Evidence map›Paper›PMID 39402910›Full record

Trial reportJournal of clinical periodontology2025

Non-Surgical Treatment of Moderate Periodontal Intrabony Defects With Adjunctive Cross-Linked Hyaluronic Acid: A Single-Blinded Randomized Controlled Clinical Trial.

Vincenzo Iorio-Siciliano, Andrea Blasi, Leopoldo Mauriello, Giovanni E Salvi, Luca Ramaglia, Anton Sculean

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical periodontology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05188898 nacompletednot on this map

Treatment of Intraosseous Periodontal Pockets by Non-surgical Therapy With Micro-instruments and Application of Hyaluronic Acid. A Randomized-controlled Clinical Trial

TypeinterventionalSponsorFederico II UniversityRan2022 to 2023Enrolled22ConditionsPeriodontal Bone Loss, Periodontal PocketArmsMINSD and Hyaluronic acid, MINSD
NCT07722390 narecruitingnot on this map

The Effect of Adjunctive I-PRF on the Outcomes of Minimally-invasive Non-surgical Therapy of Periodontal Intrabony Defects.A Randomized Clinical Trial

TypeinterventionalSponsorCairo UniversityRan2025 to 2028Enrolled48ConditionsIntrabony Periodontal DefectsArmsInjectable PRF, MINST
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  20. Recent Use of Hyaluronic Acid in Dental Medicine.Materials (Basel, Switzerland) · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Vincenzo Iorio-SicilianoDepartment of Periodontology, School of Dental Medicine, University of Naples Federico II, Naples, Italy.ORCID 0000-0002-1968-0021
Andrea BlasiDepartment of Periodontology, School of Dental Medicine, University of Naples Federico II, Naples, Italy.ORCID 0000-0003-4791-8794
Leopoldo MaurielloDepartment of Periodontology, School of Dental Medicine, University of Naples Federico II, Naples, Italy.ORCID 0009-0000-0423-3360
Giovanni E SalviDepartment of Periodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.ORCID 0000-0001-5523-3192
Luca RamagliaDepartment of Periodontology, School of Dental Medicine, University of Naples Federico II, Naples, Italy.ORCID 0000-0003-1121-121X
Anton SculeanDepartment of Periodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.ORCID 0000-0003-2836-5477

Funding

University of Naples Federico II
6 · The paper itself

Abstract

aimTo evaluate the clinical outcomes of moderate intrabony defects treated with minimally invasive non-surgical technique (MINST) with or without adjunctive delivery of cross-linked hyaluronic acid (xHyA) gel. MATERIALS AND

methodsForty-two patients with 42 interdental intrabony defects were randomly assigned to test (MINST + xHyA) or control procedures (MINST alone). Probing depth (PD), clinical attachment level (CAL), gingival recession (GR) and bleeding on probing (BOP) at the treated sites were assessed at baseline and at 3 and 6 months. Full-mouth plaque score (FMPS) and full-mouth bleeding score (FMBS) were recorded at baseline and after 6 months. Radiographic evaluation was performed at baseline and after 6 months, assessing the defect fill (DF) and radiographic defect angle (RDA). The primary outcome variable was PD change.

resultsThirty-eight patients completed the trial without any adverse events. At 6 months, a statistically significant improvement (p < 0.05) was measured in all clinical parameters except GR (p > 0.05). However, no statistically significant differences were found between the experimental and control procedures (p > 0.05). Statistically significant differences between the test and control sites were observed at 3 months for PD and CAL changes (p < 0.05). The DF change was statistically significant when comparing experimental and control procedures at 6 months (p < 0.05). Both procedures failed to show statistically significant differences in terms of RDA changes at 6 months (p > 0.05).

conclusionWithin their limitations, the present results indicate that (a) treatment of intrabony defects with MINST, with or without application of xHyA gel, resulted in statistically significant improvements in the investigated clinical parameters at 3 and 6 months after therapy, and (b) although the adjunctive use of xHyA gel to MINST improved the clinical outcomes compared with MINST alone up to 3 months, statistically significant differences were not observed at 6 months. The study protocol was registered in ClinicalTrial.gov (NCT05188898).

Indexed as

Alveolar Bone LossHyaluronic AcidAdultDental Plaque IndexFemaleFollow-Up StudiesGelsGingival HemorrhageGingival RecessionHumansMaleMiddle AgedPeriodontal Attachment LossPeriodontal IndexPeriodontal PocketSingle-Blind MethodGelsHyaluronic Acidhyaluronic acidintrabony defectsminimally invasiveperiodontitissubgingival instrumentation

Identifiers

PMID39402910
PMCPMC11743238

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.