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Clinical Evaluation of Injectable Alb-PRF in the Management of Intrabony Defect in Stage-III Periodontitis Patients

Not Applicable
Not yet recruiting
Conditions
Intrabony Periodontal Defect
Registration Number
NCT06297577
Lead Sponsor
Cairo University
Brief Summary

Clinical Evaluation of Injectable Albumin Platelet Rich Fibrin Versus Platelet Rich Fibrin in the Management of Intra-bony Defect in Stage-III Periodontitis Patients.

The goal of this clinical trial is to compare Injectable Albumin Platelet Rich Fibrin Versus Platelet Rich Fibrin in the Management of Intra-bony Defect in Stage-III Periodontitis Patients. The main question aims to answer are:

will Albumin Platelet Rich Fibrin (Alb-PRF) as adjunct to minimally invasive surgical technique (MIST) be superior in terms of improvement in clinical parameters compared to the use of PRF with MIST.

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
32
Inclusion Criteria
  1. Stage III periodontitis patient having at least one tooth with 2-wall, 3-wall, or combined 2- to 3-wall intrabony defect ≥3 mm in depth (assessed by bone sounding, radiographic examination) with clinical attachment level (CAL) ≥5mm and probing pocket depth (PPD) ≥6 mm with no defect extending to a root furcation area.
  2. Vital teeth.
  3. No history of intake of antibiotics or other medications affecting the periodontium in the previous 6 months.
  4. No periodontal therapy carried out in the past 6 months.
  5. Ability to sign an informed consent form.
  6. Patients age ≥18 years old.
  7. Patients who are cooperative, motivated, and hygiene conscious.
  8. Systemically free according to Cornell Medical Index.
Exclusion Criteria
  1. Patient undergoing orthodontic treatment.
  2. Pregnant females or breast feeding.
  3. Smokers.
  4. Teeth mobility greater than grade I.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Clinical attachment level (CAL)CAL will be measured at base line, 6, and 9 months postoperative

CAL will be measured from the cemento-enamel junction to the bottom of the gingival sulcus/periodontal pocket using the University of North Carolina periodontal probe at six sites per tooth.

Secondary Outcome Measures
NameTimeMethod
Probing Depth (PD)CAL will be measured at base line, 6, and 9 months postoperative

PD will be measured from the gingival margin to the bottom of the gingival sulcus/ periodontal pocket using the University of North Carolina periodontal probe at six sites per tooth.

Radiographic Linear Defect Depth (RLDD)Radiographic defect fill will be measured at base line, 6, and 9 months postoperative

Individually customized bite blocks will be fabricated for each patient and parallel-angle technique will be employed using X-ray film holding system. Periapical radiograph PSP sensor size two and standardized exposure setting of 60 kVp, 8 mA, 0.7 mm, and 0.10 s will be used. RLDD will be measured as the depth of the intrabony defect from the alveolar crest (AC) to the defect base (DB)

Recession Depth (RD)RD will be measured at base line, 6, and 9 months postoperative

RD will be measured from the cemento-enamel junction to the most apical extension of the gingival margin using the University of North Carolina periodontal probe at six sites per tooth.

Post-operative PainDuring first week postoperative

The visual analogue scale (VAS) score (0-10)

Radiographic defect fill (RDF)Radiographic defect fill will be measured at base line, 6, and 9 months postoperative

Calculation of bone fill in mm will be done by a subtraction of follow-up from baseline RLDD values

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