Evidence map›Paper›PMID 42074292›Full record

Trial reportInternational journal of molecular sciences2026

Platelet-Rich Fibrin in Surgical Wound Healing of Medication-Related Osteonecrosis of the Jaw: A Pilot Clinical Study.

Aleksy Nowak, Aleksandra Rudzka, Piotr Skrzypczak, Krzysztof Osmola, Marzena Liliana Wyganowska

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of molecular sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07464678 (Effectiveness of Platelet-Rich Fibrin in the Surgical Management of Medication-Related Osteonecrosis of the Jaw), 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.

NCT07464678 nacompletednot on this map

Effectiveness of Platelet-Rich Fibrin in the Surgical Management of Medication-Related Osteonecrosis of the Jaw: A Randomized Prospective Study

TypeinterventionalSponsorPoznan University of Medical SciencesRan2022 to 2024Enrolled22ConditionsMedication Related Osteonecrosis of the JawArmsSurgical Application of Platelet-Rich Fibrin (PRF)
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

5 authors.

Aleksy NowakDepartment of Maxillofacial Surgery, Poznan University of Medical Sciences, 49 Przybyszewskiego St., 60-355 Poznan, Poland.ORCID 0000-0002-0588-8331
Aleksandra RudzkaOrthodontic Clinic at University Center of Dentistry and Specialist Medicine, Poznan University of Medical Sciences, 60-812 Poznan, Poland.
Piotr SkrzypczakDepartment of Thoracic Surgery, Poznan University of Medical Sciences, Szamarzewskiego 62 St., 60-569 Poznan, Poland.
Krzysztof OsmolaDepartment of Maxillofacial Surgery, Poznan University of Medical Sciences, 49 Przybyszewskiego St., 60-355 Poznan, Poland.
Marzena Liliana WyganowskaDepartment of Dental Surgery, Periodontology and Oral Mucosa Diseases, Poznan University of Medical Sciences, 70, Bukowska St., 60-812 Poznan, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Medication-related osteonecrosis of the jaw (MRONJ) represents a major clinical challenge for oral and maxillofacial surgery departments as well as dental practices. With increasing life expectancy and the more frequent use of medications associated with osteonecrosis, the incidence of MRONJ continues to rise. To date, there are no uniform treatment standards with scientifically proven effectiveness for this condition. To evaluate the impact of platelet-rich fibrin (PRF) on the outcomes of MRONJ treatment and to identify factors that may influence the effectiveness of PRF therapy, we conducted a comparative prospective study including 22 patients divided into two groups: patients treated with PRF and patients treated without PRF. PRF was prepared according to the PRF Duo Quattro Process protocol for PRF (Nice, France). The study was registered at ClinicalTrials.gov (NCT07464678). The following parameters were assessed: age, smoking status, gender, lesion location, body mass index (BMI), C-reactive protein (CRP) concentration, pain intensity, presence or absence of fistulas, soft tissue healing and radiological findings. Patients were evaluated preoperatively and postoperatively at 14 days, 6 weeks, and 6 months. The study demonstrated a reduction in pain after surgery among patients treated with PRF. In addition, the use of PRF resulted in improved healing outcomes in patients with elevated CRP. Higher BMI was associated with poorer therapeutic response to PRF. Improvements in soft tissue healing and disease stage were observed in the PRF group; however, these differences did not reach statistical significance. All findings should be interpreted with caution due to the limited sample size. There is still no standardized treatment for MRONJ. The use of platelet-rich fibrin as an inexpensive and safe adjunctive therapy may provide clinical benefits for patients, particularly through a significant reduction in pain. Further large-scale, multicenter studies are required to confirm these findings.

Indexed as

Bisphosphonate-Associated Osteonecrosis of the JawPlatelet-Rich FibrinWound HealingAgedFemaleHumansMaleMiddle AgedPilot ProjectsProspective StudiesTreatment Outcomebisphosphonatesmaxillofacial surgeryMRONJoral surgeryosteonecrosis of the jawplatelet-rich fibrin

Identifiers

PMID42074292
PMCPMC13116275

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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.