Since your root canal treatment, you have developed restricted mouth opening that has persisted for more than a month. This can occur due to muscle spasm/trismus or a temporomandibular joint disorder, particularly after prolonged mouth opening during dental treatment. However, the exact cause cannot be confirmed without examining your jaw movements and measuring your mouth opening.
Since there has been no significant improvement after a 7-day course of medication, I would recommend an evaluation by a dentist/oral & maxillofacial surgeon or a clinician experienced in TMD rather than starting another medication on your own.
Next Steps
Please have your maximum comfortable mouth opening measured, along with examination of the TMJ, muscles of mastication, jaw deviation/clicking/locking and the treated tooth. If indicated, further imaging may be required.
In the meantime, use warm moist compresses over the jaw muscles, eat a soft diet and avoid chewing gum, very hard foods and excessive/wide mouth opening. Gentle, pain-free jaw-opening exercises/physiotherapy may be beneficial, but do not force the jaw open. Conservative treatment and jaw exercises are commonly used for TMD.
Health Tips
Do not continue or change painkillers/muscle relaxants without your dentist/doctor’s advice. The appropriate medication depends on your medical history, other medicines and the actual cause of the restricted opening.
If you develop facial swelling, fever, increasing pain, difficulty swallowing/breathing, pus, or rapidly worsening mouth opening, seek urgent dental/medical care.