Practice abstract


British Dental Journal 204, 125 - 131 (2008)
Published online: 9 February 2008 | doi:10.1038/bdj.2008.47

Subject Categories: Oral surgery | Patient management | Special needs

Management of patients with reduced oral aperture and mandibular hypomobility (trismus) and implications for operative dentistry

M. J. Garnett1, F. S. Nohl2 & S. C. Barclay3

  • Refreshes knowledge and reviews the causes of microstomia and mandibular hypomobility.
  • Introduces and reviews available treatment options.
  • Outlines recommendations when undertaking dental treatment for patients with reduced oral aperture and mandibular hypomobility.


Reduced oral aperture and mandibular mobility/trismus are relatively common conditions that can be encountered in patients attending general dental practice, community dental practice and district general or dental teaching hospitals. All dental specialties may see patients with these conditions, and regardless of which environment or specialty, both patient and clinician may experience significant problems. The purpose of this opinion-based paper is to identify and review the causes of such conditions, to review the development of problems encountered for patients and clinicians, and to identify options to treat or manage the conditions.

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  1. Specialist Registrar, Newcastle Dental Hospital, Richardson Road, Newcastle upon Tyne, NE2 4AZ
  2. Consultants in Restorative Dentistry, Department of Restorative Dentistry, Newcastle Dental Hospital, Richardson Road, Newcastle upon Tyne, NE2 4AZ
  3. Consultants in Restorative Dentistry, Department of Restorative Dentistry, Newcastle Dental Hospital, Richardson Road, Newcastle upon Tyne, NE2 4AZ

Correspondence to: M. J. Garnett1 e-mail: matthew.garnett@nuth.nhs.uk




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