AzTrials
AzTrials

Bony DefectsPhase 1/2MINSTNCT07791238

Minimally Invasive Non-Surgical Periodontal Therapy Alone vs. Minimally Invasive Non-Surgical Periodontal Therapy With I-PRF With or Without Chlorhexidine on Stage III Periodontitis Patients

A Phase 1/2 study testing Minimally Invasive Nonsurgical Therapy, Injectable Platelet-Rich Fibrin and Chlorhexidine 2% in people with Bony Defects and Periodontal Disease, run by Cairo University.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
Search all trials

Trial summary

This study aims to assess the effect of chlorhexidine augmented I-PRF together with MINST and I-PRF alone with MINST versus MINST alone in the treatment of stage III periodontitis patients. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Bony Defects, Periodontal Disease
What is being tested?
Minimally Invasive Nonsurgical Therapy, Injectable Platelet-Rich Fibrin and Chlorhexidine 2%
Could I receive a placebo?
No, everyone receives an active treatment
How many people
63 participants
Where
No sites listed yet
Study dates
30 Sep 2026to 30 Oct 2027
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient-related criteria:
  • Patient consulting in the outpatient clinic.
  • Age ≥ 18 years old.
  • Able to tolerate the study procedures.
  • Patient ready to perform oral hygiene instructions.
  • Compliance with the maintenance program.
Show all 14Show fewer
  • Provide informed consent.
  • Accepts the 6 months follow-up period.
  • Teeth related criteria:
  • Presence of at least one radiographic intrabony defect depth ≥3 mm.
  • Patients with at least 10 teeth per arch.
  • Presence at least of two teeth with PD ≥ 6 mm per quadrant.
  • Isolated inter-proximal defect on a single-rooted tooth or mandibular molar, not extending to the furcation area.
  • Untreated patients diagnosed with stage III with slow/moderate rate of progression grade (A/B) Periodontitis.

Who cannot join

  • Patient-related criteria:
  • Medically compromised patients.
  • Pregnant or nursing women.
  • Uncooperative patients.
  • Smokers (> 10 cigarettes/day).
  • Teeth related criteria:
Show all 13Show fewer
  • Furcation involvement.
  • Mobility ≥ degree 1
  • Acute periodontal or endodontic abscesses
  • Third molars
  • Non-surgical periodontal treatment in the past 6 months, or surgical periodontal treatment in the past 12 months.
  • Antibiotic treatment or anti-inflammatory treatment within 6 months prior to periodontal therapy.
  • Previous periodontal surgery.

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

Salma ossama Zaaya, Master Degree contact

(+20)1111101489

salma.ezzat@dentistry.cu.edu.eg

Karim fawzy El-sayed, professor contact

(+20)1005444050

karim.fawzy@dentistry.cu.edu.eg

About this study

Official title: Impact of I-PRF With or Without Chlorhexidine on Minimally Invasive Non-Surgical Periodontal Therapy in Stage III Periodontitis: A Randomized Clinical Trial

This study aims to assess the effect of chlorhexidine augmented I-PRF together with MINST and I-PRF alone with MINST versus MINST alone in the treatment of stage III periodontitis patients.

Read the detailed description

The microbial profile shift that occurs during the transition from periodontal health to gingivitis or periodontitis makes it clear that the initiation and progression of periodontal diseases depend totally upon the presence of a dental biofilm. This microbial shift provides the rationale for the main objective of periodontal therapy, which aims to convert the biofilm from being associated with disease to being associated with health. Accordingly, the most effective therapies depend on relatively nonspecific approaches that physically disrupt the biofilm and decrease the oral bacterial load (Craig, 2016).

Using modified PRF with anti-bacterial properties can be highly important as a topical surgical tool that promotes tissue healing and prevents local infection (Polak, Clemer-Shamai and Shapira, 2019; El-Sayed et al., 2026). Moreover, such application may reduce the need for systemic antibiotic regimens (Polak, Clemer-Shamai and Shapira, 2019).

More recently, a novel protocol termed minimally invasive nonsurgical therapy (MINST) has been proposed for the treatment of isolated deep pockets associated with intrabony defects. Treatment of deep periodontal pockets by means of MINST consists of careful scaling and root debridement using special ultrasonic devices with delicate tips and operating microscope under local anesthesia (Nibali et al., 2019).

Since the incorporation of antiseptics into I-PRF hasn't been tested clinically yet, this study intends to evaluate the clinical and radiographic effects of using Chorhexidine augmented injrctable-platelet-rich fibrin together minimally invasive non-surgical periodontal therapy in the treatment stage III periodontitis patients.

Being tested
Minimally Invasive Nonsurgical Therapy, Injectable Platelet-Rich Fibrin, Chlorhexidine 2%
Keywords
Intrabony defects, periodontitis, MINST, i-PRF, CHX
Medical subject headings
Periodontal Diseases, Periodontitis

What participants receive

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

  • Minimally Invasive Nonsurgical TherapyProcedure or surgery

    careful subgingival debridement using specific thin-tipped ultrasonic scalers in order to minimize the trauma for the soft tissues. All treatments will be performed using X 3.5 magnification Loupes. At the end of the subgingival treatment, full-mouth supragingival cleaning by means of a rubber cup and a polishing paste will be performed.

  • Injectable Platelet-Rich FibrinBiological

    careful subgingival debridement using specific thin-tipped ultrasonic scalers in order to minimize the trauma for the soft tissues. All treatments will be performed using X 3.5 magnification Loupes. At the end of the subgingival treatment, full-mouth supragingival cleaning by means of a rubber cup and a polishing paste will be performed. A venous blood sample was collected in a 10-mL plastic tube without anticoagulant from each patient and centrifuged at room temperature for 3 min at 700 rpm (60 g) in a PRF Duo centrifuge. After centrifugation, the upper liquid layer was collected as i-PRF and placed into a 2.5-cc dental injector. Approximately 2 mL of I-PRF was obtained from the patient.

  • Chlorhexidine 2%Drug

    careful subgingival debridement using specific thin-tipped ultrasonic scalers in order to minimize the trauma for the soft tissues. All treatments will be performed using X 3.5 magnification Loupes. At the end of the subgingival treatment, full-mouth supragingival cleaning by means of a rubber cup and a polishing paste will be performed. Before the collection and centrifugation of the blood from volunteers, 200 microliter of the drug solution is dispensed at the bottom of the eppendorf vial microtube and kept ready. A venous blood sample was collected in a 10-mL plastic tube without anticoagulant from each patient and centrifuged at room temperature for 3 min at 700 rpm (60 g) in a PRF Duo centrifuge. After centrifugation, the upper liquid layer was collected as i-PRF and placed into a 2.5-cc dental injector. Approximately 2 mL of I-PRF was obtained from the patient. Once I-PRF is obtained after centrifugation, 2 ml of it is added to the eppendorf vortexex

Study groups in NCT07791238
Study groupRoleWhat they receive
MINST aloneActive comparatorcareful subgingival debridement using specific thin-tipped ultrasonic scalers in order to minimize the trauma for the soft tissues. All treatments will be performed using X 3.5 magnification Loupes. At the end of the subgingival treatment, full-mouth supragingival cleaning by means of a rubber cup and a polishing paste will be performed
Receives: Procedure: Minimally Invasive Nonsurgical Therapy
MINST + I-PRF aloneExperimentalcareful subgingival debridement using specific thin-tipped ultrasonic scalers in order to minimize the trauma for the soft tissues. All treatments will be performed using X 3.5 magnification Loupes. At the end of the subgingival treatment, full-mouth supragingival cleaning by means of a rubber cup and a polishing paste will be performed. A venous blood sample was collected in a 10-mL plastic tube without anticoagulant from each patient and centrifuged at room temperature for 3 min at 700 rpm (60 g) in a PRF Duo centrifuge. After centrifugation, the upper liquid layer was collected as i-PRF and placed into a 2.5-cc dental injector. Approximately 2 mL of I-PRF was obtained from the patient.
Receives: Procedure: Minimally Invasive Nonsurgical Therapy; Biological: Injectable Platelet-Rich Fibrin
MINST + I-PRF + CHXExperimentalcareful subgingival debridement using specific thin-tipped ultrasonic scalers in order to minimize the trauma for the soft tissues. All treatments will be performed using X 3.5 magnification Loupes. At the end of the subgingival treatment, full-mouth supragingival cleaning by means of a rubber cup and a polishing paste will be performed. Before the collection and centrifugation of the blood from volunteers, 200 microliter of the drug solution is dispensed at the bottom of the eppendorf vial microtube and kept ready. A venous blood sample was collected in a 10-mL plastic tube without anticoagulant from each patient and centrifuged at room temperature for 3 min at 700 rpm (60 g) in a PRF Duo centrifuge. After centrifugation, the upper liquid layer was collected as i-PRF and placed into a 2.5-cc dental injector. Approximately 2 mL of I-PRF was obtained from the patient. Once I-PRF is obtained after centrifugation, 2 ml of it is added to the eppendorf vortexex
Receives: Procedure: Minimally Invasive Nonsurgical Therapy; Biological: Injectable Platelet-Rich Fibrin; Drug: Chlorhexidine 2%

What is being measured

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

  1. Probing depth reduction (PD)

    Will be measured from the gingival margin to the bottom of the gingival sulcus. Unit of Measurement Millimeter

    Measured: From enrollment to the end of treatment at 6 months

Secondary outcomes (8)
  1. Clinical Attachment Level (CAL)

    Will be measured from the CEJ to the bottom of the gingival sulcus. Unit of Measurement Millimeter

    Measured: From enrollment to the end of treatment at 6 months

  2. Gingival recessions (GR)

    Will be measured from the CEJ to the gingival margin. Unit of Measurement Millimeter

    Measured: From enrollment to the end of treatment at 6 months

  3. Biochemical marker levels in GCF samples (TNF-α, IL-1β and IL-10 levels)

    • GCF sampling will be collected from the deepest pocket in the interproximal sites of the selected teeth of all patients at baseline; 1 day after recording the clinical periodontal measurements, 3 and 6 months.
    • The site selected for sample collection will be isolated with cotton rolls and protected against saliva contamination.
    • The supragingival plaque in the site will be removed using cotton pellets.
    • Periopaper will be pushed into the gingival sulcus until mild resistance felt.
    • After 30 seconds, it will be removed, and its volume will be measured by the Periotron device. Before each sample collection, the standardization will be maintained by the calibration of the Periotron device.
    • The measured values will be converted to microliters.
    • Three GCF samples from each patient will be placed into single Eppendorf tubes and stored at -80 degrees until the biochemical analyses.
    • Enzyme-linked immunosorbent assay (ELISA) method will be used to determine the GCF levels

    Measured: From enrollment to the end of treatment at 6 months

  4. Patient reported outcomes

    Oral health-related quality of life (OHRQoL) will be evaluated using the validated Oral Health Impact Profile (OHIP-14) questionnaire, a widely used instrument designed to assess the functional, psychological, and social effects of oral health conditions on daily life. The OHIP-14 includes 14 items distributed across seven conceptual domains: functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability, and handicap.

    Participants will complete the OHIP-14 questionnaire at baseline and again at the 6-month post-treatment follow-up to determine changes in their perceived oral health status and overall quality of life. The inclusion of this patient-reported outcome measure allows for a broader assessment of treatment outcomes, capturing patient perceptions and experiences in addition to clinical findings.

    Unit of Measurement: OHIP-1TO, OHIP-14

    Measured: at end of treatment at 6 months

  5. Perceived post-operative pain/discomfort

    • Visual Analog Scale (VAS): 0 (no pain) to 10 (worst pain).
    • Binary (Yes/No): Presence or absence of pain. unit of measurement: VAS Scale

    Measured: at the end of treatment at 6 months

  6. Radiographic Linear defect depth (RLDD)

    The radiographic linear defect depth (RLDD) will be calculated as the linear distance between the defect base (DB) and the point where a line projected from the alveolar crest (AC) intersects the long axis of the tooth at baseline and again at the 6-month follow-up. In addition, the baseline defect angle will be determined as the angle formed between the line joining the CEJ and DB and the lateral wall of the defect. Unit of Measurement : Millimeter

    Measured: From enrollment to the end of treatment at 6 months

  7. Plaque index (PI)

    After drying the teeth in each quadrant with a blast of air, and presence of visible dental plaque and supragingival calculus will be recorded.

    Each of the four surfaces of the teeth (buccal, lingual, mesial and distal) will be given a score from 0-3.

    The scores from the four areas of the tooth will be added and divided by four to give the plaque index for the tooth with the following scores and criteria.

    Unit of measurement: Percentage of tooth sites revealing the presence of plaque

    Measured: From enrollment to the end of treatment at 6 months

  8. Bleeding on probing

    By gentle probing of the orifice of the gingival crevice. The periodontal probe will be inserted 1 to2 mm into the gingival sulcus starting at one interproximal area and moving to the other. If bleeding occurs within 10 seconds a positive finding is recorded . Unit of measurement: Percentage of sites with bleeding on probing

    Measured: From enrollment to the end of treatment at 6 months

Timeline

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

  1. First posted27 Aug 2026
  2. Study start30 Sep 2026 (estimated)
  3. Primary completion30 Sep 2027 (estimated)
  4. Study completion30 Oct 2027 (estimated)

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 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
63 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07791238
Sponsor's protocol ID
PER333
Acronym
MINST
Status last verified
Aug 2026
First submitted
25 Aug 2026
Last updated
27 Aug 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Nibali L, Koidou V, Salomone S, Hamborg T, Allaker R, Ezra R, Zou L, Tsakos G, Gkranias N, Donos N. Minimally invasive non-surgical vs. surgical approach for periodontal intrabony defects: a randomised controlled trial. Trials. 2019 Jul 27;20(1):461. doi: 10.1186/s13063-019-3544-8.

    PubMed 31351492

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Minimally Invasive Nonsurgical Therapy, Injectable Platelet-Rich Fibrin and Chlorhexidine 2% in people with Bony Defects and Periodontal Disease, run by Cairo University.

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 14 inclusion and 13 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: opening soon, as of the sponsor's last update on 27 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

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.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Salma ossama Zaaya, Master Degree ((+20)1111101489, salma.ezzat@dentistry.cu.edu.eg), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Probing depth reduction (PD) (time frame: From enrollment to the end of treatment at 6 months). 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 NCT07791238, which also lists 1 linked publication.

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 27 Aug 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in