Muscle Attachment Research Articles

Structural analysis of the mylohyoid muscle as a septum dividing the floor of the oral cavity for the purposes of dental implant surgery: variety of muscle attachment positions and ranges of distribution

ObjectivesThe objective was to investigate the details of the attachments of the mylohyoid muscle to the mandible anterior to the hyoid and mylohyoid lines to understand the positional relationship between the sublingual space and the mylohyoid, knowledge that is essential for dental implant surgery in the incisal region, as well as the routes of communication between the sublingual space and other spaces.MethodsWhile evaluating the presence or absence of an anterior mylohyoid muscle fiber attachment to the mandible, sublingual gland herniation, spaces between muscle fascicles were also recorded as sites of penetration. The mean muscle thickness in each of these areas was also calculated.ResultsIn all specimens, the mylohyoid originated not only from the mylohyoid line but also from the lingual surface of the center of the mandibular body (the mandibular symphysis) below the mental spines. The mylohyoid muscle fascicles were thickest in the posterior region, and further anterior to this, they tended to become thinner. Sublingual gland herniations passing through the mylohyoid were noted in the anterior and central regions, but not in the posterior region. Penetration between the muscle fascicles was most common in the central region, and no such penetration was evident in the posterior region.ConclusionsThese results suggest that the mylohyoid functions only incompletely as a septum, and that routes of communication from the sublingual space to the submandibular space may be present in both the anterior and central muscle fascicles of the mylohyoid. Therefore, bleeding complications during dental implant placement in the anterior mandible can be serious issues. There is a potential for sublingual hematoma that could compromise the airway by pressing the tongue against the soft palate into the pharynx.

A comparison of dissection and 3D approaches to estimate muscle physiological cross-sectional area, validated by in vivo bite forces.

Performance traits such as bite forces are crucial to fitness and relate to the niche and adaptation of species. However, for many insects it is not possible to directly measure bite forces because they are too small. Biomechanical models of bite forces are therefore relevant to test hypotheses of adaptation in insects and other small organisms. Although such models are based on classical mechanics, combining forces, material properties and laws of levers, it is currently unknown how various models relate to bite forces measured in vivo. One critical component of these models is the physiological cross-sectional area (PCSA) of muscles, which relates to the maximum amount of force they can produce. Here, using the grasshopper Schistocerca gregaria, we compare various ways to obtain PCSA values and use in vivo measurements of bite forces to validate the biomechanical models. We show that most approaches used to derive PCSA (dissection, 3D muscle convex hull volume, muscle attachment area) are consistent with the expected relationships between PCSA and bite force, as well as with the muscle stress values known for insects. The only exception to this are PCSA values estimated by direct 3D muscle volume computation, which could be explained by noisy variation produced by shrinkage. This method therefore produces PCSA values which are uncorrelated to in vivo bite forces. Furthermore, despite the fact that all other methods do not significantly differ from expectations, their derived PCSA values vary widely, suggesting a lack of comparability between studies relying on different methods.

Challenges in Managing Post-Radiation TMJ Pseudoankylosis.

This study demonstrates the outcomes of post-radiation temporomandibular joint (TMJ) pseudoankylosis management and its challenges. A rare maxillary squamous cell carcinoma was treated with subtotal maxillary resection. Subsequent radiation therapy, failure of free flap reconstruction, and 1 year of jaw hypomobility instigated TMJ pseudoankylosis with a maximal mouth opening (MMO) of less than 5mm. Bilateral coronoidectomy was done simultaneously with maxillary reconstruction, followed up with buccal fibrosis release and extensive jaw exercises. At 16 months of follow-up, the patient's MMO was 20mm. Although bilateral coronoidectomy released the attachment of the atrophic temporalis muscle, it did not correct the other causes of trismus, specifically the progressive fibrosis of masticatory muscles, loss of elasticity of the TMJ ligaments, and other soft tissue abnormalities. Radiotherapy-induced-trismus refractory to physical exercise may require further management to achieve satisfactory MMO.

Looking back over the shoulder: New insights on the unique scapular anatomy of the tapir (Perissodactyla: Tapiridae).

The musculoskeletal anatomy of the shoulder of many ungulates has been inferred from veterinary model taxa, with uniformity in muscle arrangements and attachment sites often assumed. In this study, I investigated the muscular and osteological anatomy of tapirs and their relatives (Perissodactyla: Tapiroidea), using a combination of gross dissection and digital imaging (photography and laser surface scanning). Dissections of three modern tapir species revealed that the m. infraspinatus originates from both supraspinous and infraspinous fossae for all species, lying on both sides of the distal scapular spine. The epimysial border between the m. supraspinatus and m. infraspinatus origin sites are marked in all species by an ossified ridge, sometimes extending the length of the scapular spine. This "supraspinous ridge" is clearly visible on the scapular surface of both modern and extinct Tapirus scapulae; however, the ridge does not appear present in any non-Tapirus tapiroids examined (e.g., Helaletes, Nexuotapirus), nor in other perissodactyls or artiodactyls. Moreover, the ridge exhibits a clearly distinct morphology in Tapirus indicus compared to all other Tapirus species examined. Combined, these findings indicate that the presence and position of the "supraspinous ridge" may represent a robust phylogenetic character for reconstructing relationships within tapiroids. Unfortunately, any functional locomotor outcomes or benefits of the m. infraspinatus straddling the scapular spine remains elusive. This study represents a firm reminder for anatomists, veterinarians, and paleontologists to (where possible) look beyond veterinary model systems when inferring musculoskeletal form or function in non-model organisms.

The osteoplastic flap for pediatric temporal lobe epilepsy treatment: step-by-step guide and technical nuances.

The osteoplastic flap is an under-utilized craniotomy approach in pediatric temporal lobe epilepsy treatment. By preserving the myofascial attachment of the temporalis muscle, the flap is allowed the remain vascularized while subdural and intracranial electrodes are in place. The process in which the flap is made and handled throughout this process can be complicated. We herein detail our surgical technique for the osteoplastic flap in the setting of pediatric temporal lobe epilepsy treatment, and highlight the surgical nuances specific to our 2-stage protocol in treating pediatric temporal lobe epilepsy.

A Recording Method for Sixteen Nonadult Muscle Entheses

ABSTRACT Bioarchaeology lacks a system for recording the morphology of muscle and ligament attachment sites, called entheses, in growing individuals. Such information is useful in investigating factors that affect bone growth and development, including sex, age, puberty, pathology, and activity. This paper presents a standardized recording method for nonadult entheses based on 29 archaeological individuals of archivally known sex and age-at-death, ranging from two to 17 years. This paper (a) assesses the range of osseous changes of 16 entheses in the upper and lower limbs of growing individuals, and (b) presents a scoring method for each enthesis, which is evaluated through inter-and intra-observer comparisons. Nonadult entheses show a wide range of morphological variation. Method reproducibility is established. This method will allow researchers to further investigate factors affecting bone development in nonadult skeletal remains.

Skeletotopic landmarks of the points of fixation of the quadriceps femoral muscle in representatives of canids

The article presents skeletotopic landmarks of the points of fixation of the quadriceps femoral muscle in representatives of Canidae (shalayka and domestic dog), which are absent in the available literature. Thus, it was revealed that the straight head in the distal part of the shalaika is attached to the base of the cranial surface of the kneecap by tendon fibers, and in the domestic dog its muscle-tendon fixation was found. The research was carried out at the Department of Anatomy and Histology of Animals named after Professor A. F. Klimov of the Moscow State Academy of Veterinary Medicine and Biotechnology – MBA named after K. I. Scriabin. The material for the research was sectional material - pelvic limbs (n=16), selected from adult dogs and canine hybrids (shalayka), without external signs of musculoskeletal system pathologies. The methods of fine macro- and microanatomic dissection under the control of a Micromed HR 350 S binocular magnifier were used, followed by functional analysis of the studied structures and skeletotopic projection of muscle attachment points on the kneecap. When studying the structures located on the kneecap, it was found that the cranial head of the tailor's muscle and the wide fascia of the thigh, covering the cranial surface of the kneecap, connects to the underlying organs through loose connective tissue. However, at the top of the cranial tubercle, they closely fuse with the tendon of the rectus femoris muscle, as well as directly with the periosteum of the cranial tubercle of the kneecap, and then, covering the rectus ligament of the kneecap, continue into the fascia of the lower leg.

Musculature of an Ordovician (Darriwilian) patelliform gastropod from Estonia

ABSTRACT A unique internal mould of the patelliform mollusc Eesticonus aariensis n. gen. n. sp. is described from the Middle Ordovician (Darriwilian Series, Kunda Stage) of northern Estonia. Well-preserved muscle attachment scars are compared to those of Floripatella from strata of Middle Ordovician (Dapingian Series) age in Utah, originally considered to be the oldest known patelloidean gastropod but possibly an untorted mollusc. Comparison with the muscle scar pattern in Archinacellina from the Ordovician of Bohemia suggests that Eesticonus is an archinacelloidean gastropod, but not a patellogastropod.

The Anatomy of the Frontalis Muscle Revisited: A Detailed Anatomic, Clinical, and Physiologic Study.

There are differing opinions regarding the specific mechanical forces related to contraction of the frontalis muscle and how it exerts its effects on eyebrow motion. The goal of this study was to perform a detailed anatomic and clinical study of the frontalis muscle in cadavers and patients to better define the movement of the frontalis muscle. This study consisted of 4 arms, which included: (1) dynamic ecography to evaluate movement of the frontalis muscle, (2) anatomical study of the relationship between the frontalis muscle and the deep fascia, (3) histological study to define the frontalis muscle attachments, and (4) clinical study to evaluate the action of the frontalis muscle in patients undergoing a temporal facelift. The frontalis muscle was attached, inserted, and adhered to the deep layer of the fascia in the superior cephalic and middle third of the forehead. In the superior cephalic third of the forehead, loose areolar tissue was observed deep to the frontalis muscle and the deep layer of the fascia. Within the middle third of the forehead, the deep layer of the galea was fused with the periosteum and firmly adhered. In the inferior caudal third of the forehead, the frontalis muscle was separated from the deep galeal aponeurosis and interdigitated with the orbicularis muscle. When the frontal muscle end was dissected free from the deep fascia by approximately 1 cm and pulled upward, no movement of the eyebrows was observed. Eyebrow elevation was only achieved by pulling on the inferior part of the muscle. Frontalis muscle movement occurs from the inferior caudal end toward the mid-part of the muscle as it contracts centripetally on its superficial layer, sliding over the deep part strongly attached to the deep fascia.

Mandibular anatomy of the paracryptodire Glyptops ornatus supports active hunting behavior in a Jurassic turtle.

The mandible of turtles is rich in osteological characters that are relevant for systematic purposes. Shape variation additionally reflects upon various feeding strategies and are thus informative for the palaeoecological interpretation of extinct species based on fossils. The mandibular anatomy of non-baenid paracryptodires has so far been undescribed. Based on digital segmentation of a computed tomography scan, I herein describe the mandible of the pleurosternid paracryptodire Glyptops ornatus. This taxon has a slender and gracile jaw, with weakly developed muscle attachment sites for adductor muscles (i.e., adductor fossa, coronoid process, and retroarticular process) and strongly reduced triturating ridges. These features are typical for suction-feeding aquatic hunters, thereby contrasting with the robust, durophagous-adapted mandibles of many baenid or compsemydid paracryptodires. In addition, the mandible of G. ornatus is characterized by the presence of a large splenial with a dorsal splenial-dentary contact, the presence of a splenial foramen, and the strong reduction of the foramen dentofaciale majus and the absence of a posterior intermandibular foramen.

The fossil record of appendicular muscle evolution in Synapsida on the line to mammals: Part I-Forelimb.

This paper is the first in a two-part series that charts the evolution of appendicular musculature along the mammalian stem lineage, drawing upon the exceptional fossil record of extinct synapsids. Here, attention is focused on muscles of the forelimb. Understanding forelimb muscular anatomy in extinct synapsids, and how this changed on the line to mammals, can provide important perspective for interpreting skeletal and functional evolution in this lineage, and how the diversity of forelimb functions in extant mammals arose. This study surveyed the osteological evidence for muscular attachments in extinct mammalian and nonmammalian synapsids, two extinct amniote outgroups, and a large selection of extant mammals, saurians, and salamanders. Observations were integrated into an explicit phylogenetic framework, comprising 73 character-state complexes covering all muscles crossing the shoulder, elbow, and wrist joints. These were coded for 33 operational taxonomic units spanning >330 Ma of tetrapod evolution, and ancestral state reconstruction was used to evaluate the sequence of muscular evolution along the stem lineage from Amniota to Theria. In addition to producing a comprehensive documentation of osteological evidence for muscle attachments in extinct synapsids, this work has clarified homology hypotheses across disparate taxa and helped resolve competing hypotheses of muscular anatomy in extinct species. The evolutionary history of mammalian forelimb musculature was a complex and nonlinear narrative, punctuated by multiple instances of convergence and concentrated phases of anatomical transformation. More broadly, this study highlights the great insight that a fossil-based perspective can provide for understanding the assembly of novel body plans.

Matricellular Proteins in the Homeostasis, Regeneration, and Aging of Skin.

Matricellular proteins are secreted extracellular proteins that bear no primary structural functions but play crucial roles in tissue remodeling during development, homeostasis, and aging. Despite their low expression after birth, matricellular proteins within skin compartments support the structural function of many extracellular matrix proteins, such as collagens. In this review, we summarize the function of matricellular proteins in skin stem cell niches that influence stem cells' fate and self-renewal ability. In the epidermal stem cell niche, fibulin 7 promotes epidermal stem cells' heterogeneity and fitness into old age, and the transforming growth factor-β-induced protein ig-h3 (TGFBI)-enhances epidermal stem cell growth and wound healing. In the hair follicle stem cell niche, matricellular proteins such as periostin, tenascin C, SPARC, fibulin 1, CCN2, and R-Spondin 2 and 3 modulate stem cell activity during the hair cycle and may stabilize arrector pili muscle attachment to the hair follicle during piloerections (goosebumps). In skin wound healing, matricellular proteins are upregulated, and their functions have been examined in various gain-and-loss-of-function studies. However, much remains unknown concerning whether these proteins modulate skin stem cell behavior, plasticity, or cell-cell communications during wound healing and aging, leaving a new avenue for future studies.

Comparison of anterior segment optical coherence tomography and ultrasound biomicroscopy in localizing horizontal rectus muscle insertions.

To evaluate the viability and precision of measuring the distance from the limbus to extraocular muscle insertion using anterior segment optical coherence tomography (AS-OCT) and panoramic ultrasound biomicroscopy (UBM) before and after strabismus surgery. We recruited primary strabismus patients and measured the limbus-insertion distance by AS-OCT and UBM preoperatively, 2 weeks, and 1, 3, and 6 months postoperatively. Values were also measured using callipers intraoperatively before and after the planned procedures. Preoperative AS-OCT and UBM values were compared to intraoperative calliper measurements as the gold standard. Postoperative AS-OCT and UBM values were compared to the new postoperative limbus-insertion distance. The limit of agreement deemed clinically acceptable was defined as 1 mm. A total of 85 horizontal muscles of 40 patients, including 48 lateral rectus muscles and 37 medial rectus muscles, were analysed. Primary muscles could be successfully detected by AS-OCT (95%) and UBM (100%). At 2 weeks and 1, 3, and 6 months postoperatively, the new rectus muscle attachment site detection rate by AS-OCT was 6%, 32%, 80%, and 89%, respectively, and that by UBM was 24%, 60%, 85%, and 93%, respectively. The Bland-Altman plots revealed better consistency in pairs of AS-OCT, UBM, and calliper measurements of primary muscles than postoperative muscles. For primary muscles, 89% of AS-OCT measurements fell within the permissible range of surgical measurements (1 mm), but this dropped to 67% at 6 months postoperatively (P < 0.001). The accuracy of UBM measurements of primary muscles was 81%, and this decreased to 59% at 6 months postoperatively (P = 0.001). AS-OCT and UBM performed well in terms of imaging primary horizontal rectus muscles, but showed decreased accuracy and reproducibility in postoperative muscle measures.

Bilateral dislocation of the hip joint and associated pathological changes in the ossa coxae and femora of a European roe deer (Capreolus capreolus).

We describe a bilateral craniodorsal dislocation of the hip joint in a free-ranging young roe buck and the associated pathological changes in the ossa coxae and femora of the animal. The highly symmetrical dislocation, which is considered to have developed secondary to hip dysplasia, caused the formation of two false acetabula that each consist of several, partially fused bone portions. The femora exhibit symmetrical outgrowths that extend from the greater trochanter along the intertrochanteric crest to the lesser trochanter. Formation of these outgrowths is attributed to abnormal traction at muscle attachment sites due to the displacement of the femora. On radiographic examination, both femora show signs of avascular necrosis in their head regions and of fatty marrow necrosis in their shafts, which is attributed to the damage of the arterial blood supply of the femora that was associated with the dislocation. The fact that, according to the hunter who shot the buck, the animal's locomotion was inconspicuous suggests that the false hip joints functioned quite well, thereby demonstrating a remarkable capacity of the musculoskeletal system for functional recovery.

Total Hip Arthroplasty by Direct Anterior Approach (Hueter)

Introduction: Hip arthroplasty is a successful treatment in orthopedics. The direct anterior approach, through the Hueter interval, avoids dissection of muscle attachments to the bone and causes less disruption of the soft tissues around the hip. Purpose: To show the results of primary total hip arthroplasties, performed by direct anterior approach. Methods: Descriptive-prospective study, case series type, with patients operated on for hip osteoarthritis, who underwent primary uncemented total hip arthroplasty through a direct anterior approach between September 2019 and March 2021 and one-year follow-up. Results: Predominance of the female sex in a ratio of 2 to 1, age groups between 45 and 60 years with no difference in the location of the operated hip. Low body mass index and low anesthetic risk. Surgical time greater than two hours, with little surgical bleeding, the placement of the acetabular and femoral component was adequate and allowed walking in less than three postoperative days with such hospitalization time. Incidence of low and infrequent complications, resolved with adequate treatment. The pain went from a mean of 9 in the preoperative period to a 2 in the postoperative period, the "Harris hip score" varied from a mean of 60 (bad) to one of 87 (good close to excellent). Conclusions: The use of the direct anterior approach for primary total hip arthroplasties offers very satisfactory results valued as good.

Fractal analysis of the effects on mandibular bone of botulinum toxin therapy of the masseter muscle in patients with bruxism

We examined changes in the mandibular angle, ramus, and condylar neck of patients with bruxism after botulinum toxin-A (BTX-A) injection into the masseter muscle as calculated with fractal analysis (FA) on panoramic radiographs (PRs). We examined the PRs of 3 groups of 22 patients each (n=66) obtained upon presentation and 6 months later. One group included healthy controls without bruxism, one group included patients with untreated bruxism, and one group included patients with bruxism who had undergone BTX-A injection into the masseter muscle. We performed FA of the bilateral angle, ramus, and condylar neck of the PRs to calculate fractal dimension (FD). The FD values of the angle on the second PRs of the untreated bruxism group were significantly higher than those of the other groups (P = .026), specifically when compared to the BTX-A injection group (P = .017). The FD values in the angle and ramus of the bruxism group were significantly higher on the second PRs (P ≤..005)) Conversely, the FD values in the angle of the BTX-A injection group were significantly lower on the second PR (P = .039). Masseter muscle hyperactivity due to bruxism increases bone density in masseter muscle attachment regions. BTX-A injection restricts muscle activity, thereby chnging bone structure and decreasing FD.

Perception of Students and Faculty about Mounted Display of Dry Human Bones as Visual Educational Tool

This study aimed to assess the usefulness of mounted display boards of dry human bones as a self-directed learning tool for 1st year Bachelor of Medicine, Bachelor of Surgery (MBBS) students studying osteology. A prospective observational questionnaire-based study was conducted in a medical college attached to a tertiary care hospital in western Maharashtra. Feedback was obtained from 159 out of 200 participating students and was subjected for analysis. The results showed that the majority of students found the mounted display boards to be interesting (89%), beneficial for presentation skills (83%), improving thinking ability (82%), easing drawing tasks (62%), facilitating self-directed learning (79%), reducing mistakes during assessments (84%), enhancing subject understanding (91%), and promoting departmental involvement. The findings suggest that the development of department-specific display boards can enhance students' drawing skills, improve subject comprehension, thinking ability, and reduce errors made by students (75% students). Furthermore, the inclusion of charts with muscle attachments on the display boards was recommended by 94\% students for additional utility. Overall, these findings highlight the significance of incorporating mounted display boards into anatomy departments as a valuable educational resource.

Measurement of the Three-Dimensional Muscle Endpoint Forces in the Extended Thumb and Its Application to Determining Muscle Combinations that Enable Lateral Pinch Force Production Throughout the Plane of Flexion-Extension.

Functional outcomes of tendon transfer surgeries, designed to restore lateral pinch grasp to persons following cervical spinal cord injury, have been mixed. That is, pinch force magnitudes have varied by 10-fold and have been reported to be as low as low as tenths of a pound. We believe a novel tendon transfer approach in which the donor muscle actuates a small group of paralyzed thumb muscles, instead of just the flexor pollicis longus (FPL) muscle (the current approach), will enable endpoint forces that are better directed and therefore a consistently stronger pinch force following surgery. We further believe that such surgeries can be better designed to account for grasp force production throughout the entire plane of flexion-extension if muscle endpoint forces in the extended thumb are known. Consequently, we measured muscle endpoint forces in the extended thumb in 6 cadaveric specimens after a force of 10 N was applied to each muscle. Further, we simulated a tendon transfer surgery in which the donor muscle applied equal force to each muscle in 246 small groups of muscles, calculated the direction of the resulting endpoint force throughout the flexion-extension plane, and determined if those groups of muscles produced a better directed force than FPL's. While we found that 3 individual muscles and 52 muscle groups could produce desirably directed endpoint forces in parts of the flexion-extension plane, no muscle or muscle group could produce well-directed endpoint forces throughout the flexion-extension plane. We concluded that a group of muscles could likely be found if the donor muscle provided different levels of force to each of the muscles in a muscle group. This would be possible through intentional geometric manipulation of the donor-to-recipient muscle attachment to allow for unequal splitting of donor muscle force.Clinical Relevance-This work aims to determine whether the same combination of thumb muscles can produce well-directed endpoint forces throughout the flexion-extension plane. If so, then this work informs surgeons which muscle groups could be involved in a tendon transfer to restore lateral pinch grasp ability throughout the plane of flexion-extension in person with cervical spinal cord injury.

Periostitis Ossificans: Largest Case Series with Review of Literature.

Background Periostitis ossificans (PO) are rare, benign ossifying surface lesions characterized by the centripetal ossification with osseous and soft-tissue edema. Their clinicoradiological appearances can easily mimic those of more sinister or infective surface lesion. Objective This study aimed to explore the various anatomical locations and muscle attachment at the site of PO, and evaluate the role of complementary image findings in patients presenting at our tertiary orthopaedic referral center. Patients and Methods A retrospective review of our oncology and radiology databases was undertaken to identify patients with PO reported on radiographs, magnetic resonance imaging (MRI) and computed tomography (CT) over the past 13 years (2007-2020). Patient demographics, sites of PO, muscle attachment at the site of PO, findings on complementary imaging, and clinical management outcome were documented. Results We identified 38 patients with PO with a mean age of 24 years (range: 4-66 years). Muscle attachment was seen at the site of PO in the majority of cases (89%). The majority of PO were in the lower limb and commonly seen around the attachment of quadriceps. Deltoid attachment was commonly involved in the upper limb. Conclusion Muscle attachment is commonly seen at the site of PO, which results in stripping of the periosteum resulting in soft-tissue and osseous edema and centripetal ossification.

Morphological evaluation of gonial and antegonial regions in bruxers on panoramic radiographic images

BackgroundThis is the first study to report both cortical and trabecular bone evaluation of mandibles in bruxers, within the knowledge of the authors. The purpose of this study was to evaluate the effects of bruxism on both the cortical and the trabecular bone in antegonial and gonial regions of the mandible, which is the attachment of the masticatory muscles, by using panoramic radiographic images.MethodsIn this study, the data of 65 bruxer (31 female, 34 male) and 71 non-bruxer (37 female, 34 male) young adult patients (20–30 years) were evaluated. Antegonial Notch Depth (AND), Antegonial-Index (AI), Gonial-Index, Fractal Dimension (FD) and Bone Peaks (BP) were evaluated on panoramic radiographic images. The effects of the bruxism, gender and side factors were investigated according to these findings. The statistical significance level was set atP ≤ 0.05.ResultsThe mean AND of bruxers (2.03 ± 0.91) was significantly higher than non-bruxers (1.57 ± 0.71; P < 0.001). The mean AND of males was significantly higher than females on both sides (P < 0.05). The mean AI of bruxers (2.95 ± 0.50) was significantly higher than non-bruxers (2.77 ± 0.43; P = 0.019). The mean FD on each side was significantly lower in bruxers than in non-bruxers (P < 0.05). The mean FD of males (1.39 ± 0.06) was significantly higher than females (1.37 ± 0.06; P = 0.049). BP were observed in 72.5% of bruxers and 27.5% of non-bruxers. The probability of existing BP, in bruxers was approximately 3.4 times higher than in non-bruxers (P = 0.003), in males was approximately 5.5 times higher than in females (P < 0.001).ConclusionAccording to the findings of this study, the morphological differences seen in cortical and trabecular bone in the antegonial and gonial regions of the mandible in bruxers can be emphasized as deeper AND, higher AI, increased of existing BPs, and lower FD, respectively. The appearance of these morphological changes on radiographs may be useful for indication and follow-up of bruxism. Gender is an effective factor on AND, existing BP and FD.