Treating trismus with dynamic splinting: a cohort, case series

A systematic review of trismus induced by cancer therapies in head and neck cancer patients

“…Dynasplint® Trismus System seems to be effective in the reduction of contracture of the muscles of mastication (radiotherapy-induced trismus; level of evidence III, recommendation grade B, and no guideline possible) [22].…”

“…We found five therapeutic papers, which focus on various drugs or devices tested for the improvement of mouth opening, and/or physiotherapy [4,9,10,17,22]. These studies covered such activities as "gentle passive motion" beginning as soon as possible after radiation.…”

Radiation Fibrosis Syndrome: Neuromuscular and Musculoskeletal Complications in Cancer Survivors

“…The DTS is a commercially available dynamic jaw-opening device that operates on the principle of low-torque, prolonged duration stretch, which may be more effective at improving range of motion in an experimental model [79]. The DTS demonstrated efficacy in achieving improved jaw opening in a retrospective evaluation of 48 patients with trismus from 4 cohort groups, including radiation therapy for HNC, dental treatment, oral surgery, and stroke [80]. A recent study of the DTS system as part of multimodal treatment of trismus in HNC patients demonstrated significant improvement in maximal interincisal distance, particularly in patients who were able to be compliant with the program from 16 to 27 mm [72].…”

Mouth opening in patients irradiated for head and neck cancer: A prospective repeated measures study

“…The prevalence of trismus following RT ranges from 25% to 46% [4][5][6]. Trismus has a negative impact on function and quality of life [1,[7][8][9][10][11]. It impairs eating, speech, oral hygiene, dental treatment, airway clearance, and oncological follow-up [1,5,12].…”