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It is the inability to open the mouth wide due to the reflex muscular spasm (contraction)of the masticatory muscles and is usually a temporary rather than permanent condition.
CAUSES
Intra articular
a. Infective arthritis
b. c. d. e. f.
Osteoarthrosis Rheomatoid arthritis Ankylosis of the TMJ Intra capsular condylar fracture Dislocation
Extra articular
1.infections
Pericoronitis Ludwigs angina Submasseteric abscess infratemporal abscess Chronic infec.of the jaws Tuberculous osteomylitis of the ramus/body Sialoadenitis.Mumps
2.Inflammation.
Myositis or muscular atrophy.
Myositis ossificans.masseter muscle. Haematoma, inflammation or infection following mandibular block injection
3.Trauma.
Oedema, facial trauma, fracture z.arch and mandible.
4.Fibrosis
Ch.cervicofacial sepsis Post radiation therapy Ossification of the the sph.mand.ligament Band of scars and burns of the face/neck Oral submucous fibrosis Systemic sclerosis
poisoning,metoclopramide,phenothiazine neuroleptic
DIAGNOSIS
HISTORY
Biodata Chief Complaint History of presenting complaint Past medical history Family history Social/personal history Systemic review/examination
Maxillofacial
examination
DIFFERENTIAL DIAGNOSIS
Investigations
Radiological Haematological Histopathological
DIAGNOSIS
TREATMENT PLANNING
REVIEW