Evidence map›Paper›PMID 41205053›Full record

Trial reportClinical oral investigations2025

"Clinical and radiological evaluation of periodontal intrabony defects treated with DFDBA and 1% melatonin gel and its effect on RANKL and OPG in gingival crevicularfluid - a randomized controlled trial".

G Laxmi Kavya, K Anil Kumar, Gautami S Penmetsa, Arun Bhupathi, Sruthima Nvs Gottumukkala, K S V Ramesh, P Mohan Kumar, Pavan Kumar Samudrala

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Clinical oral investigations, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

1 citing paper in PubMed.

  1. Review
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

8 authors.

G Laxmi KavyaDepartment of Periodontics and Implantology, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India.ORCID 0009-0005-5804-0683
K Anil KumarDepartment of Periodontics and Implantology, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India. anilkumar.perio@vdc.edu.in.ORCID 0000-0003-3480-1124
Gautami S PenmetsaDepartment of Periodontics and Implantology, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India.ORCID 0000-0002-8744-1452
Arun BhupathiDepartment of Orthodontics, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India.ORCID 0000-0002-4841-1250
Sruthima Nvs GottumukkalaDepartment of Periodontics and Implantology, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India.ORCID 0000-0002-7126-5829
K S V RameshDepartment of Periodontics and Implantology, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India.ORCID 0000-0001-7022-0023
P Mohan KumarDepartment of Periodontics and Implantology, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India.ORCID 0000-0001-7797-1890
Pavan Kumar SamudralaDepartment of Pharmacology, Shri Vishnu College of Pharmacy, Bhimavaram, Andhra Pradesh, India.ORCID 0000-0001-5496-6845

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aims to evaluate and compare the effectiveness of 1% melatonin gel combined with demineralized freeze-dried bone allograft (DFDBA) versus DFDBA alone in treating intrabony periodontal defects in Stage II & III periodontitis. Clinical and radiographic outcomes were assessed using cone-beam computed tomography (CBCT), along with analysis of gingival crevicular fluid (GCF) levels of receptor activator of nuclear factor-kappa B ligand (RANKL) and osteoprotegerin (OPG). METHODOLOGY: A prospective, randomized, controlled, single-blinded clinical trial was conducted on 20 patients with 20 intrabony defects. The control group received DFDBA alone, while the test group received a combination of 1% melatonin gel and DFDBA. Clinical parameters Clinical Attachment Level (CAL) and Probing Pocket Depth (PPD) were evaluated at baseline, 3, and 6 months. Using cone beam computed tomography (CBCT) radiographic parameters linear bone fill and bone volume and GCF biomarkers (RANKL and OPG) were assessed at baseline and 6 months. Plaque Index (PI) and Sulcus Bleeding Index (SBI) were secondary outcomes. CAL change served as the primary outcome variable.

resultsAfter 6 months, the test group showed a mean CAL gain of 3.10 ± 0.87 mm and the control group 4.00 ± 1.85 mm, which was not statistically significant between the groups; however, intra-group comparison revealed a statistically significant CAL gain from baseline in both groups. Both groups showed improvements in assessed parameters, however, the test group demonstrated significantly greater bone fill (1.88 ± 0.26 mm vs. 1.16 ± 0.38 mm) and bone volume gain (22.67 ± 1.36 mm³ vs. 14.78 ± 0.5 mm³; p< 0.000). Greater reduction in PPD and gain in CAL were noted in the test group. GCF analysis revealed a significant increase in OPG (99.87 ± 15.07) and reduction in RANKL levels (66.13 ± 19.12) in the test group at 6 months (p= 0.000).

conclusionMelatonin gel as an adjunct to DFDBA enhances clinical, radiographic, and biochemical outcomes in intrabony periodontal defect therapy. Clinical Trials Registry of India (CTRI/2023/07/055039).

Indexed as

Alveolar Bone LossBone TransplantationGingival Crevicular FluidMelatoninOsteoprotegerinRANK LigandAdultBiomarkersCone-Beam Computed TomographyFemaleGelsHumansMaleMiddle AgedPeriodontal IndexProspective StudiesBiomarkersGelsMelatoninOsteoprotegerinRANK LigandTNFSF11 protein, humanCone-beam computed tomographyDFDBAIntrabony defectsMelatoninPeriodontal regenerationPeriodontitis

Identifiers

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Registered trials

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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.