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CTRI Number  CTRI/2021/12/038682 [Registered on: 16/12/2021] Trial Registered Prospectively
Last Modified On: 02/07/2024
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Non-randomized, Multiple Arm Trial 
Public Title of Study   Treatment of gum recession using grafts prepared from blood  
Scientific Title of Study   Evaluation of clinical efficacy of advanced platelet rich fibrin and advanced platelet rich fibrin plus in the management of gingival recession defects-A prospective comparative study 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Anupama Tadepalli 
Designation  Professor 
Affiliation  SRM dental college 
Address  Department of Periodontics, 4th floor, SRM Dental College, Ramapuram campus, Bharathi salai, Chennai

Chennai
TAMIL NADU
600089
India 
Phone  9677065517  
Fax    
Email  anupamamds@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Anupama Tadepalli 
Designation  Professor 
Affiliation  SRM dental college 
Address  Department of Periodontics, 4th floor, SRM Dental College, Ramapuram campus, Bharathi salai, Chennai

Chennai
TAMIL NADU
600089
India 
Phone  9677065517  
Fax    
Email  anupamamds@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Anupama Tadepalli 
Designation  Professor 
Affiliation  SRM dental college 
Address  Department of Periodontics, 4th floor, SRM Dental College, Ramapuram campus, Bharathi salai, Chennai

Chennai
TAMIL NADU
600089
India 
Phone  9677065517  
Fax    
Email  anupamamds@gmail.com  
 
Source of Monetary or Material Support  
Department of Periodontology, SRM Dental College 
 
Primary Sponsor  
Name  Dr Anupama Tadepalli 
Address  Department of Periodontics, 4th floor, SRM Dental College, Ramapuram campus, Bharathi salai, Chennai 
Type of Sponsor  Other [Self funded] 
 
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 Anupama Tadepalli  SRM dental hospital  Department of Periodontics, 4th floor, SRM Dental College, Ramapuram campus, Bharathi salai, Chennai
Chennai
TAMIL NADU 
9677065517

anupamamds@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional review board SRM Dental College  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K060||Gingival recession,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Patients with gingival recession defects in maxillary anteriors and premolars
2. Minimum recession ≥ 2mm
3. Systematically healthy patients
 
 
ExclusionCriteria 
Details  1. Recession sites with probing depth ≥ 4mm and mobile teeth
2. Teeth with prosthetic restorations
3. Anemic patients
4. Platelet disorders
5. Smokers
7. Pregnant and lactating women
8. Patients with poor oral hygiene
9. Systemic condition /disease/any medication influencing the periodontal therapy and disease
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To assess and compare the changes in Recession height (RH) before and after therapy with in and between groups
 
Baseline, 3 months, 6 months
 
 
Secondary Outcome  
Outcome  TimePoints 
To compare changes in
1.Gingival biotype
2.Width of attached gingiva  
Baseline and 6 months 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="31" 
Phase of Trial   N/A 
Date of First Enrollment (India)   27/12/2021 
Date of Study Completion (India) 10/07/2023 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="8"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   Not yet published 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  
Gingival recession is the exposure of root surface due to displacement of gingival margin apical to the cementoenamel junction. Vigorous tooth brushing (most common causative factor) high frenal attachments, plaque, calculus and iatrogenic factors are responsible for the recession. The subepithelial connective tissue graft along with coronally advanced flap technique is the gold standard (Chambrone et al., 2008) (Cairo et al., 2014) and it is the most predictable technique for root coverage. Harvesting connective tissue has inherent limitations like second surgical site and donor site morbidity (pain, discomfort and difficulty during eating, swallowing). Additionally procuring sufficient connective tissue graft material for treating multiple gingival recessions is technically challenging. Recent modifications  of  the  PRF preparation   procedure (2700rpm for 12min 708G)  have  led  to  the development of advanced  platelet  rich  fibrin 1500 rpm 14min 200G (A-PRF)  and 1500 rpm 8min 200G(A-PRF+) which uses  lower G forces proven to have greater number of platelets and growth factor content. Their application in recession management was not documented. This study proposes to investigate and compare clinical efficacy of A-PRF and A-PRF+ membranes in management of gingival recession defects along with coronally advanced flap.






 
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