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A case report on physical therapy program in TMD with trismus patient who had a car accident. The physical therapy program is consisted of ultrasonic 1 MHz, dose 2 watts, 15 min, applied on the right and left masseter muscles and tragus of the ear; and progressive resisted exercise of masseter muscles of both sides. The patient could open the mouth from 18 mm. To 25 mm. After the first treatment and could open normally after 5 treatments (28 days). The earlier the temporomandibular joint movement commenced, the easier the management on the centric relation and occlusal could be accomplished.