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CompletedNCT04758702Updated May 31, 2023

The Clinical Impact of L-PRF, H-PRF or the Use of Surgical Stent on Palatal Donor Site Healing.

A Phase 1 interventional study of L-PRF (Leucocyte- platelet rich fibrin) and H-PRF (Horizontal -platelet rich fibrin) in Lack of Keratinized Gingiva, sponsored by Abdo Y Ismail. Completed at 1 site in United States. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-05-31.

Sponsored by Abdo Y Ismail · Phase 1, Interventional, and Supportive care

Phase
Phase 1
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

A Randomized, Three Parallel Arms Clinical Trial to evaluate s the clinical impact of L-PRF vs H-PRF vs Palatal stent on the healing of the donor palatal site.

Read the detailed description

A Randomized, Three Parallel Arms Clinical Trial. The primary objective is to assess the clinical impact of L-PRF vs H-PRF vs Palatal stent on the healing of the donor palatal site by comparing the percentage of re-epithelization of the palatal donor site at 5, 10, 14 and 21 days using a standardized intraoral palatal photo.

The secondary objective is to compare the post op discomfort between the three groups during the healing period daily for 2 weeks using the Visual Analogue Scale (VAS) and Analgesic consumption.

All subjects from the University of Kentucky College of Dentistry clinics. Subjects that are coming increasing the width of keratinized tissue or for the treatment of gingival recession, and match the inclusion criteria will be told about the research and offered the opportunity to participate.

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Conditions studied

  • Lack of Keratinized Gingiva
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In context

Lead sponsor

This is the only study on the registry with Abdo Y Ismail as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. Subjects between 18-65 years of age.
  2. Subjects need FGG or de-epithelialized Connective tissue graft
  3. Good oral hygiene (Plaque and bleeding indexes \<20%).
  4. Subjects can withstand alginate impression or wear a retainer.
  5. No other surgery or need for analgesics at the same site.

Exclusion criteria

Exclusion Criteria:

  1. Subjects with any systemic disorders that might compromise wound healing (Uncontrolled diabetes mellitus, rheumatoid arthritis, osteoporosis, chemotherapy/radiotherapy and immunological disorders).
  2. Smokers
  3. Patients not maintaining oral hygiene (plaque score >20%)
  4. Pregnant or breastfeeding females.
  5. Inability to provide informed consent.
  6. Grafts thickness more than 2mm will be excluded from the study.
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Study design

Phase
Phase 1
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
30 participants (actual)

Study arms

  • Experimental
    GROUP 1

    L-PRF membranes will be placed on the palatal donor site to help stabilizing the blood clot and release of growth factors that help in deceasing the discomfort wound healing.

    Biological: L-PRF (Leucocyte- platelet rich fibrin)

  • Experimental
    GROUP 2

    H-PRF membranes will be placed on the palatal donor site to help stabilizing the blood clot and release of growth factors that help in deceasing the discomfort wound healing.

    Biological: H-PRF (Horizontal -platelet rich fibrin)

  • Experimental
    GROUP 3

    A surgical stent will be delivered to cover the surgical site and apply pressure on the wound site.

    Device: Surgical stent

Interventions

  • BiologicalL-PRF (Leucocyte- platelet rich fibrin)

    Leucocyte-Platelet rich fibrin is a high density fibrin clot. it serves as a biological healing matrix by supporting cell migration and cytokine release, expanding the range of its potential applications greatly. Patient's own blood is centrifuged using (Intra-spin) FDA approved centrifuge on 45 degrees angle on 2700 rpm for 12 minutes.

  • BiologicalH-PRF (Horizontal -platelet rich fibrin)

    Platelet rich fibrin is a high density fibrin clot. it serves as a biological healing matrix by supporting cell migration and cytokine release, expanding the range of its potential applications greatly.Horizontally centrifuged platelet rich fibrin using (Bio-prf) centrifuge on 700 g force for 8 minutes. On a horizontal centrifugation, the cells separate much more efficiently throughout the entire membrane. This leads to better layer separation and also favors cells that are evenly distributed throughout the PRF clot.

  • DeviceSurgical stent

    An essix surgical stent will be obtained using a high vacuum suction and used to protect the denuded donor site after suturing the wound. (Biostar® Scan/Biostar®V) will be used to make the stent.

    Also known as: Essix retainer

06

What researchers measure

Primary outcomes

  1. The Clinical Impact of L-PRF, H-PRF, or the Use of a Surgical Stent on Palatal Donor Site Healing.

    The primary outcome is to asses the percentage of re-epithelization of the palatal donor site and assess primary wound healing.

    Time frame: 5 days

  2. The Clinical Impact of L-PRF, H-PRF, or the Use of a Surgical Stent on Palatal Donor Site Healing.

    The primary outcome is to asses the percentage of re-epithelization of the palatal donor site and assess primary wound healing.

    Time frame: 10 days

  3. The Clinical Impact of L-PRF, H-PRF, or the Use of a Surgical Stent on Palatal Donor Site Healing.

    The primary outcome is to asses the percentage of re-epithelization of the palatal donor site and assess primary wound healing.

    Time frame: 14 days

  4. The Clinical Impact of L-PRF, H-PRF, or the Use of a Surgical Stent on Palatal Donor Site Healing.

    The primary outcome is to asses the percentage of re-epithelization of the palatal donor site and assess primary wound healing.

    Time frame: 21 days

Secondary outcomes

  1. The Clinical Impact of L-PRF, H-PRF, or the Use of a Surgical Stent on Palatal Donor Site Healing.

    The secondary outcome is to compare the post-operative discomfort between the three groups during the healing period using the Visual Analogue Scale and Analgesic consumption. The visual analog scale is a validated, subjective measure for acute and chronic pain; with (0) indicates no pain and (10) indicates worst pain possible. Scores will be recorded by making a handwritten mark on a 10-cm line that represents a continuum between "no pain", which is the (0) and "worst pain possible", which is the (10). Also, the patient will write down his/her analgesic consumption, including the frequency and the amount used.

    Time frame: 5 days

  2. The Clinical Impact of L-PRF, H-PRF, or the Use of a Surgical Stent on Palatal Donor Site Healing.

    The secondary outcome is to compare the post-operative discomfort between the three groups during the healing period using the Visual Analogue Scale and Analgesic consumption. The visual analog scale is a validated, subjective measure for acute and chronic pain; with (0) indicates no pain and (10) indicates worst pain possible. Scores will be recorded by making a handwritten mark on a 10-cm line that represents a continuum between "no pain", which is the (0) and "worst pain possible", which is the (10). Also, the patient will write down his/her analgesic consumption, including the frequency and the amount used.

    Time frame: 10 days

  3. The Clinical Impact of L-PRF, H-PRF, or the Use of a Surgical Stent on Palatal Donor Site Healing.

    The secondary outcome is to compare the post-operative discomfort between the three groups during the healing period using the Visual Analogue Scale and Analgesic consumption. The visual analog scale is a validated, subjective measure for acute and chronic pain; with (0) indicates no pain and (10) indicates worst pain possible. Scores will be recorded by making a handwritten mark on a 10-cm line that represents a continuum between "no pain", which is the (0) and "worst pain possible", which is the (10). Also, the patient will write down his/her analgesic consumption, including the frequency and the amount used.

    Time frame: 14 days

  4. The Clinical Impact of L-PRF, H-PRF, or the Use of a Surgical Stent on Palatal Donor Site Healing.

    The secondary outcome is to compare the post-operative discomfort between the three groups during the healing period using the Visual Analogue Scale and Analgesic consumption. The visual analog scale is a validated, subjective measure for acute and chronic pain; with (0) indicates no pain and (10) indicates worst pain possible. Scores will be recorded by making a handwritten mark on a 10-cm line that represents a continuum between "no pain", which is the (0) and "worst pain possible", which is the (10). Also, the patient will write down his/her analgesic consumption, including the frequency and the amount used.

    Time frame: 21 days

07

Study locations

1 site
  • University of Kentucky
    Lexington, Kentucky 40536, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 31, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04758702
Lead sponsor
Abdo Y Ismail
Responsible party
Abdo Y Ismail (Post-graduate Periodontics Resident, University of Kentucky) — Sponsor-investigator
First posted
Feb 17, 2021
Start date
Feb 24, 2021
Primary completion
May 25, 2023
Completion
May 25, 2023
Last update
May 31, 2023

Study contacts

Mohanad Al-Sabbagh, DDS, MS
study chair · University of Kentucky

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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