Chronic PeriodontitisNCT05886699
Comparison of PRP & DFDBA vs. DFDBA in Intrabony Periodontal Defects
A study testing PRP combined with DFDBA and DFDBA in people with Chronic Periodontitis, run by Government Dental College and Hospital, India at 1 site in India.
Trial summary
The purpose of this clinical trial is to compare the results in subjects with periodontitis using subjects own blood - Platelet-rich plasma (PRP) combined with bone graft material, namely, Demineralized Freeze - Dried Bone Allograft (DFDBA) or DFDBA alone in the treatment of bone defects around the teeth. Read more about this study
- Who is it for?
- Ages 28 to 55 years
- Conditions the study is for
- Chronic Periodontitis
- What is being tested?
- PRP combined with DFDBA and DFDBA
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 13 participants
- Where
- 1 siteIndia
- Study dates
- Jan 2012to Dec 2013
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 28 to 55 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Outpatients
- with chronic periodontitis
- who were free of local or systemic disease
- who had not received any type of periodontal therapy in the last six months
- radiograph showing at least one angular defect in any quadrant
- the involved teeth were vital and asymptomatic
- the site of interest had at least 2 mm of keratinized gingiva on the facial aspect of the selected teeth
Who cannot join
- Patients with abnormal platelet count
- allergic to chlorhexidine or any other medicine used in the study
- showing unacceptable oral hygiene compliance during / after the phase I therapy;
- pregnant or lactating mothers;
- smokers
- endodontically involved teeth
Show all 10Show fewer
- patients under any medication known to interfere with periodontal healing. e.g., corticosteroids
- on anticoagulant therapy
- patients with transferable jobs or who were uncooperative
- patients participating in other dental clinical trials.
Trial locations and contacts
1 site in 1 country.
India1 site
212, Department of Periodontology, Government Dental college and Hospital
Nagpur, Maharashtra, 440003
About this study
Official title: Comparison of Efficacy of Autologous Platelet - Rich Plasma Combined With Demineralized Freeze - Dried Bone Allograft Versus Demineralized Freeze - Dried Bone Allograft: A Randomized Clinical Trial in Central India
The purpose of this clinical trial is to compare the results in subjects with periodontitis using subjects own blood - Platelet-rich plasma (PRP) combined with bone graft material, namely, Demineralized Freeze - Dried Bone Allograft (DFDBA) or DFDBA alone in the treatment of bone defects around the teeth.
Read the detailed description
After being informed about the study and potential risks, 13 patients giving written informed consent and who meet the eligibility requirements were randomly allocated in a single blind manner (participants) to test group (PRP combined with DFDBA) or control group (DFDBA).
33 sites (18 test, 15 control unpaired defects) were treated - 1) to investigate the possible additional effects of PRP when combined with DFDBA, and 2) to compare the clinical and radiographic outcomes obtained in test and control groups,12 months post - operatively.
- Conditions
- Chronic Periodontitis
- Being tested
- PRP combined with DFDBA, DFDBA
- Keywords
- platelet - rich plasma, demineralized freeze - dried bone allograft, intrabony defect, periodontitis.
- Medical subject headings
- Chronic Periodontitis, Periodontitis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PRP combined with DFDBAOther
Periodontal intrabony defects were treated with open flap debridement followed by placement of PRP combined with DFDBA
DFDBAOther
Periodontal intrabony defects were treated with open flap debridement followed by placement of PRP combined with DFDBA
| Study group | Role | What they receive |
|---|---|---|
| PRP combined with DFDBA | Experimental | Open flap debridement, followed by placement of PRP combined with DFDBA Receives: Other: PRP combined with DFDBA |
| DFDBA | Active comparator | Open flap debridement, followed by placement of DFDBA Receives: Other: DFDBA |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Probing Pocket Depth (PPD) from baseline to 12 months
PPD is vertical measurement from the free gingival margin to the base of the pocket measured to the nearest millimeter using a UNC (University of North Carolina) -15 periodontal probe.
Measured: baseline to 12 months
Change in Periodontal Attachment Level (PAL) from baseline to 12 months
PAL is vertical measurement recorded with the help of customized acrylic stent from a fixed reference point to the base of the pocket measured to the nearest millimeter using UNC - 15 probe
Measured: baseline to 12 months
Change in Gingival Recession (GR) from baseline to 12 months
GR is vertical measurement recorded with the help of customized acrylic stent from a fixed reference point to the gingival margin measured to the nearest millimeter using UNC-15 probe
Measured: baseline to 12 months
Change in Crestal bone resorption from baseline to 12 months
Crestal bone resorption is the distance from Cementoenamel Junction to the Alveolar Crest (CEJ- AC); measured in millimeters using standardized intraoral periapical (IOPA) radiographs along with a calibrated grid of the tooth of interest
Measured: baseline to 12 months
Change in Defect fill from baseline to 12 months
Defect fill is the distance from Cementoenamel Junction to Base of the Defect (CEJ- BD); measured in millimeters using standardized intraoral periapical (IOPA) radiographs along with a calibrated grid of the tooth of interest
Measured: baseline to 12 months
Change in Defect resolution from baseline to 12 months
Defect resolution is the distance from the Alveolar Crest to Base of the Defect (AC - BD); measured in millimeters using standardized intraoral periapical (IOPA) radiographs along with a calibrated grid of the tooth of interest
Measured: baseline to 12 months
Secondary outcomes (2)
Plaque Index
Silness and Loe, 1964
Measured: baseline to 12 months
Gingival Index
Loe and Silness, 1963
Measured: baseline to 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Jun 2023
- Study startJan 2012
- Primary completionDec 2012
- Study completionDec 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (38)Papers the sponsor has linked to this study.
- Other trials for Chronic PeriodontitisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 13 participants (actual)
Sponsor and investigators
- Lead sponsor
- Government Dental College and Hospital, India
- Sponsor type
- Other government
- Responsible party
- Principal investigator, Dr. Pallavi Meshram, Government Dental College and Hospital, India
- Investigators
- Pallavi A Meshram, MDS, Principal investigator, Government Dental College and Hospital, Nagpur, IndiaRamreddy K Yeltiwar, MDS, Study chair, Rungta College of Dental Sciences and Research, Bhilai, India.Mangesh B Phadnaik, MDS, Study director, Government Dental College and Hospital, Nagpur, India
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05886699
- Sponsor's protocol ID
- PMeshram
- Status last verified
- May 2023
- First submitted
- 2 Mar 2015
- Last updated
- 2 Jun 2023
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: All collected Individual Participant Data
Publications
Pihlstrom BL, Michalowicz BS, Johnson NW. Periodontal diseases. Lancet. 2005 Nov 19;366(9499):1809-20. doi: 10.1016/S0140-6736(05)67728-8.
PubMed 16298220Polimeni G, Xiropaidis AV, Wikesjo UM. Biology and principles of periodontal wound healing/regeneration. Periodontol 2000. 2006;41:30-47. doi: 10.1111/j.1600-0757.2006.00157.x. No abstract available.
PubMed 16686925Quintero G, Mellonig JT, Gambill VM, Pelleu GB Jr. A six-month clinical evaluation of decalcified freeze-dried bone allografts in periodontal osseous defects. J Periodontol. 1982 Dec;53(12):726-30. doi: 10.1902/jop.1982.53.12.726.
PubMed 6759628Rummelhart JM, Mellonig JT, Gray JL, Towle HJ. A comparison of freeze-dried bone allograft and demineralized freeze-dried bone allograft in human periodontal osseous defects. J Periodontol. 1989 Dec;60(12):655-63. doi: 10.1902/jop.1989.60.12.655.
PubMed 2693682Gajiwala AL, Kumar BD, Chokhani P. Evaluation of demineralised, freeze-dried, irradiated bone allografts in the treatment of osseous defects in the oral cavity. Cell Tissue Bank. 2007;8(1):23-30. doi: 10.1007/s10561-006-9014-z.
PubMed 16838195Mellonig JT. Autogenous and allogeneic bone grafts in periodontal therapy. Crit Rev Oral Biol Med. 1992;3(4):333-52. doi: 10.1177/10454411920030040201.
PubMed 1391415Marx RE, Carlson ER, Eichstaedt RM, Schimmele SR, Strauss JE, Georgeff KR. Platelet-rich plasma: Growth factor enhancement for bone grafts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998 Jun;85(6):638-46. doi: 10.1016/s1079-2104(98)90029-4.
PubMed 9638695Demir B, Sengun D, Berberoglu A. Clinical evaluation of platelet-rich plasma and bioactive glass in the treatment of intra-bony defects. J Clin Periodontol. 2007 Aug;34(8):709-15. doi: 10.1111/j.1600-051X.2007.01108.x.
PubMed 17635247Camargo PM, Lekovic V, Weinlaender M, Vasilic N, Madzarevic M, Kenney EB. Platelet-rich plasma and bovine porous bone mineral combined with guided tissue regeneration in the treatment of intrabony defects in humans. J Periodontal Res. 2002 Aug;37(4):300-6. doi: 10.1034/j.1600-0765.2002.01001.x.
PubMed 12200975Lekovic V, Camargo PM, Weinlaender M, Vasilic N, Kenney EB. Comparison of platelet-rich plasma, bovine porous bone mineral, and guided tissue regeneration versus platelet-rich plasma and bovine porous bone mineral in the treatment of intrabony defects: a reentry study. J Periodontol. 2002 Feb;73(2):198-205. doi: 10.1902/jop.2002.73.2.198.
PubMed 11895286de Obarrio JJ, Arauz-Dutari JI, Chamberlain TM, Croston A. The use of autologous growth factors in periodontal surgical therapy: platelet gel biotechnology--case reports. Int J Periodontics Restorative Dent. 2000 Oct;20(5):486-97.
PubMed 11203586Piemontese M, Aspriello SD, Rubini C, Ferrante L, Procaccini M. Treatment of periodontal intrabony defects with demineralized freeze-dried bone allograft in combination with platelet-rich plasma: a comparative clinical trial. J Periodontol. 2008 May;79(5):802-10. doi: 10.1902/jop.2008.070436.
PubMed 18454658Armitage GC. Development of a classification system for periodontal diseases and conditions. Ann Periodontol. 1999 Dec;4(1):1-6. doi: 10.1902/annals.1999.4.1.1.
PubMed 10863370Loe H. The Gingival Index, the Plaque Index and the Retention Index Systems. J Periodontol. 1967 Nov-Dec;38(6):Suppl:610-6. doi: 10.1902/jop.1967.38.6.610. No abstract available.
PubMed 5237684Pradeep AR, Shetty SK, Garg G, Pai S. Clinical effectiveness of autologous platelet-rich plasma and Peptide-enhanced bone graft in the treatment of intrabony defects. J Periodontol. 2009 Jan;80(1):62-71. doi: 10.1902/jop.2009.080214.
PubMed 19228091
Study at a glance
From the registry record, last updated by the sponsor on 2 Jun 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparison of Efficacy of Autologous Platelet - Rich Plasma Combined With Demineralized Freeze - Dried Bone Allograft Versus Demineralized Freeze - Dried Bone Allograft: A Randomized Clinical Trial in Central India
- ClinicalTrials.gov ID
- NCT05886699
- Acronym / sponsor ID
- PMeshram
- Conditions
- Chronic Periodontitis
- Keywords
- platelet - rich plasma, demineralized freeze - dried bone allograft, intrabony defect, periodontitis.
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 13 participants (actual)
- Lead sponsor
- Government Dental College and Hospital, IndiaOther government
- Study start
- Jan 2012
- Primary completion
- Dec 2012 (actual)
- Study completion
- Dec 2013 (actual)
- First posted
- 2 Jun 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this clinical trial is to compare the results in subjects with periodontitis using subjects own blood - Platelet-rich plasma (PRP) combined with bone graft material, namely, Demineralized Freeze - Dried Bone Allograft (DFDBA) or DFDBA alone in the treatment of bone defects around the teeth.
Detailed description
After being informed about the study and potential risks, 13 patients giving written informed consent and who meet the eligibility requirements were randomly allocated in a single blind manner (participants) to test group (PRP combined with DFDBA) or control group (DFDBA).
33 sites (18 test, 15 control unpaired defects) were treated - 1) to investigate the possible additional effects of PRP when combined with DFDBA, and 2) to compare the clinical and radiographic outcomes obtained in test and control groups,12 months post - operatively.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| PRP combined with DFDBA | Experimental | Other: PRP combined with DFDBAOpen flap debridement, followed by placement of PRP combined with DFDBA |
| DFDBA | Active comparator | Other: DFDBAOpen flap debridement, followed by placement of DFDBA |
Who may qualify
- Ages
- 28 to 55 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (7 listed)
- Outpatients
- with chronic periodontitis
- who were free of local or systemic disease
- who had not received any type of periodontal therapy in the last six months
- radiograph showing at least one angular defect in any quadrant
Key exclusion criteria (10 listed)
- Patients with abnormal platelet count
- allergic to chlorhexidine or any other medicine used in the study
- showing unacceptable oral hygiene compliance during / after the phase I therapy;
- pregnant or lactating mothers;
- smokers
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PRP combined with DFDBAPeriodontal intrabony defects were treated with open flap debridement followed by placement of PRP combined with DFDBA | Other | PRP combined with DFDBA |
| DFDBAPeriodontal intrabony defects were treated with open flap debridement followed by placement of PRP combined with DFDBA | Other | DFDBA |
Primary outcome
Change in Probing Pocket Depth (PPD) from baseline to 12 months
Time frame: baseline to 12 months
PPD is vertical measurement from the free gingival margin to the base of the pocket measured to the nearest millimeter using a UNC (University of North Carolina) -15 periodontal probe.
Change in Periodontal Attachment Level (PAL) from baseline to 12 months
Time frame: baseline to 12 months
PAL is vertical measurement recorded with the help of customized acrylic stent from a fixed reference point to the base of the pocket measured to the nearest millimeter using UNC - 15 probe
Change in Gingival Recession (GR) from baseline to 12 months
Time frame: baseline to 12 months
GR is vertical measurement recorded with the help of customized acrylic stent from a fixed reference point to the gingival margin measured to the nearest millimeter using UNC-15 probe
Change in Crestal bone resorption from baseline to 12 months
Time frame: baseline to 12 months
Crestal bone resorption is the distance from Cementoenamel Junction to the Alveolar Crest (CEJ- AC); measured in millimeters using standardized intraoral periapical (IOPA) radiographs along with a calibrated grid of the tooth of interest
Change in Defect fill from baseline to 12 months
Time frame: baseline to 12 months
Defect fill is the distance from Cementoenamel Junction to Base of the Defect (CEJ- BD); measured in millimeters using standardized intraoral periapical (IOPA) radiographs along with a calibrated grid of the tooth of interest
Change in Defect resolution from baseline to 12 months
Time frame: baseline to 12 months
Defect resolution is the distance from the Alveolar Crest to Base of the Defect (AC - BD); measured in millimeters using standardized intraoral periapical (IOPA) radiographs along with a calibrated grid of the tooth of interest
2 secondary outcomes
Plaque Index
Time frame: baseline to 12 months
Gingival Index
Time frame: baseline to 12 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Jun 2023.
- Background: PubMed 16298220Pihlstrom BL, Michalowicz BS, Johnson NW. Periodontal diseases. Lancet. 2005 Nov 19;366(9499):1809-20. doi: 10.1016/S0140-6736(05)67728-8.
- Background: PubMed 16686925Polimeni G, Xiropaidis AV, Wikesjo UM. Biology and principles of periodontal wound healing/regeneration. Periodontol 2000. 2006;41:30-47. doi: 10.1111/j.1600-0757.2006.00157.x. No abstract available.
- Background: PubMed 6759628Quintero G, Mellonig JT, Gambill VM, Pelleu GB Jr. A six-month clinical evaluation of decalcified freeze-dried bone allografts in periodontal osseous defects. J Periodontol. 1982 Dec;53(12):726-30. doi: 10.1902/jop.1982.53.12.726.
- Background: PubMed 2693682Rummelhart JM, Mellonig JT, Gray JL, Towle HJ. A comparison of freeze-dried bone allograft and demineralized freeze-dried bone allograft in human periodontal osseous defects. J Periodontol. 1989 Dec;60(12):655-63. doi: 10.1902/jop.1989.60.12.655.
- Background: PubMed 16838195Gajiwala AL, Kumar BD, Chokhani P. Evaluation of demineralised, freeze-dried, irradiated bone allografts in the treatment of osseous defects in the oral cavity. Cell Tissue Bank. 2007;8(1):23-30. doi: 10.1007/s10561-006-9014-z.
- Background: PubMed 1391415Mellonig JT. Autogenous and allogeneic bone grafts in periodontal therapy. Crit Rev Oral Biol Med. 1992;3(4):333-52. doi: 10.1177/10454411920030040201.
- Background: PubMed 9638695Marx RE, Carlson ER, Eichstaedt RM, Schimmele SR, Strauss JE, Georgeff KR. Platelet-rich plasma: Growth factor enhancement for bone grafts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998 Jun;85(6):638-46. doi: 10.1016/s1079-2104(98)90029-4.
- Background: PubMed 17635247Demir B, Sengun D, Berberoglu A. Clinical evaluation of platelet-rich plasma and bioactive glass in the treatment of intra-bony defects. J Clin Periodontol. 2007 Aug;34(8):709-15. doi: 10.1111/j.1600-051X.2007.01108.x.
- Background: PubMed 12200975Camargo PM, Lekovic V, Weinlaender M, Vasilic N, Madzarevic M, Kenney EB. Platelet-rich plasma and bovine porous bone mineral combined with guided tissue regeneration in the treatment of intrabony defects in humans. J Periodontal Res. 2002 Aug;37(4):300-6. doi: 10.1034/j.1600-0765.2002.01001.x.
- Background: PubMed 11895286Lekovic V, Camargo PM, Weinlaender M, Vasilic N, Kenney EB. Comparison of platelet-rich plasma, bovine porous bone mineral, and guided tissue regeneration versus platelet-rich plasma and bovine porous bone mineral in the treatment of intrabony defects: a reentry study. J Periodontol. 2002 Feb;73(2):198-205. doi: 10.1902/jop.2002.73.2.198.
- Background: PubMed 11203586de Obarrio JJ, Arauz-Dutari JI, Chamberlain TM, Croston A. The use of autologous growth factors in periodontal surgical therapy: platelet gel biotechnology--case reports. Int J Periodontics Restorative Dent. 2000 Oct;20(5):486-97.
- Background: PubMed 18454658Piemontese M, Aspriello SD, Rubini C, Ferrante L, Procaccini M. Treatment of periodontal intrabony defects with demineralized freeze-dried bone allograft in combination with platelet-rich plasma: a comparative clinical trial. J Periodontol. 2008 May;79(5):802-10. doi: 10.1902/jop.2008.070436.
- Individual participant dataSharing planned: Yes. All collected Individual Participant Data
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Pallavi A Meshram, MDS principal investigator
Government Dental College and Hospital, Nagpur, India
Ramreddy K Yeltiwar, MDS study chair
Rungta College of Dental Sciences and Research, Bhilai, India.
Mangesh B Phadnaik, MDS study director
Government Dental College and Hospital, Nagpur, India
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing PRP combined with DFDBA and DFDBA in people with Chronic Periodontitis, run by Government Dental College and Hospital, India at 1 site in India.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 2 Jun 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in India. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in Probing Pocket Depth (PPD) from baseline to 12 months (time frame: baseline to 12 months). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05886699, which also lists 38 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Jun 2023.