Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT07339605

Flapless Periodontal Regeneration Using Hyaluronic Acid Versus Enamel Matrix Derivative

Led by University of Valencia · Updated on 2026-01-14

60

Participants Needed

1

Research Sites

139 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The goal of this clinical trial is to radiographically assess the effectiveness of minimally invasive non-surgical technique (MINST) combined with local administration of sodium hypochlorite gel (Perisolv®) and 1.6% cross-linked hyaluronic acid (HA, Hyadent BG®) compared to a neutral formulation of EDTA (Prefgel®) and enamel matrix derivative (EMD, Emdogain® FL) in periodontal regeneration. The main questions it aims to answer are: * ¿Does the combination of MINST with the local administration of sodium hypochlorite gel and 1.6% cross-linked hyaluronic acid show a potential for periodontal regeneration similar to evaluating clinical and radiographic variables compared to a neutral formulation of EDTA and enamel matrix derivative? * ¿What is the patient perception and satisfaction with the received treatment? Researchers will compare A (MINST with Perisolv® + Hyadent BG®), B (MINST with PrefGel® + Emdogain® FL) and C(MINST without any bioactive product). The sample will be distributed according to the following treatments: * Experimental group: Scaling and root planing (SRP), MINST with Perisolv® + Hyadent BG®. * Active comparator group: SRP, MINST with PrefGel® + Emdogain® FL. * Control group: SRP, MINST without any bioactive product. Patients will be screened by a first visit in which they will be assigned their periodontal status. If they meet the eligibility criteria, they will be treated according to the EFP clinical guideline for periodontitis treatment: step I and step II.If the periodontal defect persists at the 12-week re-evaluation, patients will be randomised to treatment A, B or C. After the intervention, all participants will be checked weekly for the first 6 weeks to remove accumulated plaque, and every 3 months for 1 year. Periodontal parameters will be re-evaluated 6 and 12 months after periodontal regenerative intervention.

CONDITIONS

Official Title

Flapless Periodontal Regeneration Using Hyaluronic Acid Versus Enamel Matrix Derivative

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Periodontitis stage III or IV, grade A or B with attachment loss 5mm and radiographic bone loss to middle third or beyond
  • Tooth loss of 4 or more due to periodontitis
  • Probing depth of 6mm or more
  • Adults 18 years or older with balanced numbers per sex
  • Plaque index less than 1 after initial periodontal therapy and hygiene instructions
  • Bleeding on probing 10% or less
  • Patients showing optimal compliance during etiological therapy
  • At least a 2-3 wall interproximal bone defect with moderate or deep intrabony defect of 3mm or more
  • Probing depth of 6mm or more on specific teeth after non-surgical periodontal treatment
  • Vital teeth or teeth with well-performed root canal treatment
  • No caries, prosthetic restoration, or periapical infection in the tooth to be treated
  • No systemic pathology
  • Negative history of pregnancy
  • Signed informed consent
  • Willingness and ability to attend all necessary study visits for treatment and evaluations
Not Eligible

You will not qualify if you...

  • Pregnant, breastfeeding, or planning pregnancy within 6 months
  • Smoking 10 or more cigarettes per day
  • Daily alcohol intake exceeding 4 units
  • Chronic illness or reduced mental capacity affecting study compliance
  • Medications or conditions altering healing or causing oral manifestations affecting safety or efficacy assessment
  • Systemic diseases like diabetes mellitus or rheumatoid disease that may influence treatment
  • Allergies to study drug compounds
  • Antibiotic use within 3 months before study or need for antibiotics during treatment
  • Periodontal treatment within 6 months before study enrollment

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 1 location

1

Clínica Odontológica de la Universidad de Valencia

Valencia, Valencia, Spain, 46010

Actively Recruiting

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Research Team

F

Ferran Sánchez Benito

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

TRIPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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Flapless Periodontal Regeneration Using Hyaluronic Acid Versus Enamel Matrix Derivative | DecenTrialz