Purpose

The study will compare the clinical outcomes of the two procedures, open flap debridement (OFD) compared to open flap debridement with leukocyte and platelet-rich fibrin (L-PFR) as well as differences in patient postoperative pain perception.

Condition

Eligibility

Eligible Ages
Between 18 Years and 89 Years
Eligible Genders
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • Patients between age 18 and 89 - Patients needing open flap debridement procedures for periodontal disease in one or more teeth in the same arch bilaterally (split mouth) - Patients must be nonsmokers, former smokers, or current smokers who smoke <10 cigarettes per day, by self-report - Female patients to include non- pregnant women of child-bearing potential.

Exclusion Criteria

  • Patients who disclose that they will not be able to cooperate with the follow-up schedule. - Patients who are mentally incompetent, prisoners, or pregnant (as obtained via chart review or self-report) - Pregnant women or women intending to become pregnant during the study period - Smokers who smoke > 10 cigarettes per day

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Intervention Model Description
The proposed study is a split-mouth design, randomized, prospective clinical trial in which we will use either OFD alone or OFD + L-PRF for periodontal surgery. Both procedures are standard of care
Primary Purpose
Treatment
Masking
Single (Participant)
Masking Description
Participants will be blinded to the intervention which they are randomized to.

Arm Groups

ArmDescriptionAssigned Intervention
Active Comparator
Group OFD + L-PRF
Open flap debridement (OFD) with L-PRF is used during periodontal surgical procedure that is used to improve periodontal health by providing access to the tooth roots and alveolar bone.
  • Procedure: Leukocyte Platelet-rich fibrin
    Leukocyte-PRF (L-PRF) contains neutrophils and macrophages that facilitate bacteria and necrotic tissue elimination via phagocytosis
    Other names:
    • L-PRF
Other
Group OFD
Open flap debridement (OFD) is one periodontal surgical procedure that is used to improve periodontal health by providing access to the tooth roots and alveolar bone.
  • Procedure: Leukocyte Platelet-rich fibrin
    Leukocyte-PRF (L-PRF) contains neutrophils and macrophages that facilitate bacteria and necrotic tissue elimination via phagocytosis
    Other names:
    • L-PRF
  • Other: Standard of care OFD
    Open flap debridement (OFD) is one periodontal surgical procedure that is used to improve periodontal health by providing access to the tooth roots and alveolar bone.
    Other names:
    • Open Flap Debridement

Recruiting Locations

The University of Texas Health Science Center at San Antonio
San Antonio, Texas 78229
Contact:
Charles Powell, DDS, MS
210-567-3593
powellc2@uthscsa.edu

More Details

Status
Recruiting
Sponsor
The University of Texas Health Science Center at San Antonio

Study Contact

Charles Powell, DDS, MS
210-567-3593
powellc2@uthscsa.edu

Detailed Description

Randomization to one of two standard of care procedures: 1. Test group: After gingival flap reflection and debridement of bone and root surfaces L-PRF will be applied to the alveolar bone, tooth roots, and gingival flap prior to suturing. 2. Control group (Standard of care): Gingival flap reflection and debridement of bone and root surfaces, followed by suturing of the gingival flaps. The study is a split-mouth design, randomized, prospective clinical trial. The protocol will randomize gingival quadrants in subjects to one of two standard of care procedures OFD or OFD + L-PRF. Patients needing periodontal surgery to correct periodontal disease will be enrolled. There will be two subject groups in this study. Each subject will be randomized to one of the treatments for the first quadrant and the contralateral quadrant will receive the other treatment. No risk is expected from being assigned to either group as both procedures are standard of care, with possible benefit of enhanced wound healing and bone regeneration in the test group. Allocation of subjects into test group or control group will be based on numbers drawn from a stack of sealed envelopes.

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.