Clinical Trial: Benefits of Platelet Rich Fibrin In Mandibular Molar Furcation Defects
Study Status: Completed
Recruit Status: Completed
Study Type: Interventional
Official Title: Effect of Autologous Platelet Rich Fibrin In Human Mandibular Molar Grade II Furcation Defects- A Clinical and Radiological Study
Brief Summary: Background: Furcation is the bifurcation or trifurcation of a multirooted tooth. It is an area of complex anatomic morphology difficult to debride by routine periodontal instrumentation. Multiple approaches have been used in an effort to treat the furcation Choukroun's platelet-rich fibrin (PRF), a second generation platelet concentrate has biochemical components which have well known synergetic effects on healing processes. The present study was conducted to evaluate the effectiveness of autologous platelet-rich fibrin (PRF) in the treatment of mandibular molar Grade 2 furcation defects in comparison to allograft and guided tissue regeneration (GTR) membrane.
Detailed Summary: ABSTRACT Background: Furcation is the bifurcation or trifurcation of a multirooted tooth. It is an area of complex anatomic morphology difficult to debride by routine periodontal instrumentation. Multiple approaches have been used in an effort to treat the furcation Choukroun's platelet-rich fibrin (PRF), a second generation platelet concentrate has biochemical components which have well known synergetic effects on healing processes. The present study was conducted to evaluate the effectiveness of autologous platelet-rich fibrin (PRF) in the treatment of mandibular molar Grade 2 furcation defects in comparison to allograft and guided tissue regeneration (GTR) membrane. MATERIALS AND METHODS: The study was designed as a randomized, prospective, parallel-arm, interventional clinical trial wherein 30 patients with periodontitis and grade II Mandibular furcation defects attending the Out Patient wing of the Department of Periodontics of a tertiary referral care hospital were equally divided into group A and group B. Patients in.Group A, were treated by the placement of PRF as a Graft and as a membrane at the surgical site , while in Group B, the defects were treated by the placement of Allograft and Healiguide collagen membrane. Plaque Index, Probing depth, Vertical clinical attachment level, Horizontal clinical attachment level, Gingival marginal level, and amount of bonefill using Radiovisiography were recorded at baseline and 9 months. Intra-group comparison of Mean scores between Group A and Group B was done using Paired t test and Inter-group comparison using independent sample t test. CONCLUSION Further studies evaluating the efficacy of PRF using a larger sample size should be performed to evaluate its true beneficial effects on long term basis in patients with mandibular molar Grade 2 furcation defects.
Sponsor: Dr.Syed Asimuddin
Current Primary Outcome:
- Vertical clinical attacment level [ Time Frame: 9 months Post treatment ]The Vertical clinical attachment level was assessed preoperatively and 9 months after surgery
- Horizontal clinical attachment level [ Time Frame: 9 months Post treatment ]The horizontal clinical attachment level was assessed preoperatively and 9 months after surgery.
- Bone fill [ Time Frame: 9 months Post treatment ]Bone fill was assessed radiographically and 9 months after surgery
Original Primary Outcome: Same as current
Current Secondary Outcome:
- Plaque Index [ Time Frame: 9 Months Post treatment ]Plaque index was assessed preoperatively and 9 months after surgery
- Probing depth [ Time Frame: 9 Months Post treatment ]Probing depth was assessed preoperatively and 9 months after surgery
- Gingival marginal level [ Time Frame: 9 months post treatment ]Gingival marginal level was assessed preoperatively and 9 months after surgery
Original Secondary Outcome: Same as current
Information By: Panineeya Mahavidyalaya Institute of Dental Sciences & Research Centre
Dates:
Date Received: April 18, 2015
Date Started: September 2012
Date Completion:
Last Updated: April 5, 2017
Last Verified: April 2017
