NCT04389346

Brief Summary

This study will evaluate the effect of PRF (platelet rich fibrin) on the healing of apicomarginal defects. Healing of the defects will be assessed 2 dimensionaly by periapical radiograph and 3 dimensionaly using CBCT.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
32

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jul 2019

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

July 1, 2019

Completed
11 months until next milestone

First Submitted

Initial submission to the registry

May 12, 2020

Completed
3 days until next milestone

First Posted

Study publicly available on registry

May 15, 2020

Completed
10 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2021

Completed
Last Updated

May 19, 2020

Status Verified

April 1, 2020

Enrollment Period

1.7 years

First QC Date

May 12, 2020

Last Update Submit

May 17, 2020

Conditions

Keywords

Apicomarginal defectsCone Beam Computed TomographyAutologous platelet aggregate

Outcome Measures

Primary Outcomes (1)

  • Change in periapical radiolucency

    2 blinded caliberated operators will score the periapical radiolucency at baseline and 12 months by following scoring scores for 2D healing Score1-Complete healing defined by re-establishment of the lamina dura Score 2- Incomplete healing (scar tissue) Score 3- Uncertain healing Score 4- Unsatisfactory healing scores for 3D healing Score1- Complete healing Score 2- Limited healing Score 3- Uncertain healing Score 4- Unsatisfactory healing

    Baseline to 12 Months

Secondary Outcomes (1)

  • Clinical success

    Baseline to 12 Months

Study Arms (2)

Periapical surgery with PRF group

ACTIVE COMPARATOR

Autologous platelet aggregate (PRF) will be placed over the denuded root surface, following apicoectomy and before flap repositioning.

Procedure: Periapical surgery using autologous platelet aggregate

Control group without PRF

PLACEBO COMPARATOR

Flap will be repositioned following apicoectomy without placement of any autologous platelet aggregate.

Procedure: Periapical surgery without autologous platelet aggregate

Interventions

PRF will be placed over the denuded root surface, following apicoectomy and before flap repositioning

Periapical surgery with PRF group

Flap will be repositioned following apicoectomy directly without placing any platelet aggregate

Control group without PRF

Eligibility Criteria

Age18 Years - 55 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • A negative response to vitality tests with radiographic evidence of periapical radiolucency with no general medical contraindications for oral surgical procedures.
  • Apicomarginal communication having probing depth \> 6mm.
  • Patients with no general medical contraindications for oral surgical procedures.
  • Recurrent episodes of purulent discharge.
  • Failed previous root canal treatment.
  • Failed previous surgery with persistent bony lesion.
  • Adequate final restoration with no clinical evidence of coronal leakage.

You may not qualify if:

  • Clinical or radiographic evidence of root fracture.
  • Resorptive processes involving more than apical third of the root.
  • Any systemic disease contraindicating oral surgery including uncontrolled diabetes and pregnancy.
  • Any condition effecting rate of healing like smoking.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Ankita Ramani

Rohtak, Haryana, 124001, India

RECRUITING

Study Officials

  • ANKITA RAMANI

    POST GRADUATE INSTITUTE OF DENTAL SCIENCES, ROHTAK

    PRINCIPAL INVESTIGATOR

Central Study Contacts

DR PANKAJ SANGWAN

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Masking Details
Double
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 12, 2020

First Posted

May 15, 2020

Study Start

July 1, 2019

Primary Completion

March 1, 2021

Study Completion

March 1, 2021

Last Updated

May 19, 2020

Record last verified: 2020-04

Locations