Efficacy of injectable platelet-rich fibrin (i-PRF) as a novel vehicle for local drug delivery in non-surgical periodontal pocket therapy: A randomized controlled clinical trial
2024

Using Injectable Platelet-Rich Fibrin for Drug Delivery in Gum Treatment

Sample size: 79 publication 10 minutes Evidence: moderate

Author Information

Author(s): Thamaraiselvan Murugan, Jayakumar Nadathur Doraisamy

Primary Institution: Saveetha Dental College & Hospitals, Saveetha Institute of Medical and Technical Sciences

Hypothesis

Can ciprofloxacin-loaded injectable platelet-rich fibrin (i-PRF) improve outcomes in non-surgical periodontal pocket therapy?

Conclusion

Injectable platelet-rich fibrin (i-PRF) is a promising vehicle for delivering ciprofloxacin in periodontal pocket therapy, leading to significant clinical improvements.

Supporting Evidence

  • All treatment groups showed significant improvements in clinical and microbial parameters.
  • Group 1 had the highest reduction in probing depth and gingival index.
  • Injectable platelet-rich fibrin is autologous and easy to handle.
  • Ciprofloxacin-loaded i-PRF resulted in significant microbial reduction.
  • Participants reported no adverse reactions during the study.
  • Clinical attachment gain was highest in the ciprofloxacin-loaded group.
  • i-PRF showed sustained release of the drug over time.
  • Study followed CONSORT guidelines for clinical trials.

Takeaway

This study tested a new way to deliver medicine directly to infected gums using a special gel made from blood, which helped patients heal better.

Methodology

A randomized controlled trial with 79 periodontal pocket sites divided into three groups receiving different treatments, followed by clinical and microbial assessments.

Potential Biases

Potential selection bias was minimized by randomization and blinding.

Limitations

Short follow-up duration and lack of a positive control group.

Participant Demographics

Participants aged 30-60 years with Stage II Grade B periodontitis.

Statistical Information

P-Value

0.002

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.34172/japid.2024.021

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