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Platelet Rich Fibrine (PRF), which promotes wound healing by supporting angiogenesis, immunity and epithelial proliferation phases. over a decade has since past since PRF was developed and many clinicians now point to the potential use of a liquid version of PRF. a liquid injectable-platelet-rich fibrin (i-PRF) was developed by modifying spin centrifugation forces. At lower centrifugation speeds and by utilizing non-glass centrifugation tubes, the fibrin coagulation could be slowed down at early time points thus generating an injectable PRF. Much like traditional PRF, i-PRF contains an increase in leukocyte number and is further able to stimulate growth factor release.
Lichen planus is a common chronic mucocutaneous inflammatory disorder which generally affect s middle aged adults. Therapeutic methods including topical and systemic corticosteroids for the treatment of oral lichen planus (OLP) are suggested. However, long
-term use of corticosteroids may be associated with local and systemic complications, and moreover, some patients may not be responsive.
The investigators aimed to apply a treatment of autogenous origin (including no foreign products), considering the side effects of our corticosteroids. The study was designed as a split mouth.
The investigators planned to administer I-PRF to one side and intralesional corticosteroid therapy to the other side at patients with bilateral atrophic / erosive oral lichen planus lesions
Lichen planus diagnosis will be made histopathologically. Intraoral photographs and measurements will be taken at the beginning of the treatment and 2 months after the treatment is finished.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| experimental; Corticosteroid | Active Comparator | Intralesional corticosteroid administration |
|
| Experimental; Injectable Platelet rich fibrin | Experimental | Injectable Platelet rich fibrin |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Platelet Rich Fibrin Injection | Other | Venous blood will be taken from the patient every session and I-PRF will be created in the centrifuge. I- prf will be injected on one side and corticosteroid will be injected on the other side in patients with bilateral oral lichen planus. Once a week in the first month after treatment and one time at the end of the second month, the patient will be called to the control. |
| Measure | Description | Time Frame |
|---|---|---|
| Visual Analog Scale | Patients were asked to grade the severity of their symptoms in numbers from 1(very mild pain) to 100 (very sever pain) on the visual analog scale in each visit. | 6 months |
| Thongprasom sign scoring system | The lesions were evaluated according to Thongprasom sign scoring system | 6 months |
| Oral Health- Related Quality of Life index (OHIP-14) | Patients were asked to grade the Oral Health- Related Quality of Life index | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Oral Hygiene Index | Oral Hygiene Index were evaluated. | 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ebru SaÄŸlam, PhD | Bezmialem Vakif University | Study Chair |
| Mustafa Tunalı, Assoc. prof. | Bezmialem VakifUniversity | Study Director |
| Tuğba Ünver, PhD | Bezmialem Vakif University | Principal Investigator |
| Zeliha Betül Özsağır | Bezmialem Vakif University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ebru SAĞLAM | Istanbul | Fatih | 34093 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D008010 | Lichen Planus |
| ID | Term |
|---|---|
| D017512 | Lichenoid Eruptions |
| D017444 | Skin Diseases, Papulosquamous |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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| ID | Term |
|---|---|
| D000305 | Adrenal Cortex Hormones |
| ID | Term |
|---|---|
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
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Blinded, Parallel group, randomized controlled trial
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Investigator, Outcomes Assessor
|
| Corticosteroid | Drug | Corticosteroid injection |
|