Stiffness of the Masseter Muscle in Children-Establishing the Reference Values in the Pediatric Population Using

Cyprian Olchowy1, Anna Olchowy2, Aleksander Pawluś3

  • 1Department of Oral Surgery, Wroclaw Medical University, 50-425 Wroclaw, Poland.

Insights

This study measured masseter muscle stiffness in healthy children using shear-wave elastography. Girls showed significantly stiffer muscles than boys, indicating potential sex-based differences in jaw muscle development.

Area of Science:

  • Pediatric dentistry
  • Biomedical engineering
  • Musculoskeletal research

Background:

  • Altered muscle quality and function in children are linked to temporomandibular disorders.
  • Current methods for evaluating muscle tonus lack a gold standard.
  • Masseter muscle characteristics in children remain understudied.

Purpose of the Study:

  • To measure the stiffness of the masseter muscle in healthy children using shear-wave elastography.
  • To establish baseline stiffness values for pediatric masseter muscles.
  • To investigate potential differences in stiffness between sexes and sides.

Main Methods:

  • Shear-wave elastography was employed to assess masseter muscle stiffness.
  • Thirty healthy children (mean age 10.87 years) participated in the study.
  • Stiffness was measured in kilopascals (kPa).

Main Results:

  • The overall mean stiffness of the masseter muscles was 6.37 ± 0.77 kPa.
  • No significant difference in stiffness was found between the right and left masseter muscles (p = 0.3546).
  • A significant difference was observed between sexes, with girls exhibiting higher stiffness (6.63 ± 0.80 kPa) than boys (5.94 ± 0.50 kPa; p = 0.0006).

Conclusions:

  • Shear-wave elastography is a promising tool for assessing pediatric masseter muscle stiffness.
  • Findings highlight potential sex-based differences in jaw muscle properties.
  • Further research should explore stiffness in pathological conditions and influencing factors.