Temporomandibular bozukluğu olan ve olmayan bireylerde masseter ve temporalis kas kalınlıklarının ultrasonografi ile incelenmesi: Randomize kontrollü bir çalışma

Year 2024, , 35 - 44, 23.04.2024

Halime Arıkan , Seyit Çıtaker , Sevilay Cücen Batıbay , Cahit Üçok , Zafer Günendi

https://doi.org/10.30569/adiyamansaglik.1365037

Abstract

Amaç: Farklı temporomandibular bozukluk (TMB) tanılarının masseter ve temporalis kas kalınlıklarına etkisinin değerlendirilmesi amaçlandı.
Gereç ve Yöntem: Bireyler dört gruba ayrıldı: (1) miyofasiyal ağrı; (2) disk deplasmanları; (3) mikst grup; ve (4) sağlıklı grup. TMB'li 53 birey ve TMB'si olmayan 20 kişi çalışmaya alındı.
Bulgular: Gruplar arasında istirahatte ve maksimum kontraksiyonda masseter ve temporalis kaslarının kalınlığında anlamlı fark bulunmadı (p>0.05). Ancak istirahatte ve maksimum kontraksiyonda masseter kas kalınlığı sağlıklı bireylerde TMB'li bireylere göre daha fazlaydı (p<0.05).
Sonuç: Masseter ve temporalis kaslarının kalınlığı TMB alt gruplarında ve sağlıklı grupta istirahatte ve maksimum kontraksiyonda benzerdir.

Keywords

Masseter, Güvenilirlik, Temporalis, Temporomandibular bozukluklar, Ultrasonografi

Ethical Statement

Permission was received from the Tokat Gaziosmanpaşa University Clinical Research Ethics Committee to conduct the research (decision no: 83116987-399 and decision date: 9 June 2022). Additionally, the research was entered at ClinicalTrials.gov (NCT04277052). The study was in compliance with the Helsinki Declaration.

Supporting Institution

The research does not have any financial support.

Thanks

We thank the individuals for participating in the research.

Investigation of the masseter and temporalis muscles thicknesses in individuals with and without temporomandibular disorders by ultrasonography: A randomized controlled study

Abstract

Aim: The aim was to evaluate the impact of different temporomandibular disorder (TMD) diagnoses on the thickness of the masseter and temporalis muscles.
Materials and Methods: Individuals were divided into four groups: (1) myofascial pain; (2) disc displacements; (3) mixed group; and (4) asymptomatic control group. 53 individuals with TMD and 20 individuals without TMD were recruited.
Results: No significant differences were found among groups in masseter and temporalis muscles thickness at rest and maximum contraction (p>0.05). However, the masseter muscle thickness at rest and maximum contraction were greater in asymptomatic individuals than in individuals with TMD (p<0.05).
Conclusion: Masseter and temporalis muscles thickness are similar in the TMD subgroups and the asymptomatic control group at rest and maximum contraction.

Keywords

Masseter, Reliability, Temporalis, Temporomandibular disorders, Ultrasonography

Ethical Statement

Permission was received from the Tokat Gaziosmanpaşa University Clinical Research Ethics Committee to conduct the research (decision no: 83116987-399 and decision date: 9 June 2022). Additionally, the research was entered at ClinicalTrials.gov (NCT04277052). The study was in compliance with the Helsinki Declaration.

Supporting Institution

The research does not have any financial support.

Thanks

We thank the individuals for participating in the research.

References

• McNeill C. Management of temporomandibular disorders: concepts and controversies. J Prosthet Dent. 1997;(77):510–522 (1997).
• Sonnesen L, Bakke M, Solow B. Temporomandibular disorders in relation to craniofacial dimensions, head posture and bite force in children selected for orthodontic treatment. Eur J Orthod. 2001;(23):179–192.
• Suvinen TI, Kemppainen P. Review of clinical EMG studies related to muscle and occlusal factors in healthy and TMD subjects. J Oral Rehabil. 2007;(34):631–644.
• Ciancaglini R, Testa M, Radaelli G. Association of neck pain with symptoms of temporomandibular dysfunction in the general adult population. Scand J Rehabil Med. 1999;(31):17–22.
• Serra MD, Gavião MBD, dos Santos Uchôa MN. The use of ultrasound in the investigation of the muscles of mastication. Ultrasound Med Biol. 2008;(34):1875–1884.
• Emshoff R, Bertram S, Strobl H. Ultrasonographic cross-sectional characteristics of muscles of the head and neck. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontology. 1999;(87):93–106.
• Barber L, Barrett R, Lichtwark G. Validity and reliability of a simple ultrasound approach to measure medial gastrocnemius muscle length. J Anat. 2011;(218):637–642.
• Chang PH, Chen YJ, Chang KV, Wu WT, Özçakar L. Ultrasound measurements of superficial and deep masticatory muscles in various postures: reliability and influencers. Sci Rep. 2020;(10):1–9.
• Ariji Y, Sakuma S, Izumi M, et al. Ultrasonographic features of the masseter muscle in female patients with temporomandibular disorder associated with myofascial pain. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontology. 2004;(98):337–341.
• Schiffman E, Ohrbach R, Truelove E, et al. Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications. J Oral Facial Pain Headache. 2014;28(1):6-27.
• Strini PJSA, Strini PJSA, de Souza Barbosa T, Gavião MBD. Assessment of thickness and function of masticatory and cervical muscles in adults with and without temporomandibular disorders. Arch Oral Biol. 2013;(58):1100–1108.
• Gross KD. Measurement Revisited: Reliability and Validity Statistics. In: Portney LG. Foundations of clinical research: applications to evidence-based practice. 4th ed. Philadelphia, PA: F.A. Davis Company; 2020: 486-489.
• Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med. 2016;(15):155–163.
• Shrout PE, Fleiss JL. Intraclass correlations: uses in assessing rater reliability. Psychol Bull. 1979;(86):420-428.
• Najm AA. Sonographic evaluation of masseter muscle thickness in bruxist and non-bruxist subjects. J Bagh Coll Dent. 2014;(26):49–52.
• Jafai M, Ghasemi M. A comparison of ultrasonic thickness of masseter muscle between patients with bruxism and healthy people. J Babol Univ Med Sci. 2017;(19):28–32.
• Imanimoghaddam M, Davachi B, Madani AS, Nemati S. Ultrasonographic findings of masseter muscle in females with temporomandibular disorders. J Craniofac Surg. 2013;(24):e108–e112.
• Lee K, Chon S. Assessments of Muscle Thickness and Tonicity of the Masseter and Sternocleidomastoid Muscles and Maximum Mouth Opening in Patients with Temporomandibular Disorder. Healthcare. 2021;(9):1640.
• Fathy S, Abdelrhman IG, Aggour RL. Ultrasonographic evaluation of the masseter muscle in temporomandibular disorders patients with myofascial pain: A case-control observational study. CRANIO® 2022;(26):1–7.
• Pirri C, Fede C, Fan C, et al. Ultrasound Imaging of Head/Neck Muscles and Their Fasciae: An Observational Study. Front Rehabil Sci. 2021;15(2):743553.
• Park HJ, Yu SK, Seo YS, Ryu JW. A Reproducible and Reliable Method for Measuring Masseter Muscle Thickness in Maximal Bite Force Using Ultrasonography. J Oral Med Pain. 2022;(47):206–211.
• Çebi AT. Ultrasonographic evaluation of masseter muscle thickness in patients with disk displacement with reduction. Oral Radiol. 2019;(35):239–244.
• Erturk AF, Yelken-Kendirci M, Ozcan I, Rohlig BG. Use of ultrasonography in the diagnosis of temporomandibular disorders: a prospective clinical study. Oral Radiol. 2023;(39):282–291.