CTRI Number |
CTRI/2022/04/042092 [Registered on: 22/04/2022] Trial Registered Prospectively |
Last Modified On: |
24/07/2025 |
Post Graduate Thesis |
No |
Type of Trial |
Interventional |
Type of Study
|
Biological Dentistry |
Study Design |
Randomized, Parallel Group Trial |
Public Title of Study
|
Effectiveness of platelet concentrate in non surgical treatment of periodontitis |
Scientific Title of Study
|
Evaluation of the effectiveness of adjunctive intra pocket delivery of injectable platelet concentrate (iPRF) in non surgical periodontal therapy-A randomized controlled split mouth trial |
Trial Acronym |
|
Secondary IDs if Any
|
Secondary ID |
Identifier |
NIL |
NIL |
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
Name |
Dr Baiju R M |
Designation |
Additional professor |
Affiliation |
Government Dental College |
Address |
Department Of Periodontics
Government Dental College
Gandhinagar P O Kottayam
Kottayam KERALA 686008 India |
Phone |
9447279605 |
Fax |
|
Email |
baijurm@gmail.com |
|
Details of Contact Person Scientific Query
|
Name |
Dr Baiju R M |
Designation |
Additional professor |
Affiliation |
Government Dental College |
Address |
Department Of Periodontics
Government Dental College
Gandhinagar P O Kottayam
Kottayam KERALA 686008 India |
Phone |
9447279605 |
Fax |
|
Email |
baijurm@gmail.com |
|
Details of Contact Person Public Query
|
Name |
Dr Baiju R M |
Designation |
Additional professor |
Affiliation |
Government Dental College |
Address |
Department Of Periodontics
Government Dental College
Gandhinagar P O Kottayam
Kottayam KERALA 686008 India |
Phone |
9447279605 |
Fax |
|
Email |
baijurm@gmail.com |
|
Source of Monetary or Material Support
|
State Board Of Medical Reasearch |
|
Primary Sponsor
|
Name |
State Board Of Medical Research |
Address |
Government Medical College Kottayam |
Type of Sponsor |
Government medical college |
|
Details of Secondary Sponsor
|
|
Countries of Recruitment
|
India |
Sites of Study
|
No of Sites = 1 |
Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
Dr Baiju R M |
Government Dental College Kottayam |
Department Of Periodontics
Room no:801
Gandhinagar PO Kottayam
Pin:686008 Kottayam KERALA |
9447279605
baijurm@gmail.com |
|
Details of Ethics Committee
|
No of Ethics Committees= 1 |
Name of Committee |
Approval Status |
Institutional Ethics Committee |
Approved |
|
Regulatory Clearance Status from DCGI
|
|
Health Condition / Problems Studied
|
Health Type |
Condition |
Patients |
(1) ICD-10 Condition: K053||Chronic periodontitis, |
|
Intervention / Comparator Agent
|
Type |
Name |
Details |
Intervention |
Adjunctive intra pocket delivery of iPRF in non surgical periodontal therapy in patients with moderate to severe periodontitis |
In addition to the procedures undertaken for control group ,test group will receive adjunctive intra pocket delivery of iPRF once after non surgical periodontal therapy followed by evaluation at baseline,3rd month and 6th month. |
Comparator Agent |
Standard non surgical therapy(scaling and root planing) |
The control group will receive standard non surgical periodontal therapy under local anesthesia in not more than two sittings within a span of 48hrs followed by 0.9 % normal saline irrigation |
|
Inclusion Criteria
|
Age From |
18.00 Year(s) |
Age To |
65.00 Year(s) |
Gender |
Both |
Details |
(a) subjects with age more than 18
(b) systemically healthy subjects
(c) Patients with at least two sites with probing pocket depth (PPD) ≥ 5 mm on contralateral side either in maxilla or mandible
|
|
ExclusionCriteria |
Details |
1) Subjects with habit of Smoking and tobacco chewing
3) Subjects taking Medications affecting the periodontium
4) Pregnancy or lactation
5) Subjects received probiotic or antimicrobial therapy in the past 6 months
6) Subjects underwent periodontal therapy in the past 6 months
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
Blinding/Masking
|
Outcome Assessor Blinded |
Primary Outcome
|
Outcome |
TimePoints |
Probing pocket depth |
Final outcome assessed at 6th month after nonsurgical periodontal therapy |
|
Secondary Outcome
|
Outcome |
TimePoints |
1) clinical attatchment level
2) Gingival recession |
Final outcome assessed at 6th month after nonsurgical periodontal therapy |
|
Target Sample Size
|
Total Sample Size="100" Sample Size from India="100"
Final Enrollment numbers achieved (Total)= "50"
Final Enrollment numbers achieved (India)="50" |
Phase of Trial
|
Phase 3 |
Date of First Enrollment (India)
|
02/05/2022 |
Date of Study Completion (India) |
19/12/2024 |
Date of First Enrollment (Global) |
Date Missing |
Date of Study Completion (Global) |
19/12/2024 |
Estimated Duration of Trial
|
Years="1" Months="0" Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Not Applicable |
Recruitment Status of Trial (India) |
Completed |
Publication Details
Modification(s)
|
manuscript prepared and sent for publication |
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
Brief Summary
Modification(s)
|
Periodontal disease is the sixth most prevalent health condition that affects humans. It is one of the important reasons for tooth loss, impacts the quality of life of individuals. Emerging evidence links it to several systemic life threatening conditions like cardiovascular disease and diabetes making it an important public health problem. The objective of the prospective intervention trial is to assess the effectiveness of intrapocket delivery of injectable platelet rich fibrin in the non surgical management of moderate to severe periodontitis when compared to conventional scaling root planing. These autologous platelet concentrate are suspensions of growth factors and when applied locally ,they can induce soft and hard tissue regeneration. Since the standard PRF is not entirely appropriate for injection ,a new injectable formulation of PRF(termed i-PRF)enables easier use of platelet concentrate in liquid state. Otherwise healthy adults with moderate to severe periodontitis who satisfies the inclusion criteria are included in the study.Eligible individuals are randomized into test and control groups by split mouth design. Conclusions will be drawn based on the results. Treatment of periodontal disease is complicated and expensive. Many patients require invasive procedures including regenerative therapy. Adjunctive approaches to conventional non surgical therapy has page been investigated widely to avoid invasive surgical interventions. This study is such an attempt, where by an adjuvant like autologous platelet concentrate is added to conventional nonsurgical therapy in order to assess whether there is any improvement in clinical outcomes when compared to non surgical therapy alone. although PPD reduction is considered as the primary outcome, pocket closure would be considered as a clinically relevant outcome. If found beneficial it would be highly encouraging for the resource poor Indian health system. |