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01-04-2024 | Periodontal Treatment | Original Article

Evaluation of the thickness of masticatory muscles in patients with chronic periodontitis by ultrasonography

Authors: Berkhas Tumani Üstdal, Burcu Evlice, Damla Soydan Çabuk, Hazal Duyan Yüksel, İmran Güner Akgül, Bahar Alkaya, Gökçe Arçay

Published in: Oral Radiology

Abstract

Objectives

Periodontitis is one of the most common chronic inflammatory diseases. It causes changes in the biting abilities of individuals. However, periodontal treatment has positive effects on masticatory function. The aim of this study is to determine the effect of periodontitis and periodontal treatment on masticatory abilities by measuring masseter and temporal muscle thicknesses with ultrasonography before and after periodontal treatment in chronic periodontitis patients.

Methods

The patients included in the study were determined by clinical and radiological examination. The thickness of the masseter and temporal muscles of the patients were measured by ultrasonography. Periodontal measurements and treatments of the patients were completed by a single physician. IBM SPSS 20.0 (IBM Corp., Armonk, NY) statistical program was used for statistical analysis.

Results

A statistically significant difference was found between the values of periodontal measurements before and after treatment (p<0.05). In the ultrasonography measurements of the thickness of masseter and anterior temporal muscles, a statistically significant increase was observed in both rest and contraction values at all time intervals (p<0.05). Muscle thicknesses of male patients were higher than female patients.

Conclusions

Periodontitis negatively affects the masticatory performance of individuals. Chronic periodontitis patients should be referred for periodontal treatment without wasting time.

Okeson JP. Management temporomandibular disorder and occlusion. 8th ed. USA: Elsevier; 2019.

Papapanou PN, Sanz M, Buduneli N, Dietrich T, Feres M, Fine DH, et al. Periodontitis: consensus report of workgroup 2 of the 2017 world workshop on the classification of periodontal and peri-implant diseases and conditions. J Periodontol. 2018;89:173–82. https://doi.org/10.1002/JPER.17-0721.CrossRef

Borges TdF, Regalo SC, Taba M, Siéssere S, Mestriner W, Semprini M. Changes in masticatory performance and quality of life in individuals with chronic periodontitis. J Periodontol. 2013;84:325–31. https://doi.org/10.1902/jop.2012.120069.

Morita M, Nishi K, Kimura T, Fukushima M, Watanabe T, Yamashita F, et al. Correlation between periodontal status and biting ability in Chinese adult population. J Oral Rehabil. 2003;30:260–4. https://doi.org/10.1046/j.1365-2842.2003.01012.x.CrossRefPubMed

Alkan A, Keskiner I, Arici S, Sato S. The effect of periodontitis on biting abilities. J Periodontol. 2006;77:1442–5. https://doi.org/10.1902/jop.2006.060025.CrossRefPubMed

Alshams M, Othman M, Haddad I, Sulaiman AA. Evaluating the effects of non-surgical periodontal treatment on masticatory function in patients with aggressive periodontitis: a preliminary study. J Clin Diagnostic Res. 2019;13:14–6. https://doi.org/10.7860/JCDR/2019/41356.13135.CrossRef

Van Den Engel-Hoek L, Lagarde M, Van Alfen N. Ultrasound of oral and masticatory muscles: why every neuromuscular swallow team should have an ultrasound machine. Clin Anat. 2017;30:183–93. https://doi.org/10.1002/ca.22818.CrossRefPubMed

Orhan K. Ultrasonography in dentomaxillofacial diagnostics. Switzerland: Springer; 2021.CrossRef

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 Endodontol. 1999;87:93–106. https://doi.org/10.1016/S1079-2104(99)70302-1.CrossRef

10.

Pereira LJ, Gazolla CM, Magalhães IB, Dominguete MHL, Vilela GR, Castelo PM, et al. Influence of periodontal treatment on objective measurement of masticatory performance. J Oral Sci. 2012;54:151–7. https://doi.org/10.2334/josnusd.54.151.CrossRefPubMed

11.

Georgiakaki I, Tortopidis D, Garefis P, Kiliaridis S. Ultrasonographic thickness and electromyographic activity of masseter muscle of human females. J Oral Rehabil. 2007;34:121–8. https://doi.org/10.1111/j.1365-2842.2006.01677.x.CrossRefPubMed

12.

Raadsheer MC, Van Eijden TMGJ, Van Ginkel FC, Prahl-Andersen B. Human jaw muscle strength and size in relation to limb muscle strength and size. Eur J Oral Sci. 2004;112:398–405. https://doi.org/10.1111/j.1600-0722.2004.00154.x.CrossRefPubMed

13.

Raadsheer MC, van Eijden TMGJ, van Spronsen PH, van Ginkel FC, Kiliaridis S, Prahl-Andersen B. A comparison of human masseter muscle thickness measured by ultrasonography and magnetic resonance imaging. Arch Oral Biol. 1994;39:1079–84. https://doi.org/10.1016/0003-9969(94)90061-2.CrossRefPubMed

14.

Chang P-H, Chen Y-J, Chang K-V, Wu W-T, Özçakar L. Ultrasound measurements of superficial and deep masticatory muscles in various postures: reliability and influencers. Sci Rep. 2020;10:14357. https://doi.org/10.1038/s41598-020-71378-z.CrossRefPubMedPubMedCentral

15.

Silva Andresen Strini PJ, Silva Andresen Strini PJ, De Souza Barbosa T, Duarte Gavião MB. Assessment of thickness and function of masticatory and cervical muscles in adults with and without temporomandibular disorders. Arch Oral Biol. 2013;58:1100–8. https://doi.org/10.1016/j.archoralbio.2013.04.006.

16.

Goller Bulut D, Avci F, Özcan G. Ultrasonographic evaluation of jaw elevator muscles in young adults with bruxism and with and without attrition-type tooth wear: a pilot study. Cranio. 2018;38:248–55. https://doi.org/10.1080/08869634.2018.1505453.CrossRefPubMed

17.

Taşdemir Z, Etöz M, Köy Ö, Soydan D, Alkan A. Masseter muscle thickness and elasticity in periodontitis. J Oral Sci. 2020;62:43–7. https://doi.org/10.2334/josnusd.18-0341.CrossRefPubMed

18.

Raadsheer MC, Van Eijden TMGJ, Van Ginkel FC, Prahl-Andersen B. Contribution of jaw muscle size and craniofacial morphology to human bite force magnitude. J Dent Res. 1999;78:31–42. https://doi.org/10.1177/00220345990780010301.CrossRefPubMed

19.

Palinkas M, Borges TdF, Junior MT, Monteiro SAC, Bottacin FS, Mestriner-Junior W, et al. Alterations in masticatory cycle efficiency and bite force in individuals with periodontitis. Int J Health Sci. 2019;13:25.

20.

Kleinfelder JW, Ludwig K. Maximal bite force in patients with reduced periodontal tissue support with and without splinting. J Periodontol. 2002;73:1184–7. https://doi.org/10.1902/jop.2002.73.10.1184.

21.

Schwarz F, Sculean A, Berakdar M, Georg T, Reich E, Becker J. Clinical evaluation of an Er:YAG laser combined with scaling and root planning for non-surgical periodontal treatment. J Clin Periodontol. 2003;30:26–34. https://doi.org/10.1034/j.1600-051X.2003.300105.x.CrossRefPubMed

22.

Minami Y, Ogura I. Quantitative analysis of masseter muscle hardness with shear-wave elastography: preliminary study on comparison between during rest and contraction in young adults. J Oral Maxillofac Radiol. 2022;10:8. https://doi.org/10.4103/jomr.jomr_3_22.CrossRef

23.

Park K, Choi E, Kwak E, Kim S, Park W, Jeong J, et al. The relationship between masseter muscle thickness measured by ultrasonography and facial profile in young Korean adults. Imaging Sci Dent. 2018;48:213. https://doi.org/10.5624/isd.2018.48.3.213.CrossRefPubMedPubMedCentral

24.

Ikebe K, Matsuda KI, Kagawa R, Enoki K, Yoshida M, Maeda Y, et al. Association of masticatory performance with age, gender, number of teeth, occlusal force and salivary flow in Japanese older adults: is ageing a risk factor for masticatory dysfunction? Arch Oral Biol. 2011;56:991–6. https://doi.org/10.1016/j.archoralbio.2011.03.019.CrossRefPubMed

25.

Shiga H, Kobayashi Y, Katsuyama H, Yokoyama M, Dds A. Gender difference in masticatory performance in dentate adults. J Prosthodont Res. 2012;56:166–9. https://doi.org/10.1016/j.jpor.2012.02.001.CrossRefPubMed

26.

Morita K, Tsuka H, Kato K, Mori T, Nishimura R, Yoshida M, et al. Factors related to masticatory performance in healthy elderly individuals. J Prosthodont Res. 2018;62:432–5. https://doi.org/10.1016/j.jpor.2018.03.007.CrossRefPubMed

Title: Evaluation of the thickness of masticatory muscles in patients with chronic periodontitis by ultrasonography
Authors: Berkhas Tumani Üstdal
Burcu Evlice
Damla Soydan Çabuk
Hazal Duyan Yüksel
İmran Güner Akgül
Bahar Alkaya
Gökçe Arçay
Publication date: 01-04-2024
Publisher: Springer Nature Singapore
Keywords: Periodontal Treatment
Gingiva Index
Dental Plaque Index
Published in: Oral Radiology
Print ISSN: 0911-6028
Electronic ISSN: 1613-9674
DOI: https://doi.org/10.1007/s11282-024-00746-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Evaluation of the thickness of masticatory muscles in patients with chronic periodontitis by ultrasonography

Abstract

Objectives

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

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