NCT07364890

Brief Summary

This study is a randomized controlled clinical trial with a split-mouth design to evaluate the effect of Advanced Platelet-Rich Fibrin (A-PRF) application on socket healing following dental extractions in smokers. In the split-mouth design, each participant serves as their own control, minimizing inter-subject variability and controlling for potential confounders such as smoking habits, oral hygiene, and systemic health conditions. Bilateral tooth extractions will be performed for each participant, with one extraction site randomly assigned to receive socket preservation using an A-PRF plug, while the contralateral site will be left to heal naturally without intervention. The study will be conducted at the Faculty of Dentistry and the University Dental Hospital, King Abdulaziz University, Jeddah, Saudi Arabia. Recruitment began in December 2025 and will continue until the targeted sample size is achieved.

Trial Health

63
Monitor

Trial Health Score

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

Enrollment
12

participants targeted

Target at below P25 for not_applicable

Timeline
2mo left

Started Jan 2026

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
not yet recruiting

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 Progress65%
Jan 2026Jun 2026

First Submitted

Initial submission to the registry

December 13, 2025

Completed
1 month until next milestone

First Posted

Study publicly available on registry

January 23, 2026

Completed
8 days until next milestone

Study Start

First participant enrolled

January 31, 2026

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 31, 2026

Expected
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2026

Last Updated

January 23, 2026

Status Verified

January 1, 2026

Enrollment Period

4 months

First QC Date

December 13, 2025

Last Update Submit

January 18, 2026

Conditions

Keywords

SmokersA- PRFExtractionSocket

Outcome Measures

Primary Outcomes (1)

  • Socket size using intra-oral scan

    Socket size will be measured using intra-oral digital scanning. Three-dimensional scans of the extraction site will be obtained and analyzed using digital software to delineate socket margins and calculate the socket surface area (mm²).

    3 weeks

Study Arms (2)

A- PRF in Extraction sockets in smokers

EXPERIMENTAL

A- PRF in Extraction sockets in smokers.

Drug: A- PRF

Control

NO INTERVENTION

Control site will not receive anything

Interventions

A- PRFDRUG

A-PRF will be placed in one extraction socket

Also known as: Advanced Platelet Rich Fibrin
A- PRF in Extraction sockets in smokers

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Smokers
  • Aged 18 years or older
  • Actively smoking at least 10 cigarettes per day
  • Requiring bilateral extractions.

You may not qualify if:

  • Patients younger than 18 years
  • Diabetes mellitus
  • Hypertension
  • Bleeding disorders
  • Pregnant or lactating women
  • Individuals who used tobacco products other than conventional cigarettes (such as e-cigarettes or waterpipes) were excluded.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

King AbdulAziz University

Jeddah, Mekkah, 23422, Saudi Arabia

Location

Related Publications (30)

  • Yerke LM, Jamjoom A, Zahid TM, Cohen RE. The Effect of Platelet-Rich Fibrin, Calcium Sulfate Hemihydrate, Platelet-Rich Plasma and Resorbable Collagen on Soft Tissue Closure of Extraction Sites. J Funct Biomater. 2017 May 25;8(2):17. doi: 10.3390/jfb8020017.

    PMID: 28587096BACKGROUND
  • Pan J, Xu Q, Hou J, Wu Y, Liu Y, Li R, Pan Y, Zhang D. Effect of platelet-rich fibrin on alveolar ridge preservation: A systematic review. J Am Dent Assoc. 2019 Sep;150(9):766-778. doi: 10.1016/j.adaj.2019.04.025.

    PMID: 31439204BACKGROUND
  • Malcangi G, Patano A, Palmieri G, Di Pede C, Latini G, Inchingolo AD, Hazballa D, de Ruvo E, Garofoli G, Inchingolo F, Dipalma G, Minetti E, Inchingolo AM. Maxillary Sinus Augmentation Using Autologous Platelet Concentrates (Platelet-Rich Plasma, Platelet-Rich Fibrin, and Concentrated Growth Factor) Combined with Bone Graft: A Systematic Review. Cells. 2023 Jul 6;12(13):1797. doi: 10.3390/cells12131797.

    PMID: 37443831BACKGROUND
  • El Bagdadi K, Kubesch A, Yu X, Al-Maawi S, Orlowska A, Dias A, Booms P, Dohle E, Sader R, Kirkpatrick CJ, Choukroun J, Ghanaati S. Reduction of relative centrifugal forces increases growth factor release within solid platelet-rich-fibrin (PRF)-based matrices: a proof of concept of LSCC (low speed centrifugation concept). Eur J Trauma Emerg Surg. 2019 Jun;45(3):467-479. doi: 10.1007/s00068-017-0785-7. Epub 2017 Mar 21.

    PMID: 28324162BACKGROUND
  • Choukroun J, Diss A, Simonpieri A, Girard MO, Schoeffler C, Dohan SL, Dohan AJ, Mouhyi J, Dohan DM. Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part IV: clinical effects on tissue healing. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006 Mar;101(3):e56-60. doi: 10.1016/j.tripleo.2005.07.011.

    PMID: 16504852BACKGROUND
  • Dohan DM, Choukroun J, Diss A, Dohan SL, Dohan AJ, Mouhyi J, Gogly B. Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part II: platelet-related biologic features. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006 Mar;101(3):e45-50. doi: 10.1016/j.tripleo.2005.07.009. Epub 2006 Jan 10.

    PMID: 16504850BACKGROUND
  • Dohan Ehrenfest DM, Rasmusson L, Albrektsson T. Classification of platelet concentrates: from pure platelet-rich plasma (P-PRP) to leucocyte- and platelet-rich fibrin (L-PRF). Trends Biotechnol. 2009 Mar;27(3):158-67. doi: 10.1016/j.tibtech.2008.11.009. Epub 2009 Jan 31.

    PMID: 19187989BACKGROUND
  • Dohan Ehrenfest DM, Del Corso M, Diss A, Mouhyi J, Charrier JB. Three-dimensional architecture and cell composition of a Choukroun's platelet-rich fibrin clot and membrane. J Periodontol. 2010 Apr;81(4):546-55. doi: 10.1902/jop.2009.090531.

    PMID: 20373539BACKGROUND
  • Alshehri, A., et al., Assessment of the low-speed centrifugation concept modified in the release of fibroblast growth factor-2 in Saudi healthy patient. Saudi Journal of Oral Sciences, 2020. 7(3): p. 169-173.

    BACKGROUND
  • Fujioka-Kobayashi M, Miron RJ, Hernandez M, Kandalam U, Zhang Y, Choukroun J. Optimized Platelet-Rich Fibrin With the Low-Speed Concept: Growth Factor Release, Biocompatibility, and Cellular Response. J Periodontol. 2017 Jan;88(1):112-121. doi: 10.1902/jop.2016.160443. Epub 2016 Sep 2.

    PMID: 27587367BACKGROUND
  • Lalla E, Papapanou PN. Diabetes mellitus and periodontitis: a tale of two common interrelated diseases. Nat Rev Endocrinol. 2011 Jun 28;7(12):738-48. doi: 10.1038/nrendo.2011.106.

    PMID: 21709707BACKGROUND
  • Souto-Maior JR, Pellizzer EP, de Luna Gomes JM, Dds CAAL, Dds JFSJ, Vasconcelos BCDE, de Moraes SLD. Influence of Diabetes on the Survival Rate and Marginal Bone Loss of Dental Implants: An Overview of Systematic Reviews. J Oral Implantol. 2019 Aug;45(4):334-340. doi: 10.1563/aaid-joi-D-19-00087. Epub 2019 May 1.

    PMID: 31042455BACKGROUND
  • Mealey BL, Ocampo GL. Diabetes mellitus and periodontal disease. Periodontol 2000. 2007;44:127-53. doi: 10.1111/j.1600-0757.2006.00193.x. No abstract available.

    PMID: 17474930BACKGROUND
  • De Angelis P, Manicone PF, Gasparini G, De Filippis I, Liguori MG, De Angelis S, Cannata F, D'Addona A. The Effect of Controlled Diabetes and Hyperglycemia on Implant Placement with Simultaneous Horizontal Guided Bone Regeneration: A Clinical Retrospective Analysis. Biomed Res Int. 2021 Jun 14;2021:9931505. doi: 10.1155/2021/9931505. eCollection 2021.

    PMID: 34222488BACKGROUND
  • Power DJ, Sambrook PJ, Goss AN. The healing of dental extraction sockets in insulin-dependent diabetic patients: a prospective controlled observational study. Aust Dent J. 2019 Mar;64(1):111-116. doi: 10.1111/adj.12669. Epub 2019 Jan 2.

    PMID: 30525221BACKGROUND
  • Huang S, Dang H, Huynh W, Sambrook PJ, Goss AN. The healing of dental extraction sockets in patients with Type 2 diabetes on oral hypoglycaemics: a prospective cohort. Aust Dent J. 2013 Mar;58(1):89-93. doi: 10.1111/adj.12029. Epub 2013 Jan 28.

    PMID: 23441797BACKGROUND
  • Aronovich S, Skope LW, Kelly JP, Kyriakides TC. The relationship of glycemic control to the outcomes of dental extractions. J Oral Maxillofac Surg. 2010 Dec;68(12):2955-61. doi: 10.1016/j.joms.2010.05.006. Epub 2010 Oct 14.

    PMID: 20950911BACKGROUND
  • Gadicherla S, Smriti K, Roy S, Pentapati KC, Rajan J, Walia A. Comparison of Extraction Socket Healing in Non-Diabetic, Prediabetic, and Type 2 Diabetic Patients. Clin Cosmet Investig Dent. 2020 Jul 20;12:291-296. doi: 10.2147/CCIDE.S264196. eCollection 2020.

    PMID: 32765113BACKGROUND
  • Shen X, Shen X, Li B, Zhu W, Fu Y, Xu R, Du Y, Cheng J, Jiang H. Abnormal macrophage polarization impedes the healing of diabetes-associated tooth sockets. Bone. 2021 Feb;143:115618. doi: 10.1016/j.bone.2020.115618. Epub 2020 Aug 26.

    PMID: 32858254BACKGROUND
  • Devlin H, Sloan P. Early bone healing events in the human extraction socket. Int J Oral Maxillofac Surg. 2002 Dec;31(6):641-5. doi: 10.1054/ijom.2002.0292.

    PMID: 12521322BACKGROUND
  • de Sousa Gomes P, Daugela P, Poskevicius L, Mariano L, Fernandes MH. Molecular and Cellular Aspects of Socket Healing in the Absence and Presence of Graft Materials and Autologous Platelet Concentrates: a Focused Review. J Oral Maxillofac Res. 2019 Sep 5;10(3):e2. doi: 10.5037/jomr.2019.10302. eCollection 2019 Jul-Sep.

    PMID: 31620264BACKGROUND
  • Zhou S, Li G, Zhou T, Zhang S, Xue H, Geng J, Liu W, Sun Y. The role of IFT140 in early bone healing of tooth extraction sockets. Oral Dis. 2022 May;28(4):1188-1197. doi: 10.1111/odi.13833. Epub 2021 Mar 16.

    PMID: 33682229BACKGROUND
  • Wang Q, Liu J, Qi S, Liao X, Liu D, Pan J. Clinical analysis of medication related osteonecrosis of the jaws: A growing severe complication in China. J Dent Sci. 2018 Sep;13(3):190-197. doi: 10.1016/j.jds.2017.12.003. Epub 2018 Feb 6.

    PMID: 30895120BACKGROUND
  • Yoo JJ, Kim DW, Kim MY, Kim YT, Yoon JH. The effect of diabetes on tooth loss caused by periodontal disease: A nationwide population-based cohort study in South Korea. J Periodontol. 2019 Jun;90(6):576-583. doi: 10.1002/JPER.18-0480. Epub 2019 Mar 12.

    PMID: 30548930BACKGROUND
  • Al-Rubeaan K, Al Derwish M, Ouizi S, Youssef AM, Subhani SN, Ibrahim HM, Alamri BN. Diabetic foot complications and their risk factors from a large retrospective cohort study. PLoS One. 2015 May 6;10(5):e0124446. doi: 10.1371/journal.pone.0124446. eCollection 2015.

    PMID: 25946144BACKGROUND
  • Singh N, Armstrong DG, Lipsky BA. Preventing foot ulcers in patients with diabetes. JAMA. 2005 Jan 12;293(2):217-28. doi: 10.1001/jama.293.2.217.

    PMID: 15644549BACKGROUND
  • Davis VL, Abukabda AB, Radio NM, Witt-Enderby PA, Clafshenkel WP, Cairone JV, Rutkowski JL. Platelet-rich preparations to improve healing. Part I: workable options for every size practice. J Oral Implantol. 2014 Aug;40(4):500-10. doi: 10.1563/AAID-JOI-D-12-00104.

    PMID: 25106016BACKGROUND
  • Mohseni Homagarani Y, Adlparvar K, Teimuri S, Tarrahi MJ, Nilchian F. The effect of diabetes mellitus on oral health-related quality of life: A systematic review and meta-analysis study. Front Public Health. 2023 Feb 24;11:1112008. doi: 10.3389/fpubh.2023.1112008. eCollection 2023.

    PMID: 36908413BACKGROUND
  • Kudiyirickal MG, Pappachan JM. Diabetes mellitus and oral health. Endocrine. 2015 May;49(1):27-34. doi: 10.1007/s12020-014-0496-3. Epub 2014 Dec 9.

    PMID: 25487035BACKGROUND
  • Alwin Robert A, Al Dawish MA. Microvascular complications among patients with diabetes: An emerging health problem in Saudi Arabia. Diab Vasc Dis Res. 2019 May;16(3):227-235. doi: 10.1177/1479164118820714. Epub 2019 Jan 1.

    PMID: 30599757BACKGROUND

Study Officials

  • Amal G Jamjoom, MS

    King Abdulaziz University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Amal Jamjoom, BDS, MS

CONTACT

Amal G Jamjoom, MS

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: One extraction socket receives A-PRF and the contralateral side will act a a control.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor at KAU

Study Record Dates

First Submitted

December 13, 2025

First Posted

January 23, 2026

Study Start

January 31, 2026

Primary Completion (Estimated)

May 31, 2026

Study Completion (Estimated)

June 30, 2026

Last Updated

January 23, 2026

Record last verified: 2026-01

Data Sharing

IPD Sharing
Will share

De-identified individual participant data (IPD) underlying the results reported in publications arising from this study will be shared. This will include demographic variables, smoking status, clinical outcomes related to soft tissue healing, intraoral scan measurements, and patient-reported outcome questionnaire data. No identifiable information will be shared.

Shared Documents
STUDY PROTOCOL, SAP
Time Frame
PD will be available beginning 6 months after publication of the primary results and will remain available for up to 5 years thereafter.
Access Criteria
Access to de-identified individual participant data will be granted to qualified researchers who submit a scientifically sound proposal outlining the research objectives and planned analyses. Requests will be reviewed by the principal investigator to ensure alignment with the original study aims, ethical approval, and data protection requirements. Approved applicants will be required to sign a data use agreement prior to data release. Data will be provided in a secure, de-identified format and used solely for the approved purpose.

Locations