Intrabony Periodontal DefectNCT06768424
Comparison of MIST With PRF and GBT With PRF in the Treatment of Intrabony Periodontal Defect. A Prospective RCT
A study testing Guided biofilm therapy, Platelet Rich Fibrin and Minimally Invasive Surgical Technique in people with Intrabony Periodontal Defect, run by Semmelweis University at 1 site in Hungary.
Trial summary
The aim is to evaluate in a prospective, randomized, controlled clinical study the healing of a MIST procedure combined with PRF, or GBT combined with PRF. Clinical, radiological evaluation of the regenerative surgical method and the GBT non-surgical therapy in solitaire deep intrabony periodontal defect. Read more about this study
- Who is it for?
- Ages 18 to 65 yearsHealthy volunteers can take part
- Conditions the study is for
- Intrabony Periodontal Defect
- What is being tested?
- Guided biofilm therapy, Platelet Rich Fibrin and Minimally Invasive Surgical Technique
- Type of treatment
- Medical device, Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 36 participants
- Where
- 1 siteHungary
- Study dates
- 20 Dec 2023to 20 Dec 2027
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 65 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- solitaire intrabony periodontal defect at least 4 mm
Who cannot join
- Periodontitis with intrabony defect (Intrabony component ≥ 4mm, defect radiological angulation > 25°,
- The patient is able to comply with the study -related procedures (i.e. good level of oral hygiene, follow-up procedures).
- Patients must not be heavy smokers (<5 cigarettes/day).
- furcation involvement
- Full mouth plaque and bleeding scores (FMPS and FMBS) of <15% (O'Leary et al. 1972).
- The patient is able to fully understand the nature of the study, signed informed consent.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Hungary1 site, 1 recruiting
- Recruiting
Semmelweis University Department of Periodontology
Budapest, Budapest, 1088
Pal Nagy, DMD, +3613185222, kardpali@gmail.com
About this study
Official title: Comparison of Minimally Invasive Surgical Therapy in Combination With Platelet Rich Fibrine and Guided Biofilm Therapy Combined With Platelet Rich Fibrine in the Treatment of Solitaire Intrabony Periodontal Defect A Prospective RCT.
The aim is to evaluate in a prospective, randomized, controlled clinical study the healing of a MIST procedure combined with PRF, or GBT combined with PRF. Clinical, radiological evaluation of the regenerative surgical method and the GBT non-surgical therapy in solitaire deep intrabony periodontal defect.
Read the detailed description
This clinical study aims to clinically and radiologically evaluate the healing response of the periodontal tissues in there is not opened flap design to access the intrabony defect test 1 group where The pre- surgically prepared Platelet Rich fibrine is added into the previously cleaned defect. In the test 2 group a minimally invasive surgical approach is used to access to the intrabony pocket. After opening a flap the same procedure is used to prepare PRF, and added into the pocket. The pockets in the control Group is only cleaned by guided biofilm therapy. Periodontal clinical parameters measured at baseline and at 6 months serves for secondary. After six months the healing is evaluated with a standardized X-ray holder. The primary outcome value is the delta clinical attachment level (gain or loss) The main interest is how the PRF influence the non-surgical healing. Does it any advance of flap opening procedure in comparison with the GBT, if PRF is used.
- Conditions
- Intrabony Periodontal Defect
- Being tested
- Guided biofilm therapy, Platelet Rich Fibrin, Minimally Invasive Surgical Technique
- Keywords
- Guided biofilm terapy, Platelet Rich Fibrine
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Guided biofilm therapyDevice
Use of Airflow Plus powder subgingivally on teeth with deep periodeontal pockets
Platelet Rich FibrinProcedure or surgery
Pack Platelet Rich Fibrin chops into the intrabony periodontla defect
Minimally Invasive Surgical TechniqueProcedure or surgery
Periodontal intrabony defect is treated by minimally invasive surgical intervention
| Study group | Role | What they receive |
|---|---|---|
| Test 1 Guided biofilm therapy in combinaton with Platelet rich fibrine | Experimental | Non surgical treatment performed to clean and decontaminate the intrabony defect, and filled with PRF Receives: Device: Guided biofilm therapy; Procedure: Platelet Rich Fibrin |
| Test 2 Minimally invasive surgical therapy in combination with Platelet rich fibrine | Experimental | Surgical procedure: Minimal invasive surical approach Platelet rich fibrine chops is used in order to fill the intrabony gap. Receives: Procedure: Platelet Rich Fibrin; Procedure: Minimally Invasive Surgical Technique |
| Control group | Active comparator | The control group patients are treated only with guided biofilm therapy alone Receives: Device: Guided biofilm therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Intrabony fill
The change of the intrabony component compared to the initial intrabony defect depth (in percentage), which is measured on standardised individualised x-ray.
Measured: 6 months
Secondary outcomes (3)
PPD
Pocket probing depth measured clinically by calibrated periodontal probe (UNC 15)
Measured: 6 months
GR
Gingival recession measured clinically by calibrated periodontal probe (UNC 15)
Measured: 6 months
CAL
Clinical attachment level measured clinically by calibrated periodontal probe (UNC 15)
Measured: 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Jan 2025
- Study start20 Dec 2023
- Primary completion30 Jun 2027 (estimated)
- Study completion20 Dec 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for Intrabony Periodontal DefectStudies of the same condition, open and under way.
- More trials run by Semmelweis UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 36 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Semmelweis University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Pal Nagy, Semmelweis University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06768424
- Sponsor's protocol ID
- OGYÉI/55689-5/2023
- Status last verified
- Apr 2026
- First submitted
- 10 Jul 2024
- Last updated
- 28 Apr 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Miron RJ, Moraschini V, Fujioka-Kobayashi M, Zhang Y, Kawase T, Cosgarea R, Jepsen S, Bishara M, Canullo L, Shirakata Y, Gruber R, Ferenc D, Calasans-Maia MD, Wang HL, Sculean A. Use of platelet-rich fibrin for the treatment of periodontal intrabony defects: a systematic review and meta-analysis. Clin Oral Investig. 2021 May;25(5):2461-2478. doi: 10.1007/s00784-021-03825-8. Epub 2021 Feb 20.
PubMed 33609186Patel GK, Gaekwad SS, Gujjari SK, S C VK. Platelet-Rich Fibrin in Regeneration of Intrabony Defects: A Randomized Controlled Trial. J Periodontol. 2017 Nov;88(11):1192-1199. doi: 10.1902/jop.2017.130710. Epub 2017 Aug 18.
PubMed 28820322Miron RJ, Fujioka-Kobayashi M, Bishara M, Zhang Y, Hernandez M, Choukroun J. Platelet-Rich Fibrin and Soft Tissue Wound Healing: A Systematic Review. Tissue Eng Part B Rev. 2017 Feb;23(1):83-99. doi: 10.1089/ten.TEB.2016.0233. Epub 2016 Oct 10.
PubMed 27672729Cortellini P, Cortellini S, Bonaccini D, Tonetti MS. Modified minimally invasive surgical technique in human intrabony defects with or without regenerative materials-10-year follow-up of a randomized clinical trial: Tooth retention, periodontitis recurrence, and costs. J Clin Periodontol. 2022 Jun;49(6):528-536. doi: 10.1111/jcpe.13627. Epub 2022 Apr 25.
PubMed 35415940
Study at a glance
From the registry record, last updated by the sponsor on 28 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparison of Minimally Invasive Surgical Therapy in Combination With Platelet Rich Fibrine and Guided Biofilm Therapy Combined With Platelet Rich Fibrine in the Treatment of Solitaire Intrabony Periodontal Defect A Prospective RCT.
- ClinicalTrials.gov ID
- NCT06768424
- Acronym / sponsor ID
- OGYÉI/55689-5/2023
- Conditions
- Intrabony Periodontal Defect
- Keywords
- Guided biofilm terapy, Platelet Rich Fibrine
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 36 participants (estimated)
- Lead sponsor
- Semmelweis UniversityUniversity, hospital or other
- Study start
- 20 Dec 2023 (actual)
- Primary completion
- 30 Jun 2027 (estimated)
- Study completion
- 20 Dec 2027 (estimated)
- First posted
- 10 Jan 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The aim is to evaluate in a prospective, randomized, controlled clinical study the healing of a MIST procedure combined with PRF, or GBT combined with PRF. Clinical, radiological evaluation of the regenerative surgical method and the GBT non-surgical therapy in solitaire deep intrabony periodontal defect.
Detailed description
This clinical study aims to clinically and radiologically evaluate the healing response of the periodontal tissues in there is not opened flap design to access the intrabony defect test 1 group where The pre- surgically prepared Platelet Rich fibrine is added into the previously cleaned defect. In the test 2 group a minimally invasive surgical approach is used to access to the intrabony pocket. After opening a flap the same procedure is used to prepare PRF, and added into the pocket. The pockets in the control Group is only cleaned by guided biofilm therapy. Periodontal clinical parameters measured at baseline and at 6 months serves for secondary. After six months the healing is evaluated with a standardized X-ray holder. The primary outcome value is the delta clinical attachment level (gain or loss) The main interest is how the PRF influence the non-surgical healing. Does it any advance of flap opening procedure in comparison with the GBT, if PRF is used.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Test 1 Guided biofilm therapy in combinaton with Platelet rich fibrine | Experimental | Device: Guided biofilm therapy, Procedure: Platelet Rich FibrinNon surgical treatment performed to clean and decontaminate the intrabony defect, and filled with PRF |
| Test 2 Minimally invasive surgical therapy in combination with Platelet rich fibrine | Experimental | Procedure: Platelet Rich Fibrin, Procedure: Minimally Invasive Surgical TechniqueSurgical procedure: Minimal invasive surical approach Platelet rich fibrine chops is used in order to fill the intrabony gap. |
| Control group | Active comparator | Device: Guided biofilm therapyThe control group patients are treated only with guided biofilm therapy alone |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- solitaire intrabony periodontal defect at least 4 mm
Key exclusion criteria (6 listed)
- Periodontitis with intrabony defect (Intrabony component ≥ 4mm, defect radiological angulation > 25°,
- The patient is able to comply with the study -related procedures (i.e. good level of oral hygiene, follow-up procedures).
- Patients must not be heavy smokers (<5 cigarettes/day).
- furcation involvement
- Full mouth plaque and bleeding scores (FMPS and FMBS) of <15% (O'Leary et al. 1972).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Guided biofilm therapyUse of Airflow Plus powder subgingivally on teeth with deep periodeontal pockets | Device | Control group, Test 1 Guided biofilm therapy in combinaton with Platelet rich fibrine |
| Platelet Rich FibrinPack Platelet Rich Fibrin chops into the intrabony periodontla defect | Procedure or surgery | Test 1 Guided biofilm therapy in combinaton with Platelet rich fibrine, Test 2 Minimally invasive surgical therapy in combination with Platelet rich fibrine |
| Minimally Invasive Surgical TechniquePeriodontal intrabony defect is treated by minimally invasive surgical intervention | Procedure or surgery | Test 2 Minimally invasive surgical therapy in combination with Platelet rich fibrine |
Primary outcome
Intrabony fill
Time frame: 6 months
The change of the intrabony component compared to the initial intrabony defect depth (in percentage), which is measured on standardised individualised x-ray.
3 secondary outcomes
PPD
Time frame: 6 months
GR
Time frame: 6 months
CAL
Time frame: 6 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Apr 2026.
- Background: PubMed 33609186Miron RJ, Moraschini V, Fujioka-Kobayashi M, Zhang Y, Kawase T, Cosgarea R, Jepsen S, Bishara M, Canullo L, Shirakata Y, Gruber R, Ferenc D, Calasans-Maia MD, Wang HL, Sculean A. Use of platelet-rich fibrin for the treatment of periodontal intrabony defects: a systematic review and meta-analysis. Clin Oral Investig. 2021 May;25(5):2461-2478. doi: 10.1007/s00784-021-03825-8. Epub 2021 Feb 20.
- Background: PubMed 28820322Patel GK, Gaekwad SS, Gujjari SK, S C VK. Platelet-Rich Fibrin in Regeneration of Intrabony Defects: A Randomized Controlled Trial. J Periodontol. 2017 Nov;88(11):1192-1199. doi: 10.1902/jop.2017.130710. Epub 2017 Aug 18.
- Background: PubMed 27672729Miron RJ, Fujioka-Kobayashi M, Bishara M, Zhang Y, Hernandez M, Choukroun J. Platelet-Rich Fibrin and Soft Tissue Wound Healing: A Systematic Review. Tissue Eng Part B Rev. 2017 Feb;23(1):83-99. doi: 10.1089/ten.TEB.2016.0233. Epub 2016 Oct 10.
- Background: PubMed 35415940Cortellini P, Cortellini S, Bonaccini D, Tonetti MS. Modified minimally invasive surgical technique in human intrabony defects with or without regenerative materials-10-year follow-up of a randomized clinical trial: Tooth retention, periodontitis recurrence, and costs. J Clin Periodontol. 2022 Jun;49(6):528-536. doi: 10.1111/jcpe.13627. Epub 2022 Apr 25.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Guided biofilm therapy, Platelet Rich Fibrin and Minimally Invasive Surgical Technique in people with Intrabony Periodontal Defect, run by Semmelweis University at 1 site in Hungary.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 28 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Hungary. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Pál Nagy, DMD (+3613185222, kardpali@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Intrabony fill (time frame: 6 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06768424, which also lists 4 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Apr 2026.