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Cyst is the main cause for longstanding swelling in the mandible or the maxilla, its enlargement usually results in resorption and weakening of bone. Thus the treatment of the cysts is essential to preserve the bone and the adjacent vital structures. Healing of the bone defect and its surrounding soft tissues is a critical issue that needs concerns. Although the Platelet rich fibrin has promising effects in wound healing, it can resorb during 10-14 days. Thus a new autologous platelet concentrate is introduced by Kawasi et al that can remain stable for 4-6 months called albumin PRF.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Enucleation with albumin PRF | Experimental |
| |
| Enucleation without albumin PRF | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Enucleation with albumin PRF | Other | The protocol that will be used in the preparation of albumin PRF
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in pain score | It will be assessed on 3rd and 7th day through a 10-point Visual Analogue Scale (VAS)(25) (0-1= None, 2-4= Mild, 5-7= Moderate, 8-10= Severe) | Up to 1 week |
| Change in soft tissue healing | it will be used using Landry index Healing Index 1: Very poor (has two or more of the following) Healing Index 2: Poor Healing Index 3: Good Healing Index 4: Very good Healing Index 5: Excellent | up to 2 weeks |
| change in bone volume | it will be assessed using CBCT | at baseline and 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mohamed M Shokry, BDS | Contact | 01065734994 | m_magdy_shokry@hotmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Outpatient Clinic of Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University, Egypt | Recruiting | Alexandria | Azarita | 00203 | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40340767 | Derived | Shokry MMEM, Melek LNF, Amer TA. Three-dimensional volumetric analysis of bone regeneration following jaw cyst enucleation with and without an autologous albumin gel-platelet-rich fibrin mixture (Alb-PRF): a randomized controlled clinical trial. BMC Oral Health. 2025 May 8;25(1):693. doi: 10.1186/s12903-025-06027-w. |
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| ID | Term |
|---|---|
| D007570 | Jaw Cysts |
| ID | Term |
|---|---|
| D001845 | Bone Cysts |
| D003560 | Cysts |
| D009369 | Neoplasms |
| D007571 | Jaw Diseases |
| D009140 |
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| Enucleation without albumin PRF | Other | The full-thickness mucoperiosteal flap will be performed using blade no. 15 and Bard- Parker handles extending one tooth anterior and one tooth posterior to the cystic cavity. The mucoperiosteal flap will be reflected using the periosteal elevator to expose the bone. Removal of the overlying bone to expose the cystic lesion. Enucleation of the cyst. |
|
| Musculoskeletal Diseases |
| D009057 | Stomatognathic Diseases |