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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).
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.
The jaw elevator muscles develop the main forces used in mastication. The force generated during routine mastication of food such as carrots or meat is about 70 to 150 newtons (16 to 34 lbf ). The maximum masticatory force in some people may reach up to 500 to 700 newtons (110 to 160 lbf ).
The systematization of the masticatory force distribution was designed by Nankali in the National Medical University at the orthopedic and implant stomatology department, which was verified (October 1999) by the Scientific Board of National Medical University (O.O. Bogomolets) and international patent organization (УДК; 616.314-76-77:616.314.11-74:678.029.46:612.311) in Kiev.
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