Evidence map›Paper›PMID 42506726›Full record

Observational studyToxins2026

Masseter Muscle Morphometric Changes After Botulinum Toxin Type A Injection: A Prospective 3-Month Study.

Matteo Val, Ludovica Zucchini, Matteo Pollis, Luca Guarda-Nardini, Luca Lombardo, Daniele Manfredini, Anna Colonna

Abstract readObservational Study
In one paragraph

Observational study in Toxins, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Review
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

7 authors.

Matteo ValUnit of Oral and Maxillofacial Surgery, Ca' Foncello Hospital, 31100 Treviso, Italy.ORCID 0000-0002-4574-4391
Ludovica ZucchiniPostgraduate School of Orthodontics, University of Ferrara, 44121 Ferrara, Italy.
Matteo PollisDepartment of Medical Biotechnologies, University of Siena, 53100 Siena, Italy.ORCID 0000-0001-7835-574X
Luca Guarda-NardiniUnit of Oral and Maxillofacial Surgery, Ca' Foncello Hospital, 31100 Treviso, Italy.
Luca LombardoPostgraduate School of Orthodontics, University of Ferrara, 44121 Ferrara, Italy.ORCID 0000-0003-3221-8197
Daniele ManfrediniDepartment of Medical Biotechnologies, University of Siena, 53100 Siena, Italy.ORCID 0000-0002-4352-3085
Anna ColonnaDepartment of Medical Biotechnologies, University of Siena, 53100 Siena, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Myofascial pain of the masticatory muscles, frequently associated with bruxism, is a prevalent condition with substantial impact on quality of life. Botulinum toxin type A (BoNT-A) is used as an adjunctive treatment for refractory cases, but the temporal pattern of masseter morphometric change after injection remained incompletely characterised. This prospective observational pilot study was designed and reported strictly as a 3D imaging and morphometric methodology study; clinical pain and patient-reported outcomes were outside its scope and were not assessed. Eleven adults with myofascial pain and bruxism received BoNT-A (100 U total: 30 U per masseter side, 20 U per anterior temporalis side). Structured-light 3D facial scans (EinScan H, Shining 3D) were acquired at baseline (T0), one month (T1), and three months (T2). A standardised masseter region of interest ("TGL area") was defined using cutaneous landmarks (tragus, gonion, labial commissure). Measurement precision was confirmed by intra-session repeatability (0.083 ± 0.020 mm), registration accuracy (RMS error 0.189-0.200 mm), and excellent landmark reliability (mean ICC [3, 1] = 0.955, 95% CI: 0.843-0.991). Repeated-measures ANOVA showed a significant effect of time on bilateral surface displacement (F(1.85,18.52) = 14.39,

Indexed as

Botulinum Toxins, Type ABruxismMasseter MuscleNeuromuscular AgentsAdultFemaleHumansImaging, Three-DimensionalInjections, IntramuscularMaleMiddle AgedPilot ProjectsProspective StudiesBotulinum Toxins, Type ANeuromuscular Agents3D facial morphometrybotulinum toxinbruxismmasseter musclemyofascial painstructured-light scanningtemporomandibular disorders

Identifiers

PMID42506726
PMCPMC13417228

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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.