Investigation of Effectiveness of Local Antibiotic With Platelet Rich Fibrin on Third Molar Surgery Outcomes In Vivo

Study Overview
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Brief Summary
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The aim of this study was investigate the effectiveness of Local Antibiotic Applications With Platelet Rich Fibrin on Third Molar Surgery Outcomes In Vivo and In Vitro. The study included a total of 60 patients with impacted mandibular third molar. Patients were evaluated in 3 randomly separated groups. For the first and second group, Platelets Rich Fibrin+ local antibiotics were applied into the tooth socket. For the first group, amoxicillin was applied and for the second group, clindamycin was applied. There was a control group which only Platelets Rich Fibrin was applied into the socket. The outcome variables were pain, swelling, the number of analgesics taken, and trismus. These variables were also assessed based on first, second, third, and seventh days following the operation.

Official Title
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Investigation of Effectiveness of Local Antibiotic Applications With Platelet Rich Fibrin on Third Molar Surgery Outcomes In Vivo and In Vitro

Conditions
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Impacted Wisdom Tooth, Pain, Staphylococcus Aureus

Intervention / Treatment
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* Diagnostic Test: Diagnosis
* Drug: Analgesic
* Procedure: traditional osteotomies
* Biological: Platelet Rich Fibrin
* Drug: Antibiotic


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patient with no systemic diseases, no current infection, no smoke, no pregnancy Exclusion Criteria: no inflammation
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| control group<br>platelet-rich fibrin placed into the socket of extracted tooth and no antibiotic is prescribed. | Diagnostic Test: Diagnosis<br>* All of the patients withstand a radiological examination, including panoramic radiography, and all were handled by the same surgeon and assistant.<br>Drug: Analgesic<br>* Analgesics are prescribed for the patients for all groups.<br>Procedure: traditional osteotomies<br>* In all groups the flap incision was triangular in shape which avoids muscle involvement (Archer flap).<br>Biological: Platelet Rich Fibrin<br>* Platelet rich fibrin (PRF), is an example and popular procedure for accelerate healing of soft and hard tissue because of the presence of various growth factors.a blood sample was taken without anticoagulant in 10 mL glass-coated plastic tubes that were immediately centrifuged (Elektro-mag M415P) at 3,000 rpm for 10 min (approximately 400 g) (13). The platelet-poor plasma that accumulated at the top of the tubes was discarded.PRF was dissected approximately 2 mm below its contact point with the red corpuscles situated beneath, to include any remaining platelets that may have localized below the junction between the PRF and red corpuscles.<br>|
| group 1<br>platelet-rich fibrin + 0.5 ml amoklavin I.V. 1.2 gr placed into the socket of the extracted tooth. | Diagnostic Test: Diagnosis<br>* All of the patients withstand a radiological examination, including panoramic radiography, and all were handled by the same surgeon and assistant.<br>Drug: Analgesic<br>* Analgesics are prescribed for the patients for all groups.<br>Procedure: traditional osteotomies<br>* In all groups the flap incision was triangular in shape which avoids muscle involvement (Archer flap).<br>Biological: Platelet Rich Fibrin<br>* Platelet rich fibrin (PRF), is an example and popular procedure for accelerate healing of soft and hard tissue because of the presence of various growth factors.a blood sample was taken without anticoagulant in 10 mL glass-coated plastic tubes that were immediately centrifuged (Elektro-mag M415P) at 3,000 rpm for 10 min (approximately 400 g) (13). The platelet-poor plasma that accumulated at the top of the tubes was discarded.PRF was dissected approximately 2 mm below its contact point with the red corpuscles situated beneath, to include any remaining platelets that may have localized below the junction between the PRF and red corpuscles.<br>Drug: Antibiotic<br>* no systemic antibiotics are prescribed for the patients for all groups.<br>|
| group 2<br>platelet-rich fibrin + 0.5 ml Clin 600 mg/4 ml IM/IV, 0.5 ml placed into the socket of the extracted tooth. | Diagnostic Test: Diagnosis<br>* All of the patients withstand a radiological examination, including panoramic radiography, and all were handled by the same surgeon and assistant.<br>Drug: Analgesic<br>* Analgesics are prescribed for the patients for all groups.<br>Procedure: traditional osteotomies<br>* In all groups the flap incision was triangular in shape which avoids muscle involvement (Archer flap).<br>Biological: Platelet Rich Fibrin<br>* Platelet rich fibrin (PRF), is an example and popular procedure for accelerate healing of soft and hard tissue because of the presence of various growth factors.a blood sample was taken without anticoagulant in 10 mL glass-coated plastic tubes that were immediately centrifuged (Elektro-mag M415P) at 3,000 rpm for 10 min (approximately 400 g) (13). The platelet-poor plasma that accumulated at the top of the tubes was discarded.PRF was dissected approximately 2 mm below its contact point with the red corpuscles situated beneath, to include any remaining platelets that may have localized below the junction between the PRF and red corpuscles.<br>Drug: Antibiotic<br>* no systemic antibiotics are prescribed for the patients for all groups.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| visual analogue scale (VAS) | It is a measurement instrument for subjective characteristics or attitudes that cannot be directly measured. | Day 1 | 
| visual analogue scale (VAS) | It is a measurement instrument for subjective characteristics or attitudes that cannot be directly measured. | Day 2 | 
| visual analogue scale (VAS) | It is a measurement instrument for subjective characteristics or attitudes that cannot be directly measured. | Day 3 | 
| visual analogue scale (VAS) | It is a measurement instrument for subjective characteristics or attitudes that cannot be directly measured. | Day 7 | 
| visual analogue scale (VAS) | It is a measurement instrument for subjective characteristics or attitudes that cannot be directly measured. | Day 15 | 
| swelling | measured using a flexible plastic measuring tape as described by Gabka and Matsumura by measuring the distance from the corner of the mouth to the attachment of the earlobe following the bulge of the cheek and the distance from the outer canthus of the eye to the angle of the mandible. | Day 1 | 
| swelling | measured using a flexible plastic measuring tape as described by Gabka and Matsumura by measuring the distance from the corner of the mouth to the attachment of the earlobe following the bulge of the cheek and the distance from the outer canthus of the eye to the angle of the mandible. | Day 2 | 
| swelling | measured using a flexible plastic measuring tape as described by Gabka and Matsumura by measuring the distance from the corner of the mouth to the attachment of the earlobe following the bulge of the cheek and the distance from the outer canthus of the eye to the angle of the mandible. | Day 3 | 
| swelling | measured using a flexible plastic measuring tape as described by Gabka and Matsumura by measuring the distance from the corner of the mouth to the attachment of the earlobe following the bulge of the cheek and the distance from the outer canthus of the eye to the angle of the mandible. | Day 7 | 
| swelling | measured using a flexible plastic measuring tape as described by Gabka and Matsumura by measuring the distance from the corner of the mouth to the attachment of the earlobe following the bulge of the cheek and the distance from the outer canthus of the eye to the angle of the mandible. | Day 15 | 
| Trismus | Trismus by measuring the distance between the mesial incisal corners of the upper and lower right incisors during maximum mouth opening. | Day 1 | 
| Trismus | Trismus by measuring the distance between the mesial incisal corners of the upper and lower right incisors during maximum mouth opening. | Day 2 | 
| Trismus | Trismus by measuring the distance between the mesial incisal corners of the upper and lower right incisors during maximum mouth opening. | Day 3 | 
| Trismus | Trismus by measuring the distance between the mesial incisal corners of the upper and lower right incisors during maximum mouth opening. | Day 7 | 
| Trismus | Trismus by measuring the distance between the mesial incisal corners of the upper and lower right incisors during maximum mouth opening. | Day 15 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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local antibiotic, comparison, platelets rich fibrin