ArticleOral radiology2025
Role of the masseter, anterior temporalis, and sternocleidomastoid muscles in myofascial temporomandibular disorder pain: evaluation of thickness and stiffness by ultrasonography.
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.
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The trial behind it
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Who cites it
6 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Masseter muscle stiffness in bruxism and myofascial pain-related temporomandibular disorders: a systematic review and meta-analysis of quantitative ultrasound elastography studies.Oral radiology · 2026Pooled it
- Morphological and mechanical properties of masticatory muscles in patients with temporomandibular disorders: a systematic review and meta-analysis.BMC oral health · 2026Pooled it
- Effectiveness of Telerehabilitation in Individuals With Myofascial Pain and Temporomandibular Joint Dysfunction: A Randomized Controlled Trial.Journal of oral rehabilitation · 2026Trial
- Multiparametric Ultrasonographic Phenotyping of the Masseter Muscle in Temporomandibular Disorders and Clinically Defined Probable Bruxism.Journal of oral rehabilitation · 2026Article
- Ultrasound examination of asymmetry in temporomandibular disorders.Clinics (Sao Paulo, Brazil) · 2026Article
- Exploring New Frontiers: A Cross-Sectional Analysis of Explosive Phase and Muscle Activation During Maximal Biting in Women with Temporomandibular Disorder and Orofacial Pain.Medical sciences (Basel, Switzerland) · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
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.
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