A patient experiences pain when biting down on a rolled piece of gauze. What is the next appropriate intervention?

• A. Soft tissue mobilization and stretching of the right side masseter
• B. Application of ice to the affected area
• C. Occlusal splint fabrication
• D. Postural training

Answer: (A)

The situation describes a patient experiencing pain that may suggest a muscular or temporomandibular joint (TMJ) issue, particularly involving the masseter muscle, which is responsible for biting and chewing. Performing soft tissue mobilization and stretching of the right side masseter muscle directly targets the area of discomfort and may help alleviate pain through improved muscle function, reduced tension, and enhanced range of motion. This intervention promotes relaxation of the muscle, potentially addressing any trigger points or tightness that could be contributing to the patient's symptoms.

The other interventions may not be as directly effective for the specific issue presented. While application of ice can reduce inflammation and provide temporary relief, it does not address the muscle tightness that may be causing pain during function. Occlusal splint fabrication is beneficial for protecting the teeth and reducing strain on the temporomandibular joint but does not provide immediate relief for muscle discomfort. Postural training may improve overall positioning and muscle function in the long term, but it does not directly address the acute pain associated with biting.

By focusing on soft tissue mobilization and stretching, the intervention is tailored to address the immediate source of the patient's symptoms, which can result in quicker relief and improved functionality.