Evidence map›Paper›PMID 37978474›Full record

Trial reportBMC oral health2023

Does the application of autologous injectable Platelet-Rich Fibrin (i-PRF) affect the patient's daily performance during the retraction of upper canines? A single-centre randomized split-mouth controlled trial.

Talar Zeitounlouian, Rania Haddad, Bassel Brad, Muhammed Al-Huda Ballouk, Piotr Fudalej

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC oral health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03399422 (Evaluation the Efficacy of Injectable Platelet Rich Fibrin), which is not on this map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03399422 nacompletednot on this map

Evaluation the Efficacy of Injectable Platelet Rich Fibrin (i-PRF) in Upper Canine Retraction and the Levels of Acceptance and Discomfort

TypeinterventionalSponsorDamascus UniversityRan2017 to 2019Enrolled20ConditionsMalocclusion, Angle Class II, Division 1Armsi-PRF, canine retraction
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Talar ZeitounlouianDepartment of Orthodontics, Faculty of Dentistry, Damascus University, Damascus, Syria. talarzeitounian@gmail.com.ORCID 0000-0002-2488-0968
Rania HaddadDepartment of Orthodontics, Faculty of Dentistry, Damascus University, Damascus, Syria.
Bassel BradDepartment of Oral and Maxillofacial Surgery, Faculty of Dentistry, Damascus University, Damascus, Syria.
Muhammed Al-Huda BalloukDepartment of Paediatric Dentistry, Faculty of Dentistry, Damascus University, Damascus, Syria.ORCID 0000-0003-4961-0611
Piotr FudalejDepartment of Orthodontics, Institute of Dentistry, Medical Faculty, Jagiellonian University, Kraków, Poland.ORCID 0000-0001-8777-7434

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious studies have assessed different aspects concerning the applications of i-PRF in the oral cavity. However, nothing is known regarding patients' perceptions of the injection of autologous platelet-rich fibrin (i-PRF).

objectivesTo investigate patients' perceptions after injecting platelet-rich fibrin (i-PRF) in the course of retracting upper canines.

methodsTwenty-one patients, whose treatments required extractions of both upper first premolars, were recruited. Extraction side was randomly allocated to the intervention or control sides. After the alignment phase, i-PRF was injected twice with a one-month interval on the buccal and palatal aspects of the extraction sites (intervention side). Patients' perceptions were evaluated with two questionnaires: the first was used to assess the level of pain, discomfort, swelling, eating and swallowing difficulties as well as jaw movement restriction after 1 h (T1), 2 h (T2), 6 h (T3), 24 h (T4) and 48 h (T5) of the second injection; the second questionnaire was used to assess the acceptance of the i-PRF injection and overall satisfaction with this technique at the end of canine retraction phase. Visual Analogue Scale (VAS) was adopted for this purpose. Wilcoxon Signed Rank Test was used to compare between both sides at all time points while Friedman's Test was the selected test for detecting variables' changes over time. Post-hoc Wilcoxon Matched-Pairs Signed-Rank Tests were applied when any of the results were significant. As to the multiplicity of tests, Bonferroni Correction was implemented.

resultsPain and swelling levels were significantly higher on the experimental compared to the control sides at T1, T2, and T3 (P < 0.05), whereas they declined sharply and went back to almost normal values at T4 (after 24 h). At T5 they were 0. Discomfort and difficulty in mastication on intervention sides were significant only at T1 and T2. Pain, swelling, and chewing difficulties were significant (P < 0.001) during the 4 assessed time points. The increase was insignificant regarding swallowing difficulties and jaw movement limitations at all time intervals.

conclusionsInjecting autologous (i-PRF) during orthodontic canine retraction is a well-perceived and well-tolerated method due to the limited discomfort which significantly diminishes 24 h afterwards. TRIAL'S REGISTRATION: ClinicalTrials.gov (Identifier Number: NCT03399422. 16/01/2018).

Indexed as

Platelet-Rich FibrinDental CareHumansMouthPostoperative PainTooth ExtractionInjectable Platelet-Rich Fibrin (i-PRF)Maxillary canine retractionPatient-Reported Outcome Measures (PROMs)Quality of Life (QoL)Visual Analogue Scale (VAS)

Identifiers

PMID37978474
PMCPMC10656964

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.