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Platelet Rich Fibrin+1% Alendronate in Treatment of Chronic Periodontitis

Phase 2
Completed
Conditions
Chronic Periodontitis
Registration Number
NCT02518152
Lead Sponsor
Government Dental College and Research Institute, Bangalore
Brief Summary

The present study is designed to evaluate the combined efficacy of Platelet Rich Fibrin (PRF) and 1% Alendronate (ALN) with open flap debridement (OFD) in treatment of intrabony defects in chronic periodontitis patients.

Detailed Description

Background: Platelet-rich fibrin (PRF) is a second-generation platelet concentrate, act as reservoirs of growth factors and cytokines which are the key factors for regeneration of the bone and maturation of the soft tissue. Alendronate (ALN), a potent member of bisphosphonate group is known to promote tissue regeneration by inhibiting osteoclastic bone resorption and promoting osteoblastogenesis. The present study was designed to evaluate the combined efficacy of PRF and 1% ALN with open flap debridement (OFD) in treatment of intrabony defects in chronic periodontitis patients.

Methods: Ninety patients with single defects were categorized into three groups: OFD alone, OFD with PRF,OFD with PRF+1% ALN. Clinical parameters; site specific plaque index (PI), modified sulcus bleeding index (mSBI), probing depth (PD), clinical attachment level (CAL) and gingival marginal level (GML) were recorded at baseline before surgery and 9 months post-operatively. Percentage radiographic intra-bony defect depth reduction (IBD) was evaluated at baseline and 9 months.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
90
Inclusion Criteria

Not provided

Exclusion Criteria
  • Aggressive Periodontitis patients;
  • Systemic conditions known to affect the periodontal status;
  • medications known to affect the outcomes of periodontal therapy;
  • Hematological disorders and insufficient platelet count (<200,000/mm3);
  • Pregnancy/lactation;
  • Smoking and tobacco use in any form
  • Immunocompromised individuals.
  • Those having unacceptable oral hygiene (plaque index27 [PI] >1.5) after reevaluation of Phase I therapy .
  • Teeth with furcation involvement, non-vital teeth, carious teeth indicated for restorations and mobility of at least grade II were also excluded.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
defect depth reduction (%)Change from baseline to 9 months

assessed in percentage

Secondary Outcome Measures
NameTimeMethod
plaque indexChange from baseline to 9 months

scale from 0-3

probing depth (mm)Change from baseline to 9 months

measured in mm

gingival marginal level (mm)Change from baseline to 9 months

measured in mm

modified sulcus bleeding indexChange from baseline to 9 months

scale from 0-3

clinical attachment level (mm)Change from baseline to 9 months

measured in mm

Trial Locations

Locations (1)

Government Dental College and Research Institute

🇮🇳

Bangalore, Karnataka, India

Government Dental College and Research Institute
🇮🇳Bangalore, Karnataka, India

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