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Elastography or elasticity imaging is a new non-invasive imaging modality that involves tissue stiffness assessment based on hardness (elasticity) of normal or pathological tissues. The principle being that tissue compression produces strain within the tissue leading to tissue displacement due to which tissue hardness can be estimated. This tissue elasticity resulting from compression is displayed as an image called elastogram. This technique can be particularly useful in preoperative assessment of pathological tissues which are generally harder than normal surrounding tissues. Hence, the purpose of this article is to highlight this technique and its various applications in oral and maxillofacial region.