Furcation Defects Clinical Trial
Official title:
Evaluation of Adjunctive Effect of 1% Metformin To Platelet Rich Fibrin For Mandibular Class II Furcation Defects: A Randomized Controlled Clinical Trial
The aim of the present trial is to evaluate the efficacy of PRF with 1% MF in treatment of mandibular class II furcation defects and its comparison to PRF and access therapy alone.
Background: For improving efficacy and outcomes of regenerative therapy for furcation defects,
various materials has been investigated in addition to access therapy. Platelet-rich fibrin
(PRF) having concentrated growth factors and cytokines and Metformin (MF), an efficacious
member of biguanide group are known to enhance periodontal regeneration. The aim of the
present trial is to evaluate the efficacy of PRF with 1% MF in treatment of mandibular class
II furcation defects and its comparison to PRF and access therapy alone.
Methods: This randomized trial was conducted on 75 patients with mandibular class II
furcation defects. Defects were surgically treated with either access therapy alone (Group
1), access therapy+PRF (Group 2), and access therapy+ PRF+1% MF (Group 3). Clinical
parameters like probing depth (PD), relative clinical attachment level {vertical (RVCAL) and
horizontal (RHCAL)}, modified sulcus bleeding index (mSBI) and site specific plaque index
(PI) were evaluated at baseline and 9 months post-operatively. Radiological assessment of
bone defect fill was done at baseline and 9 months.
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