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Stretching Therapy for Limited Mouth Opening

Jaw Exercises
N-Stretch
1. Place tip of your tongue up against the roof of your mouth (in the N-position).
2. Stretch the jaw open in a straight line without dropping the tongue (about 2 inches).
3. Hold for 6 seconds.
4. Do not touch teeth when closing.
5. Repeat this exercise 6 times. This should be done 6 times per day (approximately every 2 hours. (6 seconds X 6 repetitions X 6 times per day)
The figure shows the tongue tip is kept in contact with the roof of the mouth during the stretch.
Womans mouth wide open with red lipstick.
Hinge Exercise
1. Open and close your jaw for about 6 seconds with minimum opening 
(less than 15 mm).
2. Do not touch teeth when closing.
3. Repeat this exercise 6 times. This should be done 6 times per day 
(approximately every 2 hours, 6 seconds X 6 repetitions X 6 times per day)
Passive Opening Stretch
For some patients it is necessary to add a small force to the lower teeth to assist them
with the N-stretch exercises.
1. Put the index finger on the lower teeth and thumb against the upper teeth
2. Pry the jaw apart slightly.
3. Hold for 6 seconds.
4. Do not touch teeth when closing.
5. Repeat this exercise 6 times. This should be done 6 times per day (approximately
every 2 hours, 6 seconds X 6 repetitions X 6 times per day)
Ice and Stretch Regimen
1. Get tongue blades or popsicle sticks.
2. Tape together a stack of sticks which will easily fit between the upper and lower front
teeth at a comfortable opening.
3. Ice the affected jaw muscles until nice and cold, even numb feeling.
4. After icing, insert stack of sticks and hold for 10 seconds. Do this 3 times, waiting 2
minutes in between each insertion.
5. Every other night, attempt to add a stick to the stack. Do this regimen for 2 weeks to
slowly stretch the power muscles and improve opening.