Oral Surgery · single question

A patient presents with right jaw deviation on opening toward the left with limited opening of 32mm and pain. The best medication is:

  1. Ibuprofen
  2. Prednisolone
  3. Amoxicillin
  4. Cyclobenzaprine (Flexeril)
Show answer and explanation

Correct answer: D. Cyclobenzaprine (Flexeril)

  • A. Ibuprofen reduces inflammation/pain but does not address the muscle spasm component.
  • B. Prednisolone is a corticosteroid — used for inflammatory arthritis of the TMJ, not muscle spasm.
  • C. Amoxicillin is an antibiotic — not indicated for muscle spasm without infection.
  • D. Correct. Cyclobenzaprine (Flexeril) is a muscle relaxant used specifically for myospasm and myofascial pain in the masticatory muscles. For TMJ myospasm causing jaw deviation and limited opening, it is the primary pharmacologic treatment.

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