Oral Surgery · single question

After an IANB, a patient develops trismus. Which muscle is most often involved?

  1. Lateral pterygoid
  2. Buccinator
  3. Medial pterygoid
  4. Masseter only
Show answer and explanation

Correct answer: C. Medial pterygoid

  • A. Incorrect – less commonly implicated in IANB trismus.
  • B. Incorrect – a thin facial-expression muscle, not the cause of trismus.
  • C. Correct – the needle passes near/through the medial pterygoid during an IANB; trauma/hematoma here is the classic cause of post-injection trismus.
  • D. Incorrect – the masseter is not the structure penetrated during an IANB.

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