Evidence map›Paper›PMID 39868481›Full record

Trial reportJournal of periodontal research2026

A BiO-Optimizing Site Targeted (BOOST) Approach to Periodontal Regeneration Through Local Doxycycline Prior to Surgery: A Randomized Clinical Trial.

Mario Aimetti, Giacomo Baima, Virginia Lorenzetti, Nargiz Aliyeva, Mario Bottone, Giulia Maria Mariani, Federica Romano

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of periodontal research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05878353 (Influence of Local Doxycycline on the Inflammatory Status of Intrabony Defects and Clinical Outcomes of Periodontal Regeneration), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

NCT05878353 nacompletednot on this map

Influence of Local Doxycycline on the Inflammatory Status of Intrabony Defects and Clinical Outcomes of Periodontal Regeneration: a Randomized Controlled Trial

TypeinterventionalSponsorUniversity of Turin, ItalyRan2023 to 2024Enrolled60ConditionsPeriodontal DiseasesArmsDecontamination of the pocket with local doxycycline, Decontamination of the pocket with mechanical instrumentation
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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

7 authors.

Mario AimettiDepartment of Surgical Sciences, C.I.R. Dental School, University of Turin, Turin, Italy.ORCID https://orcid.org/0000-0003-0657-0787
Giacomo BaimaDepartment of Surgical Sciences, C.I.R. Dental School, University of Turin, Turin, Italy.ORCID https://orcid.org/0000-0002-9395-4967
Virginia LorenzettiDepartment of Surgical Sciences, C.I.R. Dental School, University of Turin, Turin, Italy.
Nargiz AliyevaDepartment of Surgical Sciences, C.I.R. Dental School, University of Turin, Turin, Italy.
Mario BottoneDepartment of Surgical Sciences, C.I.R. Dental School, University of Turin, Turin, Italy.
Giulia Maria MarianiDepartment of Surgical Sciences, C.I.R. Dental School, University of Turin, Turin, Italy.
Federica RomanoDepartment of Surgical Sciences, C.I.R. Dental School, University of Turin, Turin, Italy.ORCID https://orcid.org/0000-0002-5172-299X

Funding

Kulzer GmbH, Hanau, Germany
6 · The paper itself

Abstract

aimTo test a BiO-Optimizing Site Targeted (BOOST) approach to periodontal regeneration by the adjunctive use of locally delivered doxycycline (DOX) 2 weeks prior to minimally invasive surgery in terms of clinical and radiographic outcomes at 1 year.

methodsFor this randomized clinical trial, stage III/IV periodontitis patients presenting sites with intrabony defects and bleeding on probing (BoP+) after steps 1-2 of periodontal treatment were included. Sites were treated via subgingival instrumentation with or without a BOOST approach by local DOX. After 2 weeks, defects were accessed by minimally invasive surgical technique with xenograft and amelogenins. Primary (clinical attachment level [CAL] gain) and secondary (probing pocket depth [PPD] reduction, composite outcomes, radiographic bone defect fill) outcomes were assessed at 12 months.

resultsSixty patients completed the study (30 on each group). BOOST led to lower preoperative BoP (p < 0.001) and better wound healing after surgery (p = 0.027). Both groups showed clinical and radiographic improvements at 1 year, with significant differences in mean CAL gain (4.1 ± 1.9 vs. 3.2 ± 2.0 mm; p = 0.019) and PPD reduction (4.4 ± 1.8 vs. 3.6 ± 1.9 mm; p = 0.040) favoring the test group. BOOST group also achieved higher composite outcome measure (PPD ≤ 4 mm and CAL gain ≥ 3; 83.3% vs. 46.7%; p = 0.006), pocket closure (PPD ≤ 3 mm or 4 mm BoP-; 83.3% vs. 60.0%; p = 0.045), and defect fill (3.5 ± 1.2 vs. 2.7 ± 1.3 mm; p < 0.001) compared to the control group.

conclusionA BOOST approach by local doxycycline 2 weeks before surgery enhanced the local inflammatory control prior to periodontal regeneration and post-operative early wound healing, yielding to improved clinical and radiographic outcomes at 1 year.

trial registrationClinicalTrials.gov identifier: NCT05878353.

Indexed as

Anti-Bacterial AgentsDoxycyclineGuided Tissue Regeneration, PeriodontalPeriodontitisAdultAlveolar Bone LossBone RegenerationDental Enamel ProteinsFemaleHumansMaleMiddle AgedPeriodontal PocketTreatment OutcomeWound HealingAnti-Bacterial AgentsDental Enamel ProteinsDoxycyclineantimicrobials (local)inflammationintrabony defectsperiodontal diseasesperiodontal regeneration

Identifiers

PMID39868481
PMCPMC12961363

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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.