Page 322 - Demo

Chapter 12320Table 8. continued.Phase Timing Therapy3 From 4 weeks on after surgeryTransition to solid dietStabilization exercises1. Lower jaw maintained in a neutral, slightly open position (lateral manual pressure: 1x6 repetitions, 5 times per day; upward manual pressure: 6 repetitions, 5 times per day)Lower jaw maintained in a closed position (attempting to open the during upward manual pressure: 6 repetitions, 5 times/day)Range of motion exercises1. Maximum opening (insertion of tongue spatula or TheraBite system: 5x30 seconds, 5 times per day; active assisted opening: 5 repetitions, keeping the maximum mouth opening for 30 seconds - 1 minute, 3 times per day; active opening: 5 repetitions, keeping the maximum mouth opening for 30 seconds -1 minute, 3 times per day)2. Lateral deviation: 10 repetitions, 3 times per day per sideGrade III & IV joint distractionMassage of masticatory musclesUse of chewing gumFirst Phase (Days Postoperatively)Fig. 2: Goldfish exercise: Condylar rotation. The mouth is opened and closed while the tongue pressed against the palate.Nikolas de Meurechy NW.indd 320 05-06-2024 10:15