The influence of platelet-rich fibrin on pain, bleeding, swelling, and soft tissue healing after tooth extraction

ISRCTN ISRCTN13878305
DOI https://doi.org/10.1186/ISRCTN13878305
Secondary identifying numbers TUCD-REC20160204
Submission date
06/11/2020
Registration date
09/11/2020
Last edited
15/03/2022
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Oral Health
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Platelet-rich fibrin (PRF) is a biomaterial that is prepared from the patient’s own blood and can be used as a membrane for root coverage purposes after tooth extraction.
The study aimed to assess the influence of Plasma Rich Fibrin (PRF) in post-transition extraction on pain, bleeding, swelling, and soft tissue healing.

Who can participate?
Patients between 18 and 40 years of age having molar extraction.

What does the study involve?
Participants will be randomly allocated to receive either PRF or saline solution applied to the area following tooth extraction and will be followed up for 15 days.

What are the possible benefits and risks of participating?
None

Where is the study run from?
Taibah University College of Dentistry (Saudi Arabia)

When is the study starting and how long is it expected to run for?
February 2016 to June 2016

Who is funding the study?
Investigator initiated and funded

Who is the main contact?
Dr Ibrahim Nourwali
ibrahim_germany@hotmail.com

Contact information

Dr Ibrahim Nourwali
Scientific

Taibah University
Dental college
Oral and Maxillofacial department
Madinah
42313-5141
Saudi Arabia

Phone +966 550939364
Email ibrahim_germany@hotmail.com

Study information

Study designInterventional randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet.
Scientific titleThe influence of platelet-rich fibrin on post-surgical complications following the removal of impacted wisdom teeth
Study objectivesThere is no effect of platelet-rich fibrin on complications following surgical removal of lower impacted wisdom teeth
Ethics approval(s)Approved 29/02/2016, Taibah University College of Dentistry REC (Al Arkam Ibn Abi Al Arkam, Al-Madinah Al-Munawarah, Medina, 42313-5141, Saudi Arabia; +966 552884839; TUCDREC@taibahu.edu.sa), ref: TUC-REC20160204
Health condition(s) or problem(s) studiedPain following wisdom tooth extraction
InterventionDuring all the surgical procedures, all the extractions were accomplished by elevating a full-thickness mucoperiosteal flap. Following the reflection of the mucoperiosteal flap in the conventional dento-alveolar surgery with or without PRF, the osteotomy was carried out with a 1.6 mm round bur attached to a Kavo straight surgical hand-piece, using copious irrigation. All of the teeth were completely removed.

In the study group, following the tooth extraction, the PRF was implanted into the extraction socket. In the control group, a sterile physiologic saline solution was used to wash the extraction sockets. The post-extraction sockets were closed by 3–0 polyglycolic acid non-resorbable sutures were used.

Randomization of participants into groups using sealed envelopes.
Intervention typeProcedure/Surgery
Primary outcome measureMeasured at 1, 2 and 6 h post-operatively:
1. Pain (Visual Analogue Scale [0 to 5])
2. Bleeding ((Visual Analogue Scale [0 to 4])
Secondary outcome measuresOn days 1, 2, 3, 7 and 15 post-operatively:
1. Swelling, assessed by the surgeon
Overall study start date05/02/2016
Completion date30/06/2016

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants20
Total final enrolment20
Key inclusion criteria1. Presence of unilateral or bilateral premolars or molars indicated for extraction
2. American Society of Anaesthesiologists (ASA) physical status classification; ASA grade I
Key exclusion criteria1. Pregnant women
2. Patients allergic to penicillin
3. Patients using other medications during the typical follow-up period
Date of first enrolment15/03/2016
Date of final enrolment15/06/2016

Locations

Countries of recruitment

  • Saudi Arabia

Study participating centre

Taibah University College of Dentistry (TUCoD)
Al Arkam Ibn Abi Al Arkam
Departments of Oral and Maxillofacial Surgery
Al-Madinah Al-Munawarah
Madinah
42313-5141
Saudi Arabia

Sponsor information

Taibah University
University/education

College of Dentistry
Al Arkam Ibn Abi Al Arkam
Al-Madinah Al-Munawarah
Medina
42313-5141
Saudi Arabia

Phone +966 14861888
Email TUCDREC@taibahu.edu.sa
Website https://www.taibahu.edu.sa/Pages/AR/Home.aspx
ROR logo "ROR" https://ror.org/01xv1nn60

Funders

Funder type

Other

Investigator initiated and funded

No information available

Results and Publications

Intention to publish date31/12/2020
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryOther
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal.
IPD sharing planAll data generated or analysed during this study will be included in the subsequent results publication

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 13/03/2021 15/03/2022 Yes No

Editorial Notes

15/03/2022: Publication reference added.
06/11/2020: Trial’s existence confirmed by Taibah University.