Evidence map›Paper›PMID 39937312›Full record

ArticleOral radiology2025

Role of the masseter, anterior temporalis, and sternocleidomastoid muscles in myofascial temporomandibular disorder pain: evaluation of thickness and stiffness by ultrasonography.

Fatma Akkoca, Seher Ozyurek, Gunnur Ilhan, Emre Koyuncu, Melih Ozdede

Abstract read
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In one paragraph

Article in Oral radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Trial
  4. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Fatma AkkocaDepartment of Dentomaxillofacial Radiology, Faculty of Dentistry, Dokuz Eylul University, 35330, Izmir, Turkey.ORCID 0000-0002-4522-656X
Seher OzyurekDepartment of Prosthetics-Orthostics, Faculty of Physical Therapy and Rehabilitation, Dokuz Eylul University, 35330, Izmir, Turkey.ORCID 0000-0002-8586-7214
Gunnur IlhanDepartment of Dentomaxillofacial Radiology, Faculty of Dentistry, Dokuz Eylul University, 35330, Izmir, Turkey.ORCID 0009-0001-9587-9059
Emre KoyuncuDepartment of Dentomaxillofacial Radiology, Faculty of Dentistry, Dokuz Eylul University, 35330, Izmir, Turkey. emre.koyuncu@deu.edu.tr.ORCID 0009-0007-0114-577X
Melih OzdedeDepartment of Dentomaxillofacial Radiology, Faculty of Dentistry, Dokuz Eylul University, 35330, Izmir, Turkey.ORCID 0000-0002-8783-802X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to compare the thickness and stiffness of the masseter, anterior temporalis, and sternocleidomastoid muscles of patients diagnosed with myofascial temporomandibular disorders (TMD) pain to those of a control group.

methodsThis was a cross-sectional study conducted at a single center. Twenty-five patients diagnosed with myofascial TMD pain and 29 asymptomatic controls (Control Group) matched by age and sex were recruited. B-mode ultrasonography and shear wave elastography were used to measure the thickness and stiffness of the bilateral masseter, temporalis, and sternocleidomastoid muscles. All measurements were performed while resting and clenching. Patients were systematically evaluated for pain intensity and maximum mouth opening.

resultsThere were no differences between groups in the resting and clenching thickness of any muscles (p > 0.05). There were no differences in the stiffness of the measured muscles at rest and clench between the groups, except for the masseter (p > 0.05). Individuals with myofascial TMD pain showed higher median stiffness in the right (p < 0.001) and left (p = 0.003) masseter muscles during clenching (but not during resting) compared with controls.

conclusionsClenching masseter stiffness was greater in individuals with myofascial TMD pain than in asymptomatic controls. These findings might help to understand the jaw biomechanics and dysfunction of individuals with myofascial TMD pain.

Indexed as

Masseter MuscleNeck MusclesTemporal MuscleTemporomandibular Joint DisordersAdultCase-Control StudiesCross-Sectional StudiesElasticity Imaging TechniquesFemaleHumansMaleMiddle AgedPain MeasurementUltrasonographyAnterior temporal muscleMasseter muscleMyofascial temporomandibular disorders painShear wave elastographySternocleidomastoid muscleUltrasonography

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.