Evidence map›Paper›PMID 39224058›Full record

Trial reportJournal of periodontal research2025

Modified minimally invasive surgical technique with clindamycin-augmented or non-augmented platelet-rich fibrin in periodontal regeneration: A randomized clinical trial.

Sarah Yusri, Weam Elbattawy, Salma Zaaya, Maha Mokhtar, Asmaa Ramzy, Karim M Fawzy El-Sayed

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of periodontal research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

6 authors.

Sarah YusriOral Medicine and Periodontology Department, Faculty of Dentistry, Cairo University, Cairo, Egypt.ORCID https://orcid.org/0009-0007-1433-2523
Weam ElbattawyOral Medicine and Periodontology Department, Faculty of Dentistry, Cairo University, Cairo, Egypt.ORCID https://orcid.org/0000-0003-1818-0321
Salma ZaayaOral Medicine and Periodontology Department, Faculty of Dentistry, Cairo University, Cairo, Egypt.ORCID https://orcid.org/0009-0005-3250-8436
Maha MokhtarProteomics and Metabolomics Research Program, Basic Research Department, Children's Cancer Hospital, Cairo, Egypt.
Asmaa RamzyProteomics and Metabolomics Research Program, Basic Research Department, Children's Cancer Hospital, Cairo, Egypt.
Karim M Fawzy El-SayedOral Medicine and Periodontology Department, Faculty of Dentistry, Cairo University, Cairo, Egypt.ORCID https://orcid.org/0000-0002-6261-3609

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimInjectable platelet-rich fibrin (I-PRF), a second-generation platelet concentrate, is widely used to enhance soft and hard tissue healing alone or in combination with biomaterials, relying on its harboring of various pivotal growth/differentiation factors. This randomized trial assessed the effect of clindamycin (CLN) augmented injectable platelet-rich fibrin (I-PRF) with modified minimally invasive surgical technique (M-MIST) versus I-PRF alone with M-MIST on the clinical and radiographic parameters in the management of periodontal intra-bony defects in patients with stage-III grade B periodontitis.

methodsThis is a 9-month parallel-grouped, two arm, double-blinded, randomized controlled trial (RCT) that included 28 patients (n = 28) with stage-III grade B periodontitis, who were allocated randomly to test- (CLN/I-PRF + M-MIST, 50 μL of CLN per 1 mL of I-PRF; n = 14) or control-group (I-PRF + M-MIST; n = 14). Clinical attachment level (CAL; primary outcome), probing depth (PD), gingival margin level (GML), plaque index (PI), and gingival index (GI) were recorded at baseline, 3, 6, and 9 months, whereas radiographic parameters radiographic linear defect depth (RLDD), and radiographic defect area (RDA) were recorded at baseline, 6, and 9 months. The CLN release kinetics from the I-PRF were further characterized.

resultsCompared to baseline, both groups independently demonstrated significant improvements in CAL, PD, GML, GI, PI, RLDD and BDA at 3, 6 and 9 months (p < .05). A significant reduction in CAL measurements was noticeable in the CLN/I-PRF + M-MIST and I-PRF + M-MIST group independently over time (p < .05). CLN/I-PRF + M-MIST showed significantly lower CAL than PRF + M-MIST group at baseline, after three as well as 9 months (p < .05). Intergroup comparisons at 9 months demonstrated that CAL-gain was non-significant between groups (p > .05), GI significantly lower in CLN/I-PRF + M-MIST, whereas PD-reduction significantly higher I-PRF + M-MIST group (p < .05). CLN was steadily released for the I-PRF for up to 48 h, with a peak concentration at 24 h, which then gradually declined till the seventh day.

conclusionsI-PRF with M-MIST provided significant clinical and radiographic improvement up to 9 months postoperatively in stage-III grade B periodontitis. CLN, at the applied concentration and release duration, does not appear to further positively impact these observed I-PRF effects.

Indexed as

Anti-Bacterial AgentsClindamycinGuided Tissue Regeneration, PeriodontalMinimally Invasive Surgical ProceduresPeriodontitisPlatelet-Rich FibrinAdultAlveolar Bone LossDouble-Blind MethodFemaleHumansMaleMiddle AgedPeriodontal IndexTreatment OutcomeAnti-Bacterial AgentsClindamycinclindamycinminimally invasive surgeryperiodontalperiodontitisplatelet‐rich fibrinpocket

Identifiers

PMID39224058
PMCPMC12139696

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Registered trials

None linked

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.