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CTRI Number  CTRI/2026/02/103342 [Registered on: 09/02/2026] Trial Registered Prospectively
Last Modified On: 09/02/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   PRF vs Natural Healing in Preserving Jawbone After Tooth Extraction 
Scientific Title of Study   Ridge Width Preservation in Mandibular Multirooted Tooth Extraction: PRF vs. Non-PRF Approaches 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Mahika Borgave 
Designation  Post graduate student 
Affiliation  SMBT DENTAL COLLEGE AND HOSPITAL 
Address  G 02 ,Department of Periodontology , SMBT Dental College and Hospital , Amrutnagar, Ghulewadi Sangamner Ahmednagar Maharashtra.

Ahmadnagar
MAHARASHTRA
422608
India 
Phone  9766909864  
Fax    
Email  mahikaborgave99@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Purushottam Rakhewar 
Designation  head of department and PG guide  
Affiliation  SMBT DENTAL COLLEGE AND HOSPITAL 
Address  G 02 ,Department of Periodontology , SMBT Dental College and Hospital , Amrutnagar, Ghulewadi Sangamner Ahmednagar Maharashtra.

Ahmadnagar
MAHARASHTRA
422608
India 
Phone  9370017343  
Fax    
Email  drpsrakhewar@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Mahika Borgave 
Designation  Post graduate student 
Affiliation  SMBT DENTAL COLLEGE AND HOSPITAL 
Address  G 02 ,Department of Periodontology , SMBT Dental College and Hospital , Amrutnagar, Ghulewadi Sangamner Ahmednagar Maharashtra.

Ahmadnagar
MAHARASHTRA
422608
India 
Phone  9766909864  
Fax    
Email  mahikaborgave99@gmail.com  
 
Source of Monetary or Material Support  
SMBT DENTAL COLLEGE AND HOSPITAL,SANGAMNER 
 
Primary Sponsor  
Name  nil 
Address  nil 
Type of Sponsor  Other [none] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Mahika Borgave  SMBT dental college and hospital , sangamner   G 02 ,Department of Periodontology , SMBT Dental College and Hospital , Amrutnagar, Ghulewadi Sangamner Ahmednagar Maharashtra.
Ahmadnagar
MAHARASHTRA 
09766909864

mahikaborgave99@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Committee on ethics , SMBT Dental college , Sangamner   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K084||Partial loss of teeth,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  blood clot  After tooth extraction, a blood clot forms within the socket and acts as a natural scaffold for healing. It protects the underlying bone, supports granulation tissue formation, and initiates new bone and soft tissue regeneration in 6 months. Loss of the clot may lead to delayed healing or dry socket. 
Intervention  prf plug  A PRF plug is an autologous fibrin matrix obtained from the patient’s blood, rich in platelets and growth factors. It is placed in extraction sockets to enhance soft tissue healing. it promotes bone regeneration, reduce postoperative pain, and minimize ridge resorption in 6 months. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  1.Patients requiring extraction of mandibular multirooted teeth due to non-restorable conditions.
2.Systemically healthy individuals aged 18–50 years.
3.Patients with no active infections or systemic diseases that could affect healing.
4.Adequate pre-extraction alveolar bone volume confirmed radiographically.
 
 
ExclusionCriteria 
Details  1.Smokers or individuals with habits impacting oral health.
2.Patients with systemic conditions such as diabetes or osteoporosis.
3.History of recent bisphosphonate therapy or radiation therapy in the head and neck region.
4.Pregnant or lactating women.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Other 
Blinding/Masking   Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
1 Ridge Width
2 Ridge Height
3 Healing Outcomes
4 Plaque and Gingival Indices
5 Pocket Probing Depth
6 Cone Beam Computed Tomography
7 Intraoral Periapical Radiographs

 
baseline , 3months , 6 months 
 
Secondary Outcome  
Outcome  TimePoints 
nil  nil 
 
Target Sample Size   Total Sample Size="14"
Sample Size from India="14" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   18/03/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [mahikaborgave99@gmail.com].

  6. For how long will this data be available start date provided 06-10-2026 and end date provided 06-01-2027?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  

This clinical study evaluated the effectiveness of Platelet-Rich Fibrin (PRF) in preserving ridge width and enhancing healing following extraction of mandibular multirooted teeth. Tooth extraction often leads to alveolar ridge resorption, compromising future prosthetic or implant rehabilitation. PRF, an autologous platelet concentrate rich in growth factors, has been proposed as a biological aid to improve post-extraction healing outcomes. Fourteen systemically healthy patients requiring mandibular multirooted tooth extraction were divided into two groups: PRF-treated sockets (test group) and sockets allowed to heal naturally without PRF (control group). Clinical and radiographic parameters—including ridge width, ridge height, healing score, bone fill percentage, plaque index, and pocket probing depth—were evaluated at baseline, 3 months, and 6 months using clinical measurements, CBCT, and IOPA radiographs. Results demonstrated that PRF-treated sockets showed significantly better preservation of ridge width and height, faster and more complete soft tissue healing, and higher bone fill percentages compared to the non-PRF group. Radiographic findings confirmed increased bone density and reduced resorption in PRF-treated sites. Additionally, improved periodontal health was observed in the PRF group. The study concludes that PRF is an effective, cost-efficient, and biocompatible adjunct for extraction socket management, particularly in mandibular multirooted teeth, and plays a valuable role in ridge preservation and preparation for future rehabilitation.

 
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