Handheld point-of-care ultrasound for chairside assessment of masseter muscle: a pilot study

Shah N, Bansal N, Logani A. Recent advances in imaging technologies in dentistry. World J Radiol. 2014;6(10):794–807.

Article  PubMed  PubMed Central  Google Scholar 

Reda R, Zanza A, Cicconetti A, Bhandi S, Miccoli G, Gambarini G, et al. Ultrasound imaging in dentistry: a literature overview. J Imaging. 2021. Nov 14;7(11):238. 

Article  PubMed  PubMed Central  Google Scholar 

Kose MN, Cimen T. Evaluation of masseter muscle thickness of mouth breathing patients using ultrasonography. BMC Oral Health. 2025;25(1):1673.

Article  PubMed  PubMed Central  Google Scholar 

Kaya S, Avci B. The effect of dental occlusion on masseter muscle thickness in adolescents: an ultrasonographic evaluation. Oral Radiol. 2025;41(4):577–86.

Article  PubMed  Google Scholar 

Figueredo CA, Catunda RQ, Gibson MP, Major PW, Almeida FT. Use of ultrasound imaging for assessment of the periodontium: a systematic review. J Periodontal Res. 2024;59(1):3–17.

Article  PubMed  Google Scholar 

Koruyucu AN, Asantogrol F. Determination of masseter and temporal muscle thickness by ultrasound and muscle hardness by shear wave elastography in healthy adults as reference values. Dentomaxillofac Radiol. 2024;53(2):137–52.

Article  PubMed  Google Scholar 

Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP, et al. Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: recommendations of the international RDC/TMD consortium Network* and orofacial pain special interest groupdagger. J Oral Facial Pain Headache. 2014;28(1):6–27.

Article  PubMed  PubMed Central  Google Scholar 

Kilinc HE, Onan D, Ulger O. Investigation of masticatory muscle thickness and mechanosensitivity of cervical and masticatory muscles in myofascial temporomandibular disorder patients with bruxism: A cross-sectional study. Musculoskelet Sci Pract. 2024;70:102919.

Article  PubMed  Google Scholar 

De Nordenflycht D, Figueroa K, Munoz J, la De Torre Canales G. Ultrasonographic characteristics of myogenous temporomandibular disorders: a scoping review. J Oral Rehabil. 2024;51(10):2209–19.

Article  PubMed  Google Scholar 

Galczynska-Rusin M, Pobudek-Radzikowska M, Maciejewska-Szaniec Z, Przystanska A, Czajka-Jakubowska A. Evaluating the reliability of myotonometry for assessing masseter muscle hypertrophy in healthy subjects. J Oral Facial Pain Headache. 2025;39(2):175–82.

PubMed  PubMed Central  Google Scholar 

Falkowski AL, Jacobson JA, Freehill MT, Kalia V. Hand-held portable versus conventional cart-based ultrasound in musculoskeletal imaging. Orthop J Sports Med. 2020;8(2):2325967119901017.

Article  PubMed  PubMed Central  Google Scholar 

Chen YL, Chiang HK. Development of single-channel dual-element custom-made ultrasound scanner with miniature optical position tracker for freehand imaging. Biosensors. 2023;13(4):431. 

Article  PubMed  PubMed Central  Google Scholar 

Dewar ZE, Wu J, Hughes H, Adnani A, Christiansen G, Ovedovitz L, et al. A comparison of handheld ultrasound versus traditional ultrasound for acquisition of RUSH views in healthy volunteers. JACEP Open. 2020;1(6):1320–5.

Article  PubMed  PubMed Central  Google Scholar 

Gibbons RC, Jaeger DJ, Berger M, Magee M, Shaffer C, Costantino TG. Diagnostic accuracy of a handheld ultrasound vs a cart-based model: a randomized clinical trial. West J Emerg Med. 2024;25(2):268–74.

PubMed  PubMed Central  Google Scholar 

Bae H, Kim J, Seo KK, Hu KS, Kim ST, Kim HJ. Comparison between conventional blind injections and ultrasound-guided injections of botulinum toxin type A into the masseter: a clinical trial. Toxins (Basel). 2020;12(9)588. https://doi.org/10.3390/toxins12090588.

Article  PubMed  PubMed Central  Google Scholar 

Popescu MN, Beiu C, Iliescu CA, Racovita A, Berteanu M, Iliescu MG et al. Ultrasound-Guided botulinum Toxin-A injections into the masseter muscle for both medical and aesthetic purposes. Toxins (Basel). 2024 Sep 24;16(10):413. https://doi.org/10.3390/toxins16100413.

Thabane L, Ma J, Chu R, Cheng J, Ismaila A, Rios LP, et al. A tutorial on pilot studies: the what, why and how. BMC Med Res Methodol. 2010;10:1.

Article  PubMed  PubMed Central  Google Scholar 

Lin M, Leotta DF, Chen MB, Lee PP. Validation of 2-dimensional ultrasound imaging protocols for measuring the masseter muscle. Oral Surg Oral Med Oral Pathol Oral Radiol. 2025;139(5):600–11.

Article  PubMed  Google Scholar 

Hogelin ER, Thulin K, von Walden F, Fornander L, Michno P, Alkner B. Reliability and validity of an ultrasound-based protocol for measurement of quadriceps muscle thickness in children. Front Physiol. 2022;13:830216.

Article  PubMed  PubMed Central  Google Scholar 

Gawriolek K, Klatkiewicz T, Przystanska A, Maciejewska-Szaniec Z, Gedrange T, Czajka-Jakubowska A. Standardization of the ultrasound examination of the masseter muscle with size-independent calculation of records. Adv Clin Exp Med. 2021;30(4):441–7.

Article  PubMed  Google Scholar 

Ispir NG, Toraman M. The relationship of masseter muscle thickness with face morphology and parafunctional habits: an ultrasound study. Dentomaxillofac Radiol. 2022;51(8):20220166.

Article  PubMed  PubMed Central  Google Scholar 

Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med. 2016;15(2):155–63.

Article  PubMed  PubMed Central  Google Scholar 

Chang PH, Chen YJ, Chang KV, Wu WT, Ozcakar L. Ultrasound measurements of superficial and deep masticatory muscles in various postures: reliability and influencers. Sci Rep. 2020;10(1):14357.

Article  PubMed  PubMed Central  Google Scholar 

Lee HJ, Jung SJ, Kim ST, Kim HJ. Ultrasonographic considerations for safe and efficient botulinum neurotoxin injection in masseteric hypertrophy. Toxins (Basel). 2021. https://doi.org/10.3390/toxins13010028.

Article  PubMed  PubMed Central  Google Scholar 

Mulder TA, van de Velde T, Dokter E, Boekestijn B, Olgers TJ, Bauer MP, et al. Unravelling the skillset of point-of-care ultrasound: a systematic review. The Ultrasound Journal. 2023;15(1):19.

Article  PubMed  PubMed Central  Google Scholar 

David CM, Tiwari R, Nagaraj T. Ultrasound in maxillofacial imaging: a review. J Med Radiol Pathol Surg. 2015;2:17–23.

Article  Google Scholar 

Manfredini D, Guarda-Nardini L. Ultrasonography of the temporomandibular joint: a literature review. Int J Oral Maxillofac Surg. 2009;38(12):1229–36.

Article  CAS  PubMed  Google Scholar 

Lin CS, Wu CY, Wu SY, Chuang KH, Lin HH, Cheng DH, et al. Age- and sex-related differences in masseter size and its role in oral functions. J Am Dent Assoc. 2017;148(9):644–53.

Article  PubMed  Google Scholar 

Kubo K, Kawata T, Ogawa T, Watanabe M, Sasaki K. Outer shape changes of human masseter with contraction by ultrasound morphometry. Arch Oral Biol. 2006;51(2):146–53.

Article  PubMed  Google Scholar 

Ramsubeik K, Motilal S, Sanchez-Ramos L, Ramrattan LA, Kaeley GS, Singh JA. Diagnostic accuracy of salivary gland ultrasound in Sjogren’s syndrome: a systematic review and meta-analysis. Ther Adv Musculoskelet Dis. 2020;12:1759720X20973560.

Article  PubMed  PubMed Central  Google Scholar 

Almeida FT, Pacheco-Pereira C, Flores-Mir C, Le LH, Jaremko JL, Major PW. Diagnostic ultrasound assessment of temporomandibular joints: a systematic review and meta-analysis. Dentomaxillofac Radiol. 2019;48(2):20180144.

Article  PubMed  Google Scholar 

Pacheco-Pereira C, Villarey S, Math SY, Lehmann K, Figueredo CA, Almeida FT. Investigating the role of ultrasound in the diagnosis of oral lesions: A scoping review. Oral Dis. Sept 2025. https://doi.org/10.1111/odi.70107

Reis Durao AP, Morosolli A, Brown J, Jacobs R. Masseter muscle measurement performed by ultrasound: a systematic review. Dentomaxillofac Radiol. 2017;46(6):20170052.

Article  PubMed  PubMed Central  Google Scholar 

Comments (0)

No login
gif