Evidence map›Paper›PMID 40660386›Full record

Trial reportEuropean journal of medical research2025

Role of placental extracts in enhancing periodontal flap surgery healing: insights from periostin biomarker analysis.

M Rathana, Rashmi Paramashivaiah, Munivenkatappa Laxmaiah Venkatesh Prabhuji, Shaeesta Khaleelahmed Bhavikatti, Mohammad Fareed, Mohmed Isaqali Karobari

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of medical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

M RathanaDepartment of Periodontology, Krishnadevaraya College of Dental Sciences, Rajiv Gandhi University of Health Sciences, Bangalore, 56215, India.
Rashmi ParamashivaiahDepartment of Periodontology, Krishnadevaraya College of Dental Sciences, Rajiv Gandhi University of Health Sciences, Bangalore, 56215, India.
Munivenkatappa Laxmaiah Venkatesh PrabhujiDepartment of Periodontology, Krishnadevaraya College of Dental Sciences, Rajiv Gandhi University of Health Sciences, Bangalore, 56215, India.
Shaeesta Khaleelahmed BhavikattiGlobal Research Cell, Dr. D. Y. Patil Dental College & Hospital, Dr. D. Y. Patil Vidyapeeth (Deemed to Be University), Pimpri, Pune, 411018, India.
Mohammad FareedDepartment of Basic Medical Sciences, College of Medicine, AlMaarefa University, Diriyah, P.O. Box: 71666, 11597, Riyadh, Saudi Arabia.
Mohmed Isaqali KarobariDepartment of Conservative Dentistry and Endodontics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, 600077, Tamil Nadu, India. dr.isaq@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe elimination of the causative agent and the facilitation of tissue regeneration are the fundamental objectives of periodontal therapy. Various adjunctive agents have been investigated to optimize treatment outcomes with surgical interventions. Periostin is a matricellular protein predominantly expressed in periodontal tissues, playing a key role in tissue remodeling, inflammation, and wound healing. The human placental extract has been used in periodontal surgery and compared with open flap debridement alone, with gingival crevicular fluid (GCF) periostin levels assessed to gauge periodontal wound healing.

methodsSixteen systemically healthy patients diagnosed with Stage III Grade C periodontitis were enrolled in the study. Participants were randomly assigned to either the test group (n = 8) or the control group (n = 8), with a total of nine males and seven females distributed across the groups. The test group underwent open flap debridement (OFD), followed by applying human placental extract gel absorbed into a gelatin sponge, while the control group received only OFD. Clinical parameters were assessed at baseline and 3 month post-treatment. GCF periostin levels were measured at baseline, 6 weeks, and 3 months.

resultsThe test group demonstrated a mean probing pocket depth (PPD) reduction of 4.75 ± 1.28 mm, compared to 3.12 ± 1.12 mm in the control group, with the difference being statistically significant. The relative attachment level (RAL) gain was 4.37 ± 1.18 mm in the test group and 2.75 ± 0.70 mm in the control group; however, this difference was not statistically significant. At 3 months, the mean healing index score was 4.50 ± 0.53 in the test group and 3.62 ± 0.51 in the control group, with a statistically significant intergroup difference. The Plaque Index (PI), Gingival Index (GI), and Gingival Bleeding Index (BI) showed moderate reductions at 3 months; however, intergroup differences were not statistically significant, except for BI, where the difference at 3 months was -0.180.

conclusionsThe adjunctive use of placental extract gel in surgical periodontal therapy demonstrated beneficial effects on healing outcomes. In addition, periostin shows promise as a biomarker for periodontal wound healing.

Indexed as

Cell Adhesion MoleculesPeriodontitisPlacental ExtractsSurgical FlapsWound HealingAdultBiomarkersFemaleGingival Crevicular FluidHumansMaleMiddle AgedPeriostinPregnancyBiomarkersCell Adhesion MoleculesPeriostinPlacental ExtractsPOSTN protein, humanHuman placental extractMarkerPeriodontitisPeriostinSurgical periodontal therapyWound healing

Identifiers

PMID40660386
PMCPMC12261747

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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.