Evidence map›Paper›PMID 42021274›Full record

Trial reportBMC oral health2026

Open flap debridement with EDTA-conditioned root surface biomodification with or without injectable platelet-rich fibrin: a randomized controlled trial.

Halil Ata Bıçakçıoğlu, Mazlum Bülent Kurtiş

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07207668 (Effectiveness of Injectable Platelet Rich Fibrin Used For Root Surface Biomodification On Clinical Periodontal Parameters), which is not on this map. Not yet cited in PubMed.

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

NCT07207668 nacompletednot on this map

Effectiveness of Injectable Platelet Rich Fibrin Used For Root Surface Biomodification On Clinical Periodontal Parameters

TypeinterventionalSponsorHalil Ata BIÇAKÇIOGLURan2023 to 2024Enrolled42ConditionsChronic Periodontitis (Disorder), PeriodontitisArmsOpen Flap Debridement (OFD), 24% EDTA Root Conditioning, Injectable Platelet-Rich Fibrin (i-PRF)
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

2 authors.

Halil Ata BıçakçıoğluDepartment of Periodontology, Faculty of Dentistry, Gazi University, Ankara, Turkey. ata.bicakcioglu@icloud.com.ORCID 0000-0002-2962-0022
Mazlum Bülent KurtişDepartment of Periodontology, Faculty of Dentistry, Gazi University, Ankara, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis randomized controlled clinical trial evaluated the incremental clinical effect of adjunctive injectable platelet-rich fibrin (i-PRF) when added to open flap debridement (OFD) with 24% EDTA root surface conditioning. MATERIALS AND

methodsA total of 42 individuals diagnosed with Stage II–IV periodontitis and presenting with at least three adjacent teeth with probing pocket depth (PPD) ≥ 5 mm were enrolled. Participants were randomly allocated into two equal groups. Both groups underwent OFD combined with 24% EDTA root surface conditioning, and the test group additionally received a 5-min application of i-PRF. Clinical periodontal parameters, including plaque index (PI), gingival index (GI), bleeding on probing (BOP), gingival recession width (GRW), gingival recession depth (GRD), probing pocket depth (PPD), and clinical attachment level (CAL), were recorded using a calibrated periodontal probe under standardized conditions.

resultsBoth groups demonstrated comparable improvements in PI, GI, BOP, GRW, and GRD (p > 0.05). At the 180-day follow-up, the test group exhibited significantly greater PPD reduction and greater CAL gain than the control group (p < 0.001 and p < 0.05, respectively). At surgically treated sites, the additional 6-month improvement in the test group was 1.02 mm for PPD and 1.14 mm for CAL. Postoperative pain and sensitivity scores remained low in both groups, and no clinically relevant intergroup differences in biocompatibility or soft-tissue healing were observed.

conclusionAdjunctive use of i-PRF within an EDTA-conditioned OFD protocol resulted in more favorable early clinical healing outcomes, particularly with respect to PPD reduction and CAL gain, compared with OFD + EDTA alone. These findings suggest that injectable platelet concentrates may serve as a useful adjunct for improving early clinical outcomes following periodontal surgery.

trial registrationClinicalTrials.gov Identifier: NCT07207668. Retrospectively registered on September 18,2025.

Indexed as

DebridementEdetic AcidPeriodontal DebridementPlatelet-Rich FibrinSurgical FlapsTooth RootAdultFemaleHumansMaleMiddle AgedPeriodontal IndexEdetic AcidGrowth differentiation factorsImmunomodulationPeriodontal flap surgeryPlatelet-rich fibrinPro-angiogenic agents

Identifiers

PMID42021274
PMCPMC13162520

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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.