Platelet Rich Fibrin Adjunctive to Non-surgical Periodontal Therapy: a 6-month Split-mouth Randomized Controlled Clinical Trial

Status: Recruiting
Location: See location...
Intervention Type: Biological
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Periodontitis is characterized by a chronic, multifactorial inflammatory process driven by dysbiotic plaque biofilms. It is recognized as the most common chronic inflammatory non-communicable disease in humans. The advanced and severe forms of periodontitis have an estimated prevalence of 7.4%, while milder forms can affect up to 50% of the population. If left untreated, periodontitis can lead to tooth loss. However, it is largely preventable and treatable with mechanical non-surgical periodontal therapy. To improve periodontal healing and thus clinical attachment gain after non-surgical therapy, adjunctive bioactive formulations such as enamel matrix derivatives, sodium hypochlorite, locally delivered antimicrobials, or hyaluronic acid have recently been proposed. However, these agents are non-autologous formulations and expensive. Platelet-rich fibrin (PRF) acts as a scaffold that inhibits the early migration of epithelial cells into the periodontal tissues. Its regenerative properties are primarily due to its ability to promote angiogenesis. This ability is attributed to the 3D fibrin matrix, which can simultaneously transport several cytokines and growth factors. These include vascular endothelial growth factor (VEGF), insulin growth factor (IGF), transforming growth factor β1 (TGF-β1) and platelet-derived growth factor (PDGF). PRF further shows antibacterial properties and accelerates soft tissue healing. So far PRF is not routinely used in periodontal non-surgical therapy. The aim of this 6-month, split-mouth randomized clinical trial including 20 patients is to test whether PRF can improve the results after non-surgical therapy.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: t
View:

• Men and women aged ≥ 18 years

• Periodontitis stage II-IV, grade A/B/C, generalized

• Presence of at least 20 teeth (excluding wisdom teeth)

• Absence of removable dentures

• Patients willing to provide written informed consent and to complete the 6- month study follow-up

Locations
Other Locations
Switzerland
Department of Periodontology, University of Bern
RECRUITING
Bern
Contact Information
Primary
Alexandra Stähli, DMD
alexandra.staehli@unibe.ch
+41 79 387 15 14
Backup
Jean-Claude Imber, DMD
jean-claude.imber@unibe.ch
Time Frame
Start Date: 2025-05-01
Estimated Completion Date: 2026-12-24
Participants
Target number of participants: 20
Treatments
Sham_comparator: Control side
After non-surgical mechanical debridement of all pockets ≥ 5 mm, an empty syringe will be inserted.
Active_comparator: Test side
After non-surgical mechanical debridement of all pockets ≥ 5 mm, PRF will be inserted.
Related Therapeutic Areas
Sponsors
Leads: University of Bern

This content was sourced from clinicaltrials.gov