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CTRI Number  CTRI/2026/02/104423 [Registered on: 20/02/2026] Trial Registered Prospectively
Last Modified On: 20/02/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Comparison of two platelet based treatments for gum disease regeneration 
Scientific Title of Study   COMPARATIVE EVALUATION OF RETINOL AUGMENTED INJECTABLE PLATELET RICH FIBRIN AND INJECTABLE PLATELET RICH FIBRIN ALONE IN PERIODONTAL REGENERATION USING MODIFIED MINIMALLY INVASIVE SURGICAL TECHNIQUE A RANDOMIZED CLINICAL TRIAL 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Jayalakshmi L 
Designation  Post graduate  
Affiliation  AJ institute of dental sciences 
Address  floor no 1 Room no 3 Dept of periodontics AJ institute of dental sciences Kuntikan Mangalore 575004

Dakshina Kannada
KARNATAKA
575004
India 
Phone  9380519521  
Fax    
Email  jayalakshmil0409@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Manjushree Kadam 
Designation  Professor 
Affiliation  AJ institute of dental sciences 
Address  floor no 1 Room no 3 Dept of periodontics AJ institute of dental sciences Kuntikan Mangalore 575004

Dakshina Kannada
KARNATAKA
575004
India 
Phone  9380519521  
Fax    
Email  manjushreekadam@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Jayalakshmi L 
Designation  Post graduate  
Affiliation  AJ institute of dental sciences 
Address  floor no 1 Room no 3 Dept of periodontics AJ institute of dental sciences Kuntikan Mangalore 575004


KARNATAKA
575004
India 
Phone  9380519521  
Fax    
Email  jayalakshmil0409@gmail.com  
 
Source of Monetary or Material Support  
A J institute of dental sciences Kuntikana Mangalore India 575004 
 
Primary Sponsor  
Name  Jayalakshmi L 
Address  Floor no 1 room no 3 dept of periodontics A J institute of dental sciences kuntikan Mangalore 575004  
Type of Sponsor  Other [self] 
 
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 Jayalakshmi L  A J institute of dental sciences  Floor no 1 Room no 3 Dept of periodontics
Dakshina Kannada
KARNATAKA 
9380519521

jayalakshmil0409@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
AJIDS ETHICS COMMITTE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K053||Chronic periodontitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Injectable Platelet Rich Fibrin (i-PRF) alone  Injectable Platelet Rich Fibrin (i-PRF) alone will be prepared using standard low-speed centrifugation protocol. After defect debridement using Modified Minimally Invasive Surgical Technique (M-MIST), i-PRF alone will be injected into the intrabony defect. Flap will be repositioned and sutured. 
Intervention  Retinol-augmented Injectable Platelet Rich Fibrin (i-PRF)  Injectable Platelet Rich Fibrin (i-PRF) prepared according to standard low-speed centrifugation protocol will be augmented with Retinol (Vitamin A) at a standardized concentration. Following flap reflection using Modified Minimally Invasive Surgical Technique (M-MIST), the defect site will be debrided and the Retinol-augmented i-PRF will be injected into the intrabony defect. Flap will be repositioned and sutured. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1.Males and females aged between 18 and 65 years.
2.Subjects with stage-III grade B periodontitis
3. two and three-walled intraosseous defects and probing depth more than or equal to 6mm and clinical attachment loss more than or equal to 4mm
4. intraosseous defect depth more than or equal to 3mm following professional mechanical plaque removal and full-mouth bleeding or plaque score less than or equal to 20 percent 
 
ExclusionCriteria 
Details  1. Subjects with suprabony defects
2. Subjects with I-wall defects.
3. Subjects with grade II/III mobility.
4. Subjects on anticoagulant therapy.
5. Subjects with bleeding disorders.
6. Subjects with smoking habits
7. Pregnancy or breastfeeding at the time of study.
8. Subjects with any systemic illness known to influence the outcome of periodontal surgery
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Clinical attachment level (CAL) gain in periodontal intrabony defects  baseline 3 months and 6 months 
 
Secondary Outcome  
Outcome  TimePoints 
Probing pocket depth (PPD) reduction

Radiographic bone fill

Gingival recession changes

Early wound healing / soft-tissue healing response 
baseline 3 months and 6 months 
 
Target Sample Size   Total Sample Size="26"
Sample Size from India="26" 
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 3 
Date of First Enrollment (India)   20/03/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  20/03/2026 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
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 - NO
Brief Summary  
This randomized clinical trial aims to compare the effectiveness of retinol-augmented injectable platelet-rich fibrin (i-PRF) with injectable platelet-rich fibrin (i-PRF) alone when used along with a modified minimally invasive surgical technique (M-MIST) in the treatment of periodontal intrabony defects.

A total of 26 systemically healthy patients with stage III grade B periodontitis will be randomly allocated into two groups. One group will receive retinol-augmented i-PRF with M-MIST, while the control group will receive i-PRF alone with M-MIST. Clinical parameters such as clinical attachment level and probing pocket depth will be evaluated at baseline, 3 months, and 6 months, along with radiographic assessment of bone fill at baseline and 6 months.

The study aims to assess whether the addition of retinol to i-PRF provides any additional benefit in periodontal regeneration compared to i-PRF alone.
 
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