Elasticity of Masseter Muscles: Exploring Jaw Function Limitations in Myofascial Pain


İlhan G., Koyuncu E., Akkoca F., Özdede M., Özyürek S.

9th JUNIOR MEETING OF THE EUROPEAN ACADEMY OF DENTOMAXILLO FACIAL RADIOLOGY, Porto, Portekiz, 02 Şubat 2025, ss.2, (Özet Bildiri)

  • Yayın Türü: Bildiri / Özet Bildiri
  • Basıldığı Şehir: Porto
  • Basıldığı Ülke: Portekiz
  • Sayfa Sayıları: ss.2
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

Abstract

Introduction: Myofascial pain cause significant functional limitations and muscle stiffness, particularly affecting the masseter muscles.  Ultrasound is a reliable and non-invasive method for evaluating the masticatory muscles. The newly developed shear wave elastography method also provides information about the stiffness of the tissue.

Aim: This study investigates the relationship between masseter muscle elasticity and jaw functional limitations in patients with myofascial pain.

Material and Methods: A cross-sectional study was conducted on 25 patients with myofascial pain. B-mode ultrasonography and shear wave elastography were used to assess the thickness and elasticity of the bilateral masseter muscles both at rest and during clench. Jaw function was measured using the Jaw Functional Limitation Scale-8, along with assessments of pain intensity and maximum mouth opening.

Results: Our study revealed that masseter muscle stiffness and pain intensity increased and maximum mouth opening decreased in patients with myofascial pain. In the Jaw Functional Limitation Scale-8, chewing tough foods and yawning became more restricted as masseter muscle stiffness increased, with both showing statistically significant p-values (p < 0.05). It was also found that chewing tough foods was significantly associated with maximum mouth opening (p < 0.05). According to the total score, the most limited function was chewing hard foods (61.2%), while the least limited function was swallowing (11.6%).

Conclusions: Shear wave elastography is an effective method for assessing muscle stiffness in patients with myofascial pain. A significant relationship has been found between muscle elasticity and functional limitations.