Using platelet-rich fibrin prepared with titanium tubes in external sinus lift

ISRCTN ISRCTN11300231
DOI https://doi.org/10.1186/ISRCTN11300231
Submission date
08/05/2025
Registration date
09/05/2025
Last edited
27/05/2025
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Oral Health
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English Summary

Background and study aims
This study aims to evaluate the effectiveness of a material called T-PRF as a solo filler in sinus lifting procedures. The goal is to compare T-PRF to traditional bone grafts (allografts and xenografts) when placing dental implants either at the same time as the sinus lift or after a delay.

Who can participate?
Participants should be in good oral health, have missing teeth in the upper jaw (premolars or molars), and meet specific bone height and width requirements. They should be aged between 30 and 60 years.

What does the study involve?
Participants will be divided into four groups:
1. Two groups will have a sinus lift and dental implant placed at the same time. One group will use T-PRF, and the other will use traditional bone grafts.
2. Two groups will have a sinus lift first and the dental implant placed after six months. One group will use T-PRF, and the other will use traditional bone grafts.

What are the possible benefits and risks of participating?
The potential benefits include gaining bone and support for dental implants in a safe, easy, and cost-effective way. There are no known risks associated with this technique.

Where is the study run from?
Damascus University (Syria)

When is the study starting and how long is it expected to run for?
September 2023 to February 2025

Who is funding the study?
Damascus University (Syria)

Who is the main contact?
Dr Zakaria Awad, awadzakaria31@gmail.com

Contact information

Dr Zakaria Awad
Public, Principal Investigator

Faculty of Dentistry
Damascus
-
Syria

ORCiD logoORCID ID 0000-0002-1190-9151
Phone +963 964314346
Email zakaria31.awad@damascusuniversity.edu.sy
Prof Zaven Karabet
Scientific

Faculty of Dentistry
Damascus
-
Syria

Phone +963 944594323
Email zavengarabed@damascusuniversity.edu.sy

Study information

Study designInterventional randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)University/medical school/dental school
Study typeTreatment
Scientific titleThe use of titanium-prepared platelet-rich fibrin in sinus lifting with simultaneous and delayed implantation comparative clinical radiographic study
Study acronymT-PRF lateral window approach
Study hypothesisUsing T-PRF instead of bone grafts in sinus augmentation because of there are disadvantages related with bone grafts like infection,transmitting diseases, high economic cost, immune response, length period of its absorption
Ethics approval(s)

Approved 15/04/2025, Ethical Approval for Biomedical Researches (Damascus University, Damascus, -, Syria; +963 964314346; dl.srd@damascusuniversity.edu.sy), ref: DN-150425-425

ConditionBone gain to dental implants placement
InterventionThe study includes 4 groups
2 groups sinus lift with simultaneous implant placement, experimental group we use T-PRF as s solo filler, control group we use allograft + xenograft
2 groups sinus lift with delayed implant placement, experimental group we use T-PRF, control group we use allograft + xenograft and implant placement after 6 months of surgery
Intervention typeProcedure/Surgery
Primary outcome measure1. Bone gain height is measured using CBCT imaging at baseline and 6 months
2. Bone gain volume is measured using CBCT imaging at baseline and 6 months
3. Implant stability (ISQ) is measured using MegaISQ II (RAF) at immediate implantation, 3 months, and 6 months
4. Bone density (HU) is measured using CBCT imaging at immediate post-surgery and 6 months
5. Complications (membrane perforation, sinusitis) measured using patient records
Secondary outcome measuresThere are no secondary outcome measures
Overall study start date15/09/2023
Overall study end date22/02/2025

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit30 Years
Upper age limit60 Years
SexBoth
Target number of participants28 cases of sinus lift divided into 4 groups , 7 cases in each group
Participant inclusion criteria1. Good oral health
2. Have missing teeth in the premolars or molars of maxillary
3. Residual bone height between 4-6 mm for first two groups and less than 4 mm for second two groups
4. Minimum width (buccal-palatal) 6mm
5. Aged between 30-60 years
Participant exclusion criteria1. Systematic disease(diabetes-hyperthyroidism)
2. Contraindication of surgery
3. Patient refuses treatment
4. Bad oral health
Recruitment start date01/01/2024
Recruitment end date15/02/2025

Locations

Countries of recruitment

  • Syria

Study participating centre

Damascus University
Faculty of Dentistry
Damascus
-
Syria

Sponsor information

Damascus University
University/education

Faculty of Dentistry
Damascus
-
Syria

Phone +963 944594323
Email zavengarabed@damascusuniversity.edu.sy
Website https://www.damascusuniversity.edu.sy/
ROR logo "ROR" https://ror.org/03m098d13

Funders

Funder type

University/education

Damascus University
Government organisation / Universities (academic only)
Alternative name(s)
University of Damascus, جَامِعَةُ دِمَشْقَ, DU
Location
Syria

Results and Publications

Intention to publish date20/06/2025
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a peer-reviewed journal
IPD sharing planThe datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request.
awadzakaria31@gmail.com

Editorial Notes

09/05/2025: Trial's existence confirmed by Damascus University.