DOI:

10.37988/1811-153X_2025_4_114

Elastography is a modern diagnostic method for diseases of the temporomandibular joint

Authors

  • A.A. Voychenko 1, prosthodontist
    ORCID: 0009-0005-7007-9396
  • N.V. Lapina 2, Doctor of Science in Medicine, full professor of the Dentistry and orthopedic dentistry Department
    ORCID: 0000-0003-1835-8898
  • E.A. Kuzmenko 2, PhD in Medical Sciences, assistant professor of the of the Radiology Department
    ORCID: 0009-0004-1823-2640
  • A.O. Zhuk 3, PhD in Medical Sciences, doctoral candidate of the Dentistry diseases propaedeutics Department
    ORCID: 0009-0005-1163-8354
  • K.G. Seferyan 2, PhD in Medical Sciences, associate professor of the Orthopedic dentistry Department
    ORCID: 0000-0002-9379-5425
  • V.V. Lapin 2, laboratory assistant at the at the Surgical Dentistry and Maxillofacial surgery Department
    ORCID: 0009-0003-5768-6218
  • 1 Clinic of the Kuban State Medical University, 350010, Krasnodar, Russia
  • 2 Kuban State Medical University, 350063, Krasnodar, Russia
  • 3 Sechenov University, 119048, Moscow, Russia

Abstract

According to modern epidemiological studies, the prevalence of temporomandibular joint (TMJ) pathology ranges from 31 to 88%. The temporomandibular joint plays a key role in masticatory function and articulation, so its pathologies can significantly affect the quality of life of patients. Traditional diagnostic methods such as magnetic resonance imaging and computed tomography have their limitations, which highlights the need to introduce new technologies. Elastography, as a modern non-invasive imaging method, allows us to evaluate the mechanical properties of tissues, which opens up new horizons in the diagnosis of TMJ diseases. In recent years, this ultrasound diagnostic technique has attracted increasing attention in medical practice due to its high sensitivity and specificity. This article discusses the use of elastography for the diagnosis of various diseases of the temporomandibular joint. The basic principles of elastography, its advantages over traditional methods, as well as the possibilities of this method in the diagnosis of various pathologies, including dysfunctions, arthritis and degenerative complications, are described in detail. The article emphasizes the importance of elastography as a key tool in modern diagnostic technologies, contributing to more accurate diagnosis and ensuring timely comprehensive treatment. This, in turn, can improve patients’ quality of life and make the approach to therapy more targeted.

Key words:

elastography, temporomandibular joint, dysfunctional syndrome, myofascial pain

For Citation

[1]
Voychenko A.A., Lapina N.V., Kuzmenko E.A., Zhuk A.O., Seferyan K.G., Lapin V.V. Elastography is a modern diagnostic method for diseases of the temporomandibular joint. Clinical Dentistry (Russia).  2025; 28 (4): 114—119. DOI: 10.37988/1811-153X_2025_4_114

References

  1. Klasser G.D., Manfredini D., Goulet J.P., De Laat A. Oro-facial pain and temporomandibular disorders classification systems: A critical appraisal and future directions. J Oral Rehabil. 2018; 45 (3): 258—268. PMID: 29197095
  2. Latysheva N.V., Filatova E.G., Danilov Al.B., Parsamyan R.R., Salina E.A. Temporomandibular disorder and other causes of orofacial pain: first international classification and new treatment perspectives. Medical alphabet. 2019; 35 (410): 40—46 (In Russian). eLIBRARY ID: 42374316
  3. Naidanova I., Pisarevskii Y., Shapovalov A., Pisarevskii I. The potential of current technologies in diagnostics of temporomandibular joint dysfunction (literature review). Actual Problems in Dentistry. 2018; 4: 6—13 (In Russian). eLIBRARY ID: 36777700
  4. Takeuchi T., Arima T., Ernberg M., Yamaguchi T., Ohata N., Svensson P. Symptoms and physiological responses to prolonged, repeated, low-level tooth clenching in humans. Headache. 2015; 55 (3): 381—94. PMID: 25754714
  5. Gauer R.L., Semidey M.J. Diagnosis and treatment of temporomandibular disorders. Am Fam Physician. 2015; 91 (6): 378—86. PMID: 25822556
  6. Santosh V., Hinduja S., Manoj R., Waghmare M. Overlaid temporomandibular joint disorders and otology symptoms — A diagnostic approach and management considerations for otolaryngologists and dentists. Eastern Journal of Medical Sciences. 2020; 2: 25—29 (In). DOI: 10.32677/EJMS.2020.v05.i02.001
  7. Poluha R.L., Grossmann E., Iwaki L.C.V., Uchimura T.T., Santana R.G., Iwaki Filho L. Myofascial trigger points in patients with temporomandibular joint disc displacement with reduction: a cross-sectional study. J Appl Oral Sci. 2018; 26: e20170578. PMID: 29898186
  8. Devlikamova F.I., Khabirov F.A. Myofascial pain syndrome: practical development of theoretical foundations. Russian Journal of Pain. 2020; 3: 39—47 (In Russian). eLIBRARY ID: 43933036
  9. Koruyucu A.N., Aşantoğrol 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—152. PMID: 38211311
  10. Takashima M., Arai Y., Kawamura A., Hayashi T., Takagi R. Quantitative evaluation of masseter muscle stiffness in patients with temporomandibular disorders using shear wave elastography. J Prosthodont Res. 2017; 61 (4): 432—438. PMID: 28188109
  11. Yu J.F., Chang T.T., Zhang Z.J. The reliability of MyotonPRO in assessing masseter muscle stiffness and the effect of muscle contraction. Med Sci Monit. 2020; 26: e926578. PMID: 33137025
  12. Patil D.J., Rathore R.K., Patel A. Ultrasound elastography in temporomandibular disorders: A narrative review. Cureus. 2024; 16 (9): e70004. PMID: 39445293
  13. Azizi G., Keller J.M., Mayo M.L., Piper K., Puett D., Earp K.M., Malchoff C.D. Thyroid nodules and shear wave elastography: A new tool in thyroid cancer detection. Ultrasound Med Biol. 2015; 41 (11): 2855—65. PMID: 26277203
  14. Ozturk A., Grajo J.R., Dhyani M., Anthony B.W., Samir A.E. Principles of ultrasound elastography. Abdom Radiol (NY). 2018; 43 (4): 773—785. PMID: 29487968
  15. Creze M., Nordez A., Soubeyrand M., Rocher L., Maître X., Bellin M.F. Shear wave sonoelastography of skeletal muscle: basic principles, biomechanical concepts, clinical applications, and future perspectives. Skeletal Radiol. 2018; 47 (4): 457—471. PMID: 29224123
  16. Olchowy A., Wieckiewicz M., Winocur E., Dominiak M., Dekkers I., Łasecki M., Olchowy C. Great potential of ultrasound elastography for the assessment of the masseter muscle in patients with temporomandibular disorders. A systematic review. Dentomaxillofac Radiol. 2020; 49 (8): 20200024. PMID: 32150452
  17. Lee S.M., Chang W., Kang H.J., Ahn S.J., Lee J.H., Lee J.M. Comparison of four different Shear Wave Elastography platforms according to abdominal wall thickness in liver fibrosis evaluation: a phantom study. Med Ultrason. 2019; 21 (1): 22—29. PMID: 30779827
  18. Olchowy C., Olchowy A., Hadzik J., Dąbrowski P., Mierzwa D. Dentists can provide reliable shear wave elastography measurements of the stiffness of masseter muscles: A possible scenario for a faster diagnostic process. Adv Clin Exp Med. 2021; 30 (6): 575—580. PMID: 34060255
  19. Klatkiewicz T., Gawriołek K., Pobudek Radzikowska M., Czajka-Jakubowska A. Ultrasonography in the diagnosis of temporomandibular disorders: A meta-analysis. Med Sci Monit. 2018; 24: 812—817. PMID: 29420457
  20. Olchowy C., Więckiewicz M., Sconfienza L.M., Łasecki M., Seweryn P., Smardz J., Hnitecka S., Dominiak M., Olchowy A. Potential of using shear wave elastography in the clinical evaluation and monitoring of changes in masseter muscle stiffness. Pain Res Manag. 2020; 2020: 4184268. PMID: 33273992
  21. Olchowy C., Grzech-Leśniak K., Hadzik J., Olchowy A., Łasecki M. Monitoring of changes in masticatory muscle stiffness after gum chewing using shear wave elastography. J Clin Med. 2021; 10 (11): 2480. PMID: 34205052
  22. Habibi H.A., Ozturk M., Caliskan E., Turan M. Quantitative assessment of temporomandibular disc and masseter muscle with shear wave elastography. Oral Radiol. 2022; 38 (1): 49—56. PMID: 33818734
  23. Ferraioli G., Roccarina D. Update on the role of elastography in liver disease. Therap Adv Gastroenterol. 2022; 15: 17562848221140657. PMID: 36506750
  24. Ferraioli G., Filice C., Castera L., Choi B.I., Sporea I., Wilson S.R., Cosgrove D., Dietrich C.F., Amy D., Bamber J.C., Barr R., Chou Y.H., Ding H., Farrokh A., Friedrich-Rust M., Hall T.J., Nakashima K., Nightingale K.R., Palmeri M.L., Schafer F., Shiina T., Suzuki S., Kudo M. WFUMB guidelines and recommendations for clinical use of ultrasound elastography: Part 3: liver. Ultrasound Med Biol. 2015; 41 (5): 1161—79. PMID: 25800942
  25. Cosgrove D., Barr R., Bojunga J., Cantisani V., Chammas M.C., Dighe M., Vinayak S., Xu J.M., Dietrich C.F. WFUMB guidelines and recommendations on the clinical use of ultrasound elastography: Part 4. Thyroid. Ultrasound Med Biol. 2017; 43 (1): 4—26. PMID: 27570210
  26. Baumer T.G., Davis L., Dischler J., Siegal D.S., van Holsbeeck M., Moutzouros V., Bey M.J. Shear wave elastography of the supraspinatus muscle and tendon: Repeatability and preliminary findings. J Biomech. 2017; 53: 201—204. PMID: 28110933
  27. Suh C.H., Choi Y.J., Baek J.H., Lee J.H. The diagnostic performance of shear wave elastography for malignant cervical lymph nodes: A systematic review and meta-analysis. Eur Radiol. 2017; 27 (1): 222—230. PMID: 27147221
  28. Imafuku K., Hata H., Kitamura S., Iwata H., Shimizu H. Ultrasound B-mode and elastographic findings of mixed tumour of the skin on the scalp. J Eur Acad Dermatol Venereol. 2016; 30 (1): 153—5. PMID: 25074531
  29. Caenen A., Pernot M., Nightingale K.R., Voigt J.U., Vos H.J., Segers P., D’hooge J. Assessing cardiac stiffness using ultrasound shear wave elastography. Phys Med Biol. 2022; 67 (2). PMID: 34874312
  30. Romano A., Staber D., Grimm A., Kronlage C., Marquetand J. Limitations of Muscle Ultrasound Shear Wave Elastography for Clinical Routine-Positioning and Muscle Selection. Sensors (Basel). 2021; 21 (24): 8490. PMID: 34960581
  31. Gagnat Y., Brændvik S.M., Roeleveld K. Surface electromyography normalization affects the interpretation of muscle activity and coactivation in children with cerebral palsy during walking. Front Neurol. 2020; 11: 202. PMID: 32362862
  32. Boyarintsev V.V., Barinov E.V., Fedorova A.A., Zhuravlev S.V., Barinov V.E., Zolotukhin I.A. Shear wave elastography in assessing the time to venous thrombosis and sensitivity to thrombolytic treatment. Journal of Venous Disorders. 2024; 2: 100—104 (In Russian). eLIBRARY ID: 67945261
  33. Yusupov K.F., Nedopekina E.V., Vikhareva O.N. Use of elastography in obstetric and gynecologic practice. Obstetrics and Gynecology. 2016; 11: 22—27 (In Russian). eLIBRARY ID: 27389158
  34. Dibina T.V., Drozdov E.S., Koshel A.P., Latypov V.R. Use of ultrasonic elastography in the differential diagnosis of pancreatic cystic lesions. Bulletin of Siberian medicine. 2018; 3: 45—52 (In Russian). eLIBRARY ID: 36282570
  35. Domenichini R., Pialat J.B., Podda A., Aubry S. Ultrasound elastography in tendon pathology: state of the art. Skeletal Radiol. 2017; 46 (12): 1643—1655. PMID: 28765991
  36. Paluch Ł., Maj P., Pietruski P., Korba M., Noszczyk B.H. Shear wave elastography in the evaluation of temporomandibular joint disorders. Ultrasound Med Biol. 2020; 46 (1): 46—54. PMID: 31635758
  37. Ličen U., Kozinc Ž. Using shear-wave elastography to assess exercise-induced muscle damage: A review. Sensors (Basel). 2022; 22 (19): 7574. PMID: 36236672
  38. Taljanovic M.S., Gimber L.H., Becker G.W., Latt L.D., Klauser A.S., Melville D.M., Gao L., Witte R.S. Shear-wave elastography: Basic physics and musculoskeletal applications. Radiographics. 2017; 37 (3): 855—870. PMID: 28493799
  39. Drakonaki E.E., Allen G.M., Wilson D.J. Ultrasound elastography for musculoskeletal applications. Br J Radiol. 2012; 85 (1019): 1435—45. PMID: 23091287
  40. Snoj Ž., Wu C.H., Taljanovic M.S., Dumić-Čule I., Drakonaki E.E., Klauser A.S. Ultrasound elastography in musculoskeletal radiology: Past, present, and future. Semin Musculoskelet Radiol. 2020; 24 (2): 156—166. PMID: 32438441
  41. Olchowy A., Więckiewicz M., Malysa A., Olchowy C. Determination of reference values of the masseter muscle stiffness in healthy adults using shear wave elastography. Int J Environ Res Public Health. 2021; 18 (17): 9371. PMID: 34501961
  42. Arıkan B., Dedeoğlu N., Keskinrüzgar A. Ultrasonographic evaluation of the masseter muscle in patients with temporomandibular joint degeneration. Imaging Sci Dent. 2023; 53 (4): 355—363. PMID: 38174042
  43. Loomba R., Adams L.A. Advances in non-invasive assessment of hepatic fibrosis. Gut. 2020; 69 (7): 1343—1352. PMID: 32066623
  44. Larheim T.A., Hol C., Ottersen M.K., Mork-Knutsen B.B., Arvidsson L.Z. The role of imaging in the diagnosis of temporomandibular joint pathology. Oral Maxillofac Surg Clin North Am. 2018; 30 (3): 239—249. PMID: 29866450
  45. Stepanova Y.A., Kiseleva D.A., Sultanova N.O., Kurochkina A.I. Shear wave elastography assessment of buccinator stiffness in patients of different age groups. Ultrasound and Functional Diagnostics. 2023; 1: 88—94 (In Russian). eLIBRARY ID: 56572609
  46. Sigrist R.M.S., Liau J., Kaffas A.E., Chammas M.C., Willmann J.K. Ultrasound elastography: Review of techniques and clinical applications. Theranostics. 2017; 7 (5): 1303—1329. PMID: 28435467
  47. Barr R.G., Ferraioli G., Palmeri M.L., Goodman Z.D., Garcia-Tsao G., Rubin J., Garra B., Myers R.P., Wilson S.R., Rubens D., Levine D. Elastography assessment of liver fibrosis: Society of radiologists in ultrasound consensus conference statement. Radiology. 2015; 276 (3): 845—61. PMID: 26079489
  48. Oglat A.A., Abukhalil T. Ultrasound elastography: Methods, clinical applications, and limitations: A review article. Applied Sciences (Switzerland). 2024; 10: 4308. DOI: 10.3390/app14104308
  49. Tang A., Cloutier G., Szeverenyi N.M., Sirlin C.B. Ultrasound elastography and MR elastography for assessing liver fibrosis: Part 1, principles and techniques. AJR Am J Roentgenol. 2015; 205 (1): 22—32. PMID: 25905647

Received

January 27, 2025

Accepted

October 20, 2025

Published on

December 18, 2025