| CTRI Number |
CTRI/2017/08/009386 [Registered on: 17/08/2017] Trial Registered Retrospectively |
| Last Modified On: |
16/10/2017 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Dentistry |
| Study Design |
Randomized, Parallel Group, Active Controlled Trial |
|
Public Title of Study
|
Comparative Evaluation of Beta-Tricalcium Phosphate versus Platelet Rich Fibrin in the treatment of Mandibular Furcation Defects |
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Scientific Title of Study
|
A Comparative Evaluation of the Regenerative Potential of alloplastic material Beta-Tricalcium Phosphate (β-TCP) and Autologous Platelet Rich Fibrin (PRF) in the treatment of Mandibular Furcation Defects: A Clinico-Radiographic Study |
| Trial Acronym |
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Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
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Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Zeba Rahman |
| Designation |
Postgraduate Student |
| Affiliation |
Saraswati Dental College, Lucknow |
| Address |
Department of Periodontology,
Saraswati Dental College,
233, Tiwariganj, Faizabad Road, Chinhat, Lucknow
Lucknow UTTAR PRADESH 226028 India |
| Phone |
|
| Fax |
|
| Email |
zeba.rahman1@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Vivek Kumar Bains |
| Designation |
Professor |
| Affiliation |
Saraswati Dental College, Lucknow |
| Address |
Department of Periodontology,
Saraswati Dental College,
233, Tiwariganj, Faizabad Road, Chinhat, Lucknow
Lucknow UTTAR PRADESH 226028 India |
| Phone |
9935023439 |
| Fax |
|
| Email |
doc_vivek76@yahoo.co.in |
|
Details of Contact Person Public Query
|
| Name |
Dr Vivek Kumar Bains |
| Designation |
Professor |
| Affiliation |
Saraswati Dental College, Lucknow |
| Address |
Department of Periodontology,
Saraswati Dental College,
233, Tiwariganj, Faizabad Road, Chinhat, Lucknow
UTTAR PRADESH 226028 India |
| Phone |
9935023439 |
| Fax |
|
| Email |
doc_vivek76@yahoo.co.in |
|
|
Source of Monetary or Material Support
|
| Self funded by the investigators |
|
|
Primary Sponsor
|
| Name |
Saraswati Dental College Lucknow |
| Address |
Department of Periodontology,
Saraswati Dental College,
233, Tiwariganj, Faizabad Road, Chinhat, Lucknow |
| Type of Sponsor |
Other [Infrastructural support by Institution] |
|
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Details of Secondary Sponsor
|
|
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Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Vivek Kmuar Bains |
Sraswati Dental College, Lucknow |
PG Clinic, Department of Peridontology,Room No. 6, First Floor, Lucknow UTTAR PRADESH |
9935023439
doc_vivek76@yahoo.co.in |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Insitutional Human Ethics Committee |
Approved |
|
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Regulatory Clearance Status from DCGI
|
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Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
Chronic periodontitis patients with grade II furcation involvement in mandibular teeth, |
|
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Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
Beta Tricalcium phosphate and Platelet rich fibrin |
1) Beta tricalcium phosphate is a Bone graft
2) Platelet rich fibrin is autologous |
| Intervention |
Grade II Furcation treatment |
Mandibular Grade II furcation were treated with regenerative surgical techqinues |
|
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Inclusion Criteria
|
| Age From |
30.00 Year(s) |
| Age To |
50.00 Year(s) |
| Gender |
Both |
| Details |
1) Systemically healthy patients within the age group 30-50 years suffering from moderate to severe generalized chronic periodontitis.
2) Patient having at least one Glickman’s buccal grade II furcation defects in mandibular 1st and 2nd molars with ≥3mm horizontal probing depth.
3) Involved tooth must have gingival margin coronal to or at the level of the roof of furcation (fornix).
4) Patients who had not taken antibiotics or any other drug within 6 months that may modify the result of periodontal therapy.
5) Non mobile tooth.
6) Adequate RCT must have been completed 3 months before the commencement of the study.76
7) Compliant patient with full mouth plaque score 0.1 to 0.9 (good oral hygiene during phase I therapy).
|
|
| ExclusionCriteria |
| Details |
1) Smokers and tobacco chewers
2) Pregnant and lactating mothers
3) Individual allergic to medication
4) History of periodontal surgery within 6 months
5) Inadequate endodontic treatment and/or restoration, with trauma from occlusion (TFO) or occlusal disharmony.
6) Lingual Class II furcation defects
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Method of Generating Random Sequence
|
Coin toss, Lottery, toss of dice, shuffling cards etc |
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Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
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Blinding/Masking
|
Outcome Assessor Blinded |
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Primary Outcome
|
| Outcome |
TimePoints |
| horizontal clinical attachment level (HCAL), gingival recession (GR), relative vertical height of furcation (r-VHF) and relative horizontal depth of furcation (r-HDF)] and radiogaraphic parameters [horizontal depth of furcation (H-DOF), vertical height of furcation (V-HOF)] |
Horizontal clinical attachment level (HCAL), gingival recession (GR), relative vertical height of furcation (r-VHF) and relative horizontal depth of furcation (r-HDF)] and radiogaraphic parameters [horizontal depth of furcation (H-DOF), vertical height of furcation (V-HOF)] at 6 months |
|
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Secondary Outcome
|
| Outcome |
TimePoints |
| Clinical parameters [probing pocket depth (PPD), vertical clinical attachment level (VCAL), Radiographic analysis, Data are compared at asilene and 6 Months on CBCT |
Data are compared at asilene and 6 Months on CBCT |
|
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Target Sample Size
|
Total Sample Size="31" Sample Size from India="31"
Final Enrollment numbers achieved (Total)= "31"
Final Enrollment numbers achieved (India)="31" |
|
Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
14/02/2014 |
| Date of Study Completion (India) |
24/12/2015 |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Date Missing |
|
Estimated Duration of Trial
|
Years="2" Months="0" Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Completed |
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Publication Details
|
: Siddiqui ZR, Jhingran R, Bains VK, Srivastava R, Madan R, Rizvi I. Comparative evaluation of platelet-rich fibrin versus beta‑tri‑calcium phosphate in the treatment of Grade II mandibular furcation defects using cone‑beam computed tomography. Eur J Dent 2016;10:496‑506. DOI: 10.4103/1305‑7456.195160
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Individual Participant Data (IPD) Sharing Statement
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Will individual participant data (IPD) be shared publicly (including data dictionaries)?
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Brief Summary
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Objective: The objective of the study was to evaluate clinically and radiographically the efficacy of platelet ’rich fibrin (PRF) versus β ’tri calcium phosphate (β ’TCP) in the treatment of Grade II mandibular furcation defects. Materials and Methods: Forty ’five Grade II furcation defect in mandibular molars which were assigned to open flap debridement (OFD) with PRF Group I (n = 15), to OFD with β TCP Group II (n = 15), and to OFD alone Group III (n = 15) were analyzed for clinical parameters (probing pocket depth [PPD], vertical in 31 patients clinical attachment level [VCAL], horizontal clinical attachment level [HCAL], gingival recession, relative vertical height of furcation [r ’VHF], and relative horizontal depth of furcation [r ’HDF]) and radiographical parameters (horizontal depth of furcation [H ’DOF], vertical height of furcation [V ’HOF]) using cone ’beam computed tomography (CBCT) at 6 months interval. Results: For clinical parameters, reduction in PPD and gain in VCAL and HCAL were higher in Group II as compared to Group I. Change in r ’VHF and r ’HDF was greater in Group II as compared to Group I. Mean percentage clinical vertical defect fill was higher in Group II as compared to Group I (58.52% ± 11.68% vs. 53.24% ± 13.22%, respectively). On CBCT, mean change at 6 months for all parameters showed nonsignificant difference between the two experimental groups. Mean change in V ’HOF was higher in Group I as compared to Group II, but mean change in H DOF and furcation width was more in Group II as compared to Group I. Conclusion: For both experimental and control groups, there was statistically significant improvement at 6 months follow ’up from baseline values.
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