Background & Aims
Ultrasonography (US) is suitable for imaging superficial structures of the head and neck region. It is appropriate for larger scale studies, without using of ionizing radiation, low cost, high accuracy for soft tissues assessment, it is a simple technique with a rapid diagnosis, non-invasive. It allows screening of all soft tissues of face, as auxiliary to functional and aesthetic treatments for muscles of facial expression and temporomandibular joint and its associated structures. US is useful in helping local anatomy, particularly in finding arteries, veins, and nerve bundles, that is critical for minimizing complications from injections. Despite the increasing use of US in dentistry, few studies have evaluated the applicability of US in conditions of temporomandibular dysfunction and orofacial pain. The objective of this study was to carry out a literature review on the possibilities of using US in orofacial structures, especially in pathological conditions.
Methods
Bibliographic searches were carried out in the PubMed and SciELO databases using the terms “orofacial pain” or “temporomandibular dysfunction” and “ultrasound” in English, in October 2023. Inclusion criteria: complete works published in Portuguese, English or Spanish. Exclusion criteria: works that were not related to the researched topic. The research method was evaluated according to the PRISMA Statement.
Results
It was found 16 articles from PubMED and 1 from SciELO. US can detect disk displacement, joint effusion, muscle thickness, salivary diseases, evaluation of lymph nodes; it is operator-dependent method. Better standardization of the technique is required and normal parameters must be set.
Conclusions
US has acceptable accuracy for detecting TMJ disc displacements, sialodenitis, changes in muscle thickness in individuals with TMD, TMJ effusions, and mass lesions as potential causes of facial pain. However, there is a lack of standardized protocols for better applicability and reproducibility in the use of US.
References
1: Rodríguez-Gimillo P, Valverde-Navarro A, Margaix-Muñoz M, Poveda-Roda R,
Delgado-Navarro C, Puig-Bernabeu J. Lateral pterygoid muscle ultrasound-guided
injection: a technical note. J Stomatol Oral Maxillofac Surg. 2023 Jun
30:101547. doi: 10.1016/j.jormas.2023.101547. Epub ahead of print. PMID:
37394100.
2: Rotolo RP, d’Apuzzo F, Femiano F, Nucci L, Minervini G, Grassia V. Comparison
between ultrasound and magnetic resonance imaging of the temporomandibular joint
in juvenile idiopathic arthritis: A systematic review. J Oral Rehabil. 2023
Oct;50(10):1082-1092. doi: 10.1111/joor.13529. Epub 2023 Jun 23. PMID: 37301975.
3: Alm??an O, Hede?iu M, B?ciu? M, Buduru S, Dinu C. Psoriatic arthritis of the
temporomandibular joint: A systematic review. J Oral Rehabil. 2023
Mar;50(3):243-255. doi: 10.1111/joor.13409. Epub 2023 Jan 12. PMID: 36582136.
4: Elbarbary M, Goldberg M, Tenenbaum HC, Lam DK, Freeman BV, Pustaka DJ, Mock
D, Beyene J, Azarpazhooh A. Assessment of Concordance between Chairside
Ultrasonography and Digital Palpation in Detecting Myofascial Trigger Points in
Masticatory Myofascial Pain Syndrome. J Endod. 2023 Feb;49(2):129-136. doi:
10.1016/j.joen.2022.11.013. Epub 2022 Nov 29. PMID: 36455705.
5: De la Torre Canales G, Câmara-Souza MB, Poluha RL, de Figueredo OMC, Nobre
BBS, Ernberg M, Conti PCR, Rizzatti-Barbosa CM. Long-Term Effects of a Single
Application of Botulinum Toxin Type A in Temporomandibular Myofascial Pain
Patients: A Controlled Clinical Trial. Toxins (Basel). 2022 Oct 29;14(11):741.
doi: 10.3390/toxins14110741. PMID: 36355991; PMCID: PMC9721314.
6: Kim JH, Park JH, Kim JW, Kim SJ. Can ultrasonography be used to assess
capsular distention in the painful temporomandibular joint? BMC Oral Health.
2021 Oct 6;21(1):497. doi: 10.1186/s12903-021-01853-0. PMID: 34615517; PMCID:
PMC8493706.
7: Adamo D, Calabria E, Coppola N, Pecoraro G, Buono G, Mignogna MD. When
orofacial pain needs a heart repair. Clin Exp Dent Res. 2021 Apr;7(2):263-267.
doi: 10.1002/cre2.359. Epub 2020 Nov 28. PMID: 33247554; PMCID: PMC8019759.
EXCLUÍDO (NÃO RELEVANTE)
8: Leung YY, Wu FHW, Chan HH. Ultrasonography-guided arthrocentesis versus
conventional arthrocentesis in treating internal derangement of
temporomandibular joint: a systematic review. Clin Oral Investig. 2020
Nov;24(11):3771-3780. doi: 10.1007/s00784-020-03408-z. Epub 2020 Jun 27. PMID:
32594307.
9: Whyte A, Matias MATJ. Imaging of orofacial pain. J Oral Pathol Med. 2020
Jul;49(6):490-498. doi: 10.1111/jop.13063. Epub 2020 Jul 1. PMID: 32531821.
10: Yamaguchi K, Hara K, Nakagawa K, Namiki C, Ariya C, Yoshimi K, Nakane A,
Kubota K, Furuya J, Tohara H. Association of aging and tooth loss with masseter
muscle characteristics: an ultrasonographic study. Clin Oral Investig. 2020
Nov;24(11):3881-3888. doi: 10.1007/s00784-020-03255-y. Epub 2020 Mar 16. PMID:
32180027.
11: Díaz DZR, Müller CEE, Gavião MBD. Ultrasonographic study of the
temporomandibular joint in individuals with and without temporomandibular
disorder. J Oral Sci. 2019 Nov 27;61(4):539-543. doi: 10.2334/josnusd.18-0278.
Epub 2019 Oct 5. PMID: 31588097.
12: Mayil M, Keser G, Demir A, Pekiner FN. Assessment of Masseter Muscle
Appearance and Thickness in Edentulous and Dentate Patients by Ultrasonography.
Open Dent J. 2018 Sep 28;12:723-734. doi: 10.2174/1745017901814010723. PMID:
30369982; PMCID: PMC6182884.
13: Strøm V, Brurberg KG, Dahm KT, Kirkehei I. Diagnostics of Temporomandibular
Disorders [Internet]. Oslo, Norway: Knowledge Centre for the Health Services at
The Norwegian Institute of Public Health (NIPH); 2013 Jun. Report from Norwegian
Knowledge Centre for the Health Services (NOKC) No. 10-2013. PMID: 29320030.
14: Telkar S, Khan MK, Shukla AK, Dodamani A, Yalsangi S, Telkar D. Evaluation
of occlusal splint therapy in temporomandibular joint disorder patients using
real-time ultrasonography. J Investig Clin Dent. 2010 Nov;1(2):96-100. doi:
10.1111/j.2041-1626.2010.00018.x. PMID: 25427264.
15: Elias FM, Birman EG, Matsuda CK, Oliveira IR, Jorge WA. Ultrasonographic
findings in normal temporomandibular joints. Braz Oral Res. 2006 Jan-
Mar;20(1):25-32. doi: 10.1590/s1806-83242006000100006. Epub 2006 May 22. PMID:
16729171.
16: Ariji Y, Sakuma S, Izumi M, Sasaki J, Kurita K, Ogi N, Nojiri M, Nakagawa M,
Takenaka M, Katsuse S, Ariji E. Ultrasonographic features of the masseter muscle
in female patients with temporomandibular disorder associated with myofascial
pain. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004 Sep;98(3):337-41.
doi: 10.1016/j.tripleo.2004.06.068. PMID: 15356473.
1. Mello Junior CF de, Saito O de C, Guimarães Filho HA. Avaliação ultrassonográfica dos distúrbios intracapsulares temporomandibulares. Radiol Bras [Internet]. 2011Nov;44(6):355–9. Available from: https://doi.org/10.1590/S0100-39842011000600005
Presenting Author
Thiago Brazoloto
Poster Authors
Topics
- Specific Pain Conditions/Pain in Specific Populations: Orofacial Pain