Author/Authors :
Chaitanya, Nallan C. S. K. Department of Oral Medicine and Radiology - Panineeya Institute of Dental Sciences, Hyderabad, India , Krishna Prasad, C. M. S. Department of Orthodontics and Dentofacial Orthopedics - Panineeya Institute of Dental Sciences, Hyderabad, India , Priyanka Danam, Reshma Department of Oral Medicine and Radiology - Panineeya Institute of Dental Sciences, Hyderabad, India , Nithika, Madireddy Department of Oral Medicine and Radiology - Panineeya Institute of Dental Sciences, Hyderabad, India , Suvarna, Chintada Department of Oral Medicine and Radiology - Panineeya Institute of Dental Sciences, Hyderabad, India , Nancypriyanka, Jampala Department of Oral Medicine and Radiology - Panineeya Institute of Dental Sciences, Hyderabad, India , Badam, Rajkumar Department of Orthodontics and Dentofacial Orthopedics - Panineeya Institute of Dental Sciences, Hyderabad, India
Abstract :
Trismus is the most common sequelae of various pathological processes leading to compromised nutritional state in addition to
physical and psychological disabilities. Therapeutic interventions are available to relieve trismus, which range from oral usage of
pharmacological agents to intralesional steroid therapy. Intraoral appliance therapy can be employed as an alternative or
adjuvant treatment for radiotherapy-induced fibrosis and autoimmune disorders such as scleroderma, psychogenic trismus, and
oral submucous fibrosis, decreasing the adverse effects associated with other pharmacological interventions. A novel intraoral
appliance—“Nallan C-H”—has been developed and tried for trismus producing better results. A report on three such cases
having trismus due to a premalignancy has been presented. It is hypothesized that the same appliance can be used for treating
inoperable trismus in palliative care setting additionally or as an adjuvant to pharmacological approach.