Probable bruxism effects on masseter muscle thickness in children: Ultrasonographic evaluation

  • Esra Ceren Tatlı
    Address for correspondence: Assistant Professor Esra Ceren TATLI, Department of Pedodontics, Faculty of Dentistry, Yıldırım Beyazıt University, Ankara, Turkey
    Assistant Professor, Department of Pedodontics, Faculty of Dentistry, Yıldırım Beyazıt University, Ankara, Turkey
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  • Zeynep Betül Arslan
    Assistant Professor, Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Yıldırım Beyazıt University, Ankara, Turkey
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Published:November 03, 2022DOI:



      To compare masseter muscle thickness (MMT) of patients with probable sleep/awake bruxism and controls without bruxism in mixed dentition as measured with ultrasonography (USG), and calculate the correlation of MMT with body mass index (BMI).

      Study Design

      The diagnosis of probable bruxism was established based on the parents’ reports of the children's behavior, habits, and discomfort, and the presence of clinical signs and symptoms such as attrition-type wear on the teeth and the presence of discomfort, fatigue, and/or pain in the jaw muscles on palpation during clinical examination. The bruxist study group and the control group each included 28 children. MMT was measured separately in relaxed and contracted positions in both groups using USG. The height and weight of the patients were recorded in order to calculate BMI. Statistical analysis was performed with significance established at P < .05.


      MMT was found to be significantly larger in the study patients than in controls on the the right and left sides in the relaxed and contracted positions (P < .001). No statistically significant correlation was found between MMT and BMI (P ≥ .134).


      MMT as measured with USG can be a beneficial approach in diagnosing bruxism in children. The lack of correlation between MMT and BMI indicates that BMI would not be helpful in diagnosing bruxism.


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