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Background: the ultimate goal of periodontal therapy is the regeneration of periodontal tissues. Researches had demonstrated the benefits of platelet concentrates bine grafts in osseous regeneration in the areas of periodontal surgery.
Aim of the study: to evaluate the effect of PRF with/without nanohydroxyapatite in periodontal intrabony defects.
Background: the ultimate goal of periodontal therapy is the regeneration of periodontal tissues. The regenerative and wound healing potential of platelets has attracted much attention over the last few years. Researches had demonstrated the benefits of platelet concentrates in osseous regeneration in the areas of periodontal surgery and implantology. In addition, nanohydroxyapatite was shown to be unsheathed by newly formed bone and partly replaced by it, but resorbed very slowly, as shown in animal experiments after 9 months or in clinical studies after a 6-month observation period. The clinical and biochemical studies evaluating the regenerative effect of PRF alone or in combination with nanohydroxyapatite in periodontal intrabony defects are still deficient.
Aim of the study: to evaluate clinical and biochemical effect of PRF with/without nanohydroxyapatite in treatment of human intrabony defects.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| OFD alone | Placebo Comparator | Control group: including 15 defects that will receive open flap debridement (OFD). |
|
| PRF + OFD | Active Comparator | Test group (1): including 15 defects that will receive platelet rich fibrin (PRF) with open flap debridement (OFD). |
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| Bone + OFD | Active Comparator | Test group (2): including 15 defects that will receive nanohydroxyapatite bone graft with open flap debridement OFD). |
|
| PRF + Bone + OFD | Active Comparator | Test group (3): including 15 defects that will receive nanohydroxyapatite bone graft with platelet rich fibrin (PRF) after open flap debridement (OFD). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| OFD alone | Procedure | Periodontal surgical cleaning procedure |
|
| Measure | Description | Time Frame |
|---|---|---|
| Changes in Gingival crevicular fluid (GCF) | GCF will be collected after removing saliva and supra-gingival plaque using methylcellulose filter paper strip that will be inserted in the periodontal pocket and will be let in for 30 seconds. | up to 3 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in Gingival index | Gingival index (GI) developed on 1963. | up to 3 months |
| Changes in level of attachment loss | Attachment loss: will be measured from the cemento-enamel junction (CEJ) to the apical part of the sulcus. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Maha A Bahammam, DSc | King Abdelaziz University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| King Abdelaziz University. Faculty of dentistry | Jeddah | 21589 | Saudi Arabia |
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| ID | Term |
|---|---|
| D016025 | Bone Transplantation |
| ID | Term |
|---|---|
| D016378 | Tissue Transplantation |
| D064987 | Cell- and Tissue-Based Therapy |
| D001691 | Biological Therapy |
| D013812 | Therapeutics |
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| Platelet rich Fibrin | Drug | Natural platelet concentrate rich in growth factors |
|
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| Nanohydroxyapatite | Drug | Synthetic bone graft |
|
|
| up to 3 months |
| Changes in probing pocket depth | Probing pocket depth (PD): six measurements per tooth will be recorded by using the University of Michigan O periodontal probe with Williams markings. | up to 3 months |
| D019637 |
| Orthopedic Procedures |
| D013514 | Surgical Procedures, Operative |
| D014180 | Transplantation |