Publications

Orofacial Pain and Temporomandibular Joint Disorder: Chair-Side Routine Diagnostics and Mihályi Ultrasonography Measured Splint Therapy

This publication explores the role of chair-side diagnostic methods in the assessment and management of temporomandibular disorders (TMD), with a particular focus on ultrasonography as a practical, radiation-free, and readily accessible imaging modality.

A key aspect of the study is the identification of anatomical and functional asymmetries within the temporomandibular joint and masticatory system. These asymmetries may contribute to symptoms such as facial pain, joint dysfunction, headaches, and muscle-related complaints, highlighting the importance of objective diagnostic assessment beyond conventional clinical examination.

The article introduces the concept of Mihályi Ultrasonography Measured Splint Therapy, an individualized treatment approach in which ultrasound findings are incorporated into treatment planning and patient follow-up. By combining objective imaging parameters with clinical evaluation, this approach aims to support more personalized splint therapy and improve functional outcomes for TMD patients.

The publication represents an important step toward integrating ultrasound-based diagnostics into everyday clinical practice and advancing evidence-based, interdisciplinary care for patients with temporomandibular disorders.

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Ultrasound Examination of Asymmetry in Temporomandibular Disorders

This study represents an important milestone in our ongoing PhD research program focusing on the role of ultrasonography in temporomandibular disorder (TMD) diagnostics. The research evaluated a standardized ultrasound protocol for the quantitative assessment of the temporomandibular joint and masticatory system, with particular emphasis on detecting clinically relevant asymmetries.

The findings demonstrated that ultrasound can provide objective and reproducible measurements of both muscular and joint-related structures, enabling the identification of asymmetries that may not be apparent during routine clinical examination. These results support the growing role of ultrasonography as a rapid, radiation-free, accessible, and clinically applicable diagnostic tool for patients with temporomandibular disorders.

Beyond its diagnostic value, the study highlights the potential of standardized TMJ ultrasound protocols to improve clinical decision-making, facilitate interdisciplinary collaboration, and strengthen the integration of ultrasound into everyday TMD assessment.

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Echo Intensity of the Masseter Muscle in Temporomandibular Disorders: A Pilot Study

This pilot study evaluated the diagnostic value of quantitative ultrasound assessment of masseter muscle echo intensity in patients with temporomandibular disorders (TMD). Ten young adults underwent a standardized bilateral ultrasound examination, and echo intensity was analyzed using ImageJ software.

Patients with TMD demonstrated significantly higher masseter echo intensity than healthy controls (65.64 ± 9.87 vs. 50.39 ± 5.68; p = 0.022), suggesting structural alterations in muscle quality. No significant side-to-side differences were observed, indicating that muscle changes may occur bilaterally despite unilateral symptoms.

These findings support quantitative ultrasound as a promising, non-invasive and objective tool for evaluating muscle quality and complementing the clinical diagnosis and follow-up of TMD.

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