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Alveolar Bone ResorptionNCT06900036

Radiographic Evaluation in Alveolar Preservation Using Platelet-rich Fibrin. Randomized Controlled Trial

A study testing Platelet-Rich Fibrin (PRF) Application for Alveolar Preservation in people with Alveolar Bone Resorption and Preserving the Alveolar Ridge, run by Universidad Católica de Cuenca at 1 site in Ecuador.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This randomized controlled trial is designed to assess the use of platelet-rich fibrin (PRF), a biomaterial derived from a participant's own blood, in alveolar ridge preservation following premolar extraction for orthodontic purposes. Read more about this study

Who is it for?
Ages 17 years and olderHealthy volunteers can take part
What is being tested?
Platelet-Rich Fibrin (PRF) Application for Alveolar Preservation
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
17 participants
Where
1 siteEcuador
Study dates
1 Mar 2023to 20 Nov 2024
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 17 years and older
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • Healthy individuals with no systemic diseases.
  • Age range: 17 to 38 years old.
  • Orthodontic indication for premolar extraction (two maxillary or two mandibular premolars).
  • Candidates for orthognathic surgery or extraction of impacted/retained teeth (e.g., third molars with a relationship to critical anatomical structures).
  • Clinical justification for CBCT imaging instead of standard radiographic -techniques.

Who cannot join

  • Patients with systemic diseases that may alter periodontal therapy outcomes.
  • Platelet count below 200,000 mm³.
  • Immunosuppressed patients.
  • Pregnant or lactating women.
  • Smokers.
  • Patients taking medications that interfere with healing (e.g., bisphosphonates, corticosteroids, anticoagulants).

Trial locations and contacts

1 site in 1 country.

Ecuador1 site
  • Universidad Catolica de Cuenca

    Cuenca, Azuay

Other trials in Ecuador

About this study

This randomized controlled trial is designed to assess the use of platelet-rich fibrin (PRF), a biomaterial derived from a participant's own blood, in alveolar ridge preservation following premolar extraction for orthodontic purposes. Participants aged 17 to 38 years requiring premolar extractions will be randomly assigned to receive either PRF application or natural healing without intervention. Cone beam computed tomography (CBCT) will be used to evaluate changes in alveolar bone dimensions and density at 30 and 120 days post-extraction. Measurements will be taken at standardized vertical levels (1 mm, 3 mm, and 5 mm apical to the crest) to analyze bone height, width, and density over time.

Read the detailed description

This study is a randomized controlled clinical trial designed to investigate the application of platelet-rich fibrin (PRF) in post-extraction sites following orthodontically indicated premolar removals. PRF is prepared from autologous blood and applied to extraction sockets in the experimental group, while the control group undergoes standard physiological healing. Cone beam computed tomography (CBCT) will be used to obtain quantitative data on alveolar bone structure at baseline, 30 days, and 120 days post-extraction. The study will assess changes in bone height, horizontal ridge width at defined depths, and bone tissue density using standardized imaging protocols. This design allows for objective comparison between treated and untreated sites.

Being tested
Platelet-Rich Fibrin (PRF) Application for Alveolar Preservation
Keywords
Bone Regeneration, Tooth Socket, oral surgery, Platelet-rich fibrin, CBCT

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Platelet-Rich Fibrin (PRF) Application for Alveolar PreservationProcedure or surgery

    This intervention involves the application of platelet-rich fibrin (PRF) in the extraction socket following premolar extraction to assess its effectiveness in alveolar bone preservation. PRF is a biological autologous material derived from the patient's own blood, promoting bone regeneration, wound healing, and tissue repair.

Study groups in NCT06900036
Study groupRoleWhat they receive
Platelet-Rich Fibrin (PRF) Application for Alveolar PreservationExperimentalThis arm involves the application of Platelet-Rich Fibrin (PRF) immediately after premolar extraction to evaluate its effectiveness in preserving alveolar bone structure and enhancing bone regeneration. PRF is a natural, autologous biomaterial obtained from the patient's own blood, promoting wound healing, bone preservation, and tissue regeneration.
Receives: Procedure: Platelet-Rich Fibrin (PRF) Application for Alveolar Preservation
Control Group - Natural Healing (No PRF Application)No interventionThis arm represents the control group, where participants undergo standard premolar extraction without the application of platelet-rich fibrin (PRF). This allows for a direct comparison to assess the effectiveness of PRF in preserving alveolar bone and enhancing healing.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in alveolar bone height (mm) at 30 and 120 days post-extraction as measured by CBCT

    Alveolar bone height will be measured from the most apical point of the socket to the crestal margin using CBCT (cone beam computed tomography) scans at baseline (day of extraction), 30 days, and 120 days post-extraction. Measurements will be recorded in millimeters and compared between PRF-treated sites and control sites (no PRF). The mean difference in height over time will be calculated within and between groups.

    Measured: Baseline (immediately post-extraction), 30 days, and 120 days post-extraction.

Secondary outcomes (2)
  1. Change in alveolar bone depth (mm) at 1 mm, 3 mm, and 5 mm from crest, at 30 and 120 days post-extraction

    Bone depth (horizontal ridge width) will be assessed at three standardized vertical levels (1 mm, 3 mm, and 5 mm from the crestal margin) using CBCT imaging. Measurements will be performed bucco-lingually. Data will be reported as mean ± SD per time point and compared between PRF and control groups.

    Measured: Baseline, 30 days, and 120 days post-extraction.

  2. Bone tissue density (HU) at 30 and 120 days post-extraction measured via CBCT

    Bone density will be measured using Hounsfield Units (HU) within the center of the extraction socket. CBCT scans will be analyzed using imaging software calibrated for HU estimation. The average HU values will be compared between PRF-treated and control sockets to assess mineralization and bone quality.

    Measured: Baseline, 30 days, and 120 days post-extraction.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Mar 2025
  2. Study start1 Mar 2023
  3. Primary completion28 Sep 2023
  4. Study completion20 Nov 2024

Resources

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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
17 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06900036
Sponsor's protocol ID
CEISH - UCACUE - 031
Status last verified
Mar 2025
First submitted
15 Mar 2025
Last updated
28 Mar 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Radiographic CBCT images (de-identified) Clinical measurements (bone height, depth, and quality) Demographic information (age, sex, general health status) Outcome measures (PRF effectiveness in alveolar preservation) Access Criteria: Available to qualified researchers upon request Requires a formal data access request and institutional agreement Compliance with ethical and privacy regulations Time Frame: Available upon study publication Accessible for at least five years post-publication Storage: Data will be stored in a secure university repository and potentially in public research databases. This plan ensures transparency, collaboration, and compliance with ICMJE guidelines for clinical research.

Publications

  • Simon BI, Von Hagen S, Deasy MJ, Faldu M, Resnansky D. Changes in alveolar bone height and width following ridge augmentation using bone graft and membranes. J Periodontol. 2000 Nov;71(11):1774-91. doi: 10.1902/jop.2000.71.11.1774.

    PubMed 11128929
  • Anwandter A, Bohmann S, Nally M, Castro AB, Quirynen M, Pinto N. Dimensional changes of the post extraction alveolar ridge, preserved with Leukocyte- and Platelet Rich Fibrin: A clinical pilot study. J Dent. 2016 Sep;52:23-9. doi: 10.1016/j.jdent.2016.06.005. Epub 2016 Jun 20.

    PubMed 27338946
  • Alzahrani AA, Murriky A, Shafik S. Influence of platelet rich fibrin on post-extraction socket healing: A clinical and radiographic study. Saudi Dent J. 2017 Oct;29(4):149-155. doi: 10.1016/j.sdentj.2017.07.003. Epub 2017 Aug 2.

    PubMed 29033524
  • Hauser F, Gaydarov N, Badoud I, Vazquez L, Bernard JP, Ammann P. Clinical and histological evaluation of postextraction platelet-rich fibrin socket filling: a prospective randomized controlled study. Implant Dent. 2013 Jun;22(3):295-303. doi: 10.1097/ID.0b013e3182906eb3.

    PubMed 23644909

Questions about this trial

What is this clinical trial studying?

A study testing Platelet-Rich Fibrin (PRF) Application for Alveolar Preservation in people with Alveolar Bone Resorption and Preserving the Alveolar Ridge, run by Universidad Católica de Cuenca at 1 site in Ecuador.

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 5 inclusion and 6 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 28 Mar 2025. 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 Ecuador. 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 alveolar bone height (mm) at 30 and 120 days post-extraction as measured by CBCT (time frame: Baseline (immediately post-extraction), 30 days, and 120 days post-extraction.). 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 NCT06900036, which also lists 4 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 28 Mar 2025.

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