Patients who have not antibiotic treatment for acute apical periodontitis in the last month and have not taken any anti-inflammatory medication in the past 24 hours.patients who have not acute apical periodontitis
Patients who have not antibiotic treatment for acute apical periodontitis in the last month and have not taken any anti-inflammatory medication in the past 24 hours.: Patients with acute apical periodontitis will first have masseter muscle measurements in the relevant area and then the decayed tooth will be treated with calcium hydroxide for 14 days. Then the dressing will be applied with calcium hydroxide again. At the end of 28 days, the patient will be measured again by ultrasonography and the initial and final data will be compared.
patients who have not acute apical periodontitis: Masseter measurements will be made from day 1 to day 28 in healthy subjects without acute apical periodontitis.
Study summary
In teeth that remain decayed for a long time, the muscles in that area atrophy because the patient cannot use the decayed area much. As a result, muscle length and mass decrease. To compare the amount of this reduction before and after treatment with ultrasound and to treat accordingly
Eligibility
Sex
ALL
Min age
18 Years
Max age
65 Years
Healthy volunteers
Accepted
Inclusion Criteria:
Systemically healthy adults aged 18-65 years (American Society of Anesthesiologists Class I) Diagnosis of acute apical periodontitis Presence of at least four posterior occlusal units (one premolar pair counted as one unit; one molar pair counted as two units) Age ≥18 years Absence of maxillofacial pathology or systemic disease No history of temporomandibular joint or masticatory muscle disorders No complaints of dysphoni No diagnosed muscular disorders
Exclusion Criteria:
Presence of systemic disease Current use of any medication Fewer than 20 natural teeth Presence of prosthetic restorations (single crowns, fixed dental prostheses, or removable prostheses) Dental implant restorations History of periodontal treatment within the previous year Diagnosis of symptomatic pulpitis Pregnancy Smoking Unilateral edentulism
Primary outcome measure(s)
The thickness and length of the masseter muscle — first week Masseter muscle thickness measurements will made on the screen at the same time, with the help of the distance measurement feature of the USG device, over images of the muscles at rest and maximum contraction. masseter muscle thickness will be measured in millimeters (mm).
Masseter muscle stiffness — first week Masseter muscle stiffness will be measured in kilopascals (Kpa)
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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