The Role of Root Canal Treatment in Alleviating Endodontic Pain-Induced Asymmetry and Restoring Muscle Balance

NCT ID: NCT06853028

Last Updated: 2025-03-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

20 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-09-01

Study Completion Date

2024-08-01

Brief Summary

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The study hypothesizes that masticatory laterality caused by acute apical periodontitis pain result in muscle asymmetry. Furthermore, it posits that successful root canal treatment, by restoring normal bilateral chewing function, will reduce this asymmetry, as evidenced by ultrasonographic measurements of the masseter and anterior temporal muscles.The main question it aims to answer is:

Can bilateral chewing function be restored after root canal treatment procedures in patients with masticatory laterality due to painful teeth due to acute apical periodontitis?

Detailed Description

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Conditions

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Temporomandibular Disorders (TMD) Acute Apical Periodontitis of Pulpal Origin

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients with a masticatory laterality due to acute apical periodontitis

ultrasound measurement

Intervention Type OTHER

Muscle thickness measurements were performed with the ultrasound device immediately before root canal treatment, 1 week after, and 3 months after the treatment.

Interventions

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ultrasound measurement

Muscle thickness measurements were performed with the ultrasound device immediately before root canal treatment, 1 week after, and 3 months after the treatment.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients with masticatory laterality due to tooth pain for at least 30 days
* First and second maxillary or mandibular molars with acute apical periodontitis due to deep caries
* Teeth with moderate or severe pain according to the VAS (no pain (0 mm), mild pain (1-3 mm), moderate pain (4-6 mm), and severe pain (7-10 mm))
* Teeth that responded positively to percussion test

Exclusion Criteria

* Systemic conditions affecting muscle structure or function, such as neuromuscular or endocrine disorders.
* Non-endodontic odontogenic pain.
* Prior endodontic treatment of the relevant tooth within the last 30 days.
* History of trauma or surgery to the head, face, or teeth within the last six months.
* Severe communication disorders or psychological issues.
* Inability to complete treatment in a single visit due to exudation or bleeding
* Patients with masticatory laterality due to missing tooth on any side of the dental arch
* Patients who have painful teeth in opposite sides of the dental arch
* TMD patients were excluded from the study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cukurova University

OTHER

Sponsor Role lead

Responsible Party

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Kübra Gürler

DDS MSc

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Çukurova Üniversitesi Diş Hekimliği Fakültesi, Gültepe, Sarıçam/Adana/Türkiye

Adana, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Elbarbary M, Sgro A, Khazaei S, Goldberg M, Tenenbaum HC, Azarpazhooh A. The applications of ultrasound, and ultrasonography in dentistry: a scoping review of the literature. Clin Oral Investig. 2022 Mar;26(3):2299-2316. doi: 10.1007/s00784-021-04340-6. Epub 2022 Jan 14.

Reference Type BACKGROUND
PMID: 35028733 (View on PubMed)

Jeon HM, Ahn YW, Jeong SH, Ok SM, Choi J, Lee JY, Joo JY, Kwon EY. Pattern analysis of patients with temporomandibular disorders resulting from unilateral mastication due to chronic periodontitis. J Periodontal Implant Sci. 2017 Aug;47(4):211-218. doi: 10.5051/jpis.2017.47.4.211. Epub 2017 Aug 21.

Reference Type BACKGROUND
PMID: 28861285 (View on PubMed)

Daline IH, Slade GD, Fouad AF, Nixdorf DR, Tchivileva IE. Prevalence of painful temporomandibular disorders in endodontic patients with tooth pain. J Oral Rehabil. 2023 Jul;50(7):537-547. doi: 10.1111/joor.13457. Epub 2023 Apr 14.

Reference Type BACKGROUND
PMID: 37021602 (View on PubMed)

Gurler K, Guner Akgul I, Duyan Yuksel H, Sisli SN. The Role of Root Canal Treatment in Alleviating Endodontic Pain-Induced Asymmetry and Restoring Muscle Balance: A Self-Controlled Prospective Observational Study. Aust Endod J. 2025 Jul 29. doi: 10.1111/aej.12979. Online ahead of print.

Reference Type DERIVED
PMID: 40726276 (View on PubMed)

Other Identifiers

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10.05.2024/144

Identifier Type: -

Identifier Source: org_study_id

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