DOI QR코드

DOI QR Code

A Reproducible and Reliable Method for Measuring Masseter Muscle Thickness in Maximal Bite Force Using Ultrasonography

  • Hyun-Jeong, Park (Department of Oral Medicine, School of Dentistry, Chosun University) ;
  • Sun-Kyoung, Yu (Department of Oral Anatomy, School of Dentistry, Chosun University) ;
  • Yo-Seob, Seo (Department of Oral and Maxillofacial Radiology, School of Dentistry, Chosun University) ;
  • Ji-Won, Ryu (Department of Oral Medicine, School of Dentistry, Chosun University)
  • Received : 2022.12.13
  • Accepted : 2022.12.16
  • Published : 2022.12.30

Abstract

Purpose: The purpose of this study is to develop a reproducible and reliable method for evaluating the masseter's functional state by measuring the masseter muscle with ultrasonography (US). Methods: Nineteen healthy adults (9 males, 10 females) were the subjects of this study. During US scanning, the image was taken from the thickest part of the masseter muscle in the image. To evaluate changes in thickness during masseter function, US images were taken of the participant's masseter muscle at rest and during clenching. In this study, US scanning was conducted using two approaches to compare the difference in masseter muscle thickness determined when inducing maximum bite force (MBF). Results: All 19 subjects completed US scanning of the masseter muscle at rest and during clenching under the conventional method and the articulation paper method. There was no difference in masseter muscle thickness measured at rest. However, the thickness of the masseter muscles determined by the articulation paper during jaw clenching was greater than that measured by the conventional method. Conclusions: In conclusion, using the US for masseter muscle evaluation can offer objective and functional information on the masseter muscle. A standardized US scanning method needs to be developed to obtain reproducible and reliable information on the masseter muscle at rest and during clenching. In particular, generating MBF using an articulation paper can be a reproducible and reliable method of measuring the functional state of the masseter muscle.

Keywords

Acknowledgement

We express our special thanks to Gi Hyeon Moon for providing the face and ultrasonographic images used in this paper.

References

  1. Schiffman E, Ohrbach R, Truelove E, et al. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: recommendations of the International RDC/TMD Consortium Network and Orofacial Pain Special Interest Group. J Oral Facial Pain Headache 2014;28:6-27. https://doi.org/10.11607/jop.1151
  2. Pirri C, Fede C, Fan C, et al. Ultrasound imaging of head/neck muscles and their fasciae: an observational study. Front Rehabil Sci 2021;2:743553.
  3. Ferrillo M, Giudice A, Marotta N, et al. Pain management and rehabilitation for central sensitization in temporomandibular disorders: a comprehensive review. Int J Mol Sci 2022;23:12164.
  4. Chang PH, Chen YJ, Chang KV, Wu WT, Ozcakar L. Ultrasound measurements of superficial and deep masticatory muscles in various postures: reliability and influencers. Sci Rep 2020;10:14357.
  5. Demirturk Kocasarac H, Angelopoulos C. Ultrasound in dentistry: toward a future of radiation-free imaging. Dent Clin North Am 2018;62:481-489. https://doi.org/10.1016/j.cden.2018.03.007
  6. Tzakis MG, Kiliaridis S, Carlsson GE. Effect of chewing training on masticatory efficiency. Acta Odontol Scand 1989;47:355-360. https://doi.org/10.3109/00016358909004803
  7. Bonjardim LR, Gaviao MB, Pereira LJ, Castelo PM. Bite force determination in adolescents with and without temporomandibular dysfunction. J Oral Rehabil 2005;32:577-583. https://doi.org/10.1111/j.1365-2842.2005.01465.x
  8. Pizolato RA, Gaviao MB, Berretin-Felix G, Sampaio AC, Trindade Junior AS. Maximal bite force in young adults with temporomandibular disorders and bruxism. Braz Oral Res 2007;21:278-283. https://doi.org/10.1590/S1806-83242007000300015
  9. Strini PJ, Strini PJ, Barbosa Tde S, Gaviao MB. Assessment of thickness and function of masticatory and cervical muscles in adults with and without temporomandibular disorders. Arch Oral Biol 2013;58:1100-1108.
  10. Barotsis N, Tsiganos P, Kokkalis Z, Panayiotakis G, Panagiotopoulos E. Reliability of muscle thickness measurements in ultrasonography. Int J Rehabil Res 2020;43:123-128. https://doi.org/10.1097/MRR.0000000000000390
  11. Gawriolek K, Klatkiewicz T, Przystanska A, Maciejewska-Szaniec Z, Gedrange T, Czajka-Jakubowska A. Standardization of the ultrasound examination of the masseter muscle with size-independent calculation of records. Adv Clin Exp Med 2021;30:441-447. https://doi.org/10.17219/acem/130358
  12. Reis Durao AP, Morosolli A, Brown J, Jacobs R. Masseter muscle measurement performed by ultrasound: a systematic review. Dentomaxillofac Radiol 2017;46:20170052.
  13. Park G, Choi YC, Bae JH, Kim ST. Does botulinum toxin injection into masseter muscles affect subcutaneous thickness? Aesthet Surg J 2018;38:192-198. https://doi.org/10.1093/asj/sjx102
  14. Svensson P, Graven-Nielsen T. Craniofacial muscle pain: review of mechanisms and clinical manifestations. J Orofac Pain 2001;15:117-145.
  15. Raadsheer MC, Van Eijden TM, Van Spronsen PH, Van Ginkel FC, Kiliaridis S, Prahl-Andersen B. A comparison of human masseter muscle thickness measured by ultrasonography and magnetic resonance imaging. Arch Oral Biol 1994;39:1079-1084. https://doi.org/10.1016/0003-9969(94)90061-2
  16. Bertram S, Brandlmaier I, Rudisch A, Bodner G, Emshoff R. Cross-sectional characteristics of the masseter muscle: an ultrasonographic study. Int J Oral Maxillofac Surg 2003;32:64-68. https://doi.org/10.1054/ijom.2002.0259
  17. Prabhu NT, Munshi AK. Measurement of masseter and temporalis muscle thickness using ultrasonographic technique. J Clin Pediatr Dent 1994;19:41-44.
  18. Bhoyar PS, Godbole SR, Thombare RU, Pakhan AJ. Effect of complete edentulism on masseter muscle thickness and changes after complete denture rehabilitation: an ultrasonographic study. J Investig Clin Dent 2012;3:45-50. https://doi.org/10.1111/j.2041-1626.2011.0088.x
  19. Tircoveluri S, Singh JR, Rayapudi N, Karra A, Begum M, Challa P. Correlation of masseter muscle thickness and intermolar width: an ultrasonography study. J Int Oral Health 2013;5:28-34.