Evidence map›Paper›PMID 42860528›Full record

Trial reportBMC oral health2026

Effect of injectable platelet rich fibrin augmented with vitamin c compared to injectable platelet rich fibrin alone on healing of necrotic mature single rooted teeth with chronic periapical periodontitis following regenerative endodontic therapy (a randomized controlled trial).

Wesam Osama Hassan, Ahmed S ElSheshtawy, Manal Mohamed Abdelbaki, Geraldine M Ahmed

Registry-linked trialAbstract readRandomized Controlled TrialComparative Study
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 NCT05585359 (Effect of Injectable Platelet Rich Fibrin Augmented With Vitamin C Compared to Injectable Platelet Rich Fibrin Alone on Healing of Necrotic Mature Single Rooted Teeth With Chronic Peri-apical Periodontitis Following Regenerative Endodontics), 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.

NCT05585359 naunknown statusnot on this map

Effect of Injectable Platelet Rich Fibrin Augmented With Vitamin C Compared to Injectable Platelet Rich Fibrin Alone on Healing of Necrotic Mature Single Rooted Teeth With Chronic Peri-apical Periodontitis Following Regenerative Endodontics (A Randomized Controlled Trial)

TypeinterventionalSponsorCairo UniversityRan2023 to 2025Enrolled28ConditionsPeriapical PeriodontitisArmsinjectable platelet rich fibrin augmented with Vitamin C
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

4 authors.

Wesam Osama HassanDepartment of Endodontics, Faculty of Dentistry, Cairo University, Cairo, Egypt. Wessam_osama@dentistry.cu.edu.eg.ORCID http://orcid.org/0009-0005-3185-4476
Ahmed S ElSheshtawyDepartment of Endodontics, Faculty of Dentistry, Cairo University, Cairo, Egypt.ORCID http://orcid.org/0000-0003-2231-5786
Manal Mohamed AbdelbakiDepartment of Endodontics, Faculty of Dentistry, Misr University for Science and Technology, Cairo, Egypt.ORCID http://orcid.org/0000-0002-1728-413X
Geraldine M AhmedDepartment of Endodontics, Faculty of Dentistry, Cairo University, Cairo, Egypt.ORCID http://orcid.org/0000-0002-2273-3438

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the healing potential, postoperative pain and clinical normalcy associated with injectable platelet-rich fibrin combined with Vitamin C in regenerative endodontic procedure using cone-beam computed tomography and two-dimensional radiograph.

methodsTwenty-eight healthy patients with mature permanent single-rooted teeth diagnosed with pulp necrosis and chronic apical periodontitis were randomly allocated into two groups (n = 14). Regenerative endodontic treatment was performed using injectable platelet-rich fibrin combined with Vitamin C (intervention group) and injectable platelet-rich fibrin alone (control group). Periapical healing was assessed using CBCT and periapical radiographs over 12 months. Postoperative pain and clinical normalcy were also evaluated.

resultsBoth groups showed significant lesion reduction at 12 months (P = 0.001), with no significant between-group differences in postoperative lesion size (P = 0.981) or reduction magnitude (P = 0.497). CBCT-PAI scores improved in both groups without significant intergroup differences at baseline or follow-up. Two-dimensional radiographs showed a baseline difference (P = 0.007) but no postoperative differences; both groups demonstrated significant longitudinal reduction (P < 0.001). Postoperative pain scores were comparable between groups at all time points (P > 0.05), with a significant temporal decrease observed only in the intervention group (P = 0.001). All teeth remained asymptomatic during follow-up.

conclusionsBoth i-PRF combined with vitamin C and i-PRF alone appear to be effective regenerative scaffolds, demonstrating comparable clinical and radiographic outcomes in regenerative endodontic procedures. CLINICAL

trial registrationThe study was registered with ClinicalTrials.gov (ID: NCT05585359), registered on 14 October 2022. Available at https://clinicaltrials.gov/study/NCT05585359 .

Indexed as

Ascorbic AcidDental Pulp NecrosisPeriapical PeriodontitisPlatelet-Rich FibrinRegenerative EndodonticsAdultCone-Beam Computed TomographyFemaleHumansInjectionsMaleMiddle AgedWound HealingYoung AdultAscorbic AcidAscorbic acid.Injectable platelet rich fibrini-PRFPulp regenerationRegenerative endodonticsVitamin C

Identifiers

PMID42860528
PMCPMC13656611

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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.