateral pterygoid muscles helps in lowering the mandible and opening the jaw. Unilateral action of a lateral pterygoid muscle causes contralateral excursion (a form of mastication), usually performed in concert with the medial pterygoids. [citation needed] When they work independently, they can move the mandible side ...
The cause is believed to be muscle tension or spasms within the affected musculature. [1] Diagnosis is based on the symptoms and possible sleep studies. [1] Treatment may include pain medication, physical therapy, mouth guards, and occasionally benzodiazepine. [1] It is a relatively common cause of temporomandibular pain. [1]
Common causes include inflammation of the pulp, (usually in response to tooth decay, dental trauma, or other factors), dentin hypersensitivity, apical periodontitis (inflammation of the periodontal ligament and alveolar bone around the root apex), dental abscesses (localized collections of pus), alveolar osteitis ("dry socket", a possible ...