E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
If the addition of L-PRF reduces postoperative pain and inflammation, as well as complications, after extraction of lower third molars |
Si la adición de L-PRF disminuye el dolor postoperatorio y la inflamación, así como las complicaciones, tras la extracción de terceros molares inferiores |
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E.1.1.1 | Medical condition in easily understood language |
If a blood derivative helps to have less pain, inflammation and complications after removing a lower wisdom tooth |
Si un derivado de la sangre ayuda a tener menos dolor, inflamación y complicaciones después de sacar una muela de juicio inferior |
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E.1.1.2 | Therapeutic area | Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Dentistry [E06] |
MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To evaluate the efficacy of L-PRF placement in post-extraction alveoli when reducing postoperative pain after extraction of lower third molars against natural healing using a visual analogue scale (VAS). |
Evaluar la eficacia de la colocación de L-PRF en alvéolos postextracción a la hora de disminuir el dolor postoperatorio tras la extracción de terceros molares inferiores frente a la cicatrización natural mediante una escala analógica visual (EVA). |
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E.2.2 | Secondary objectives of the trial |
Evaluate the level of inflammation using the Pasqualini index, the level of healing using the Landry index, the possible complications (osteitis, trismus, ...) and the number of analgesics needed. |
Evaluar el nivel de inflamación mediante el índice de Pasqualini, el nivel de cicatrización mediante el índice de Landry, las posibles complicaciones (osteítis, trismus,…) y número de analgésicos necesarios. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Patients> 18 years. Presence of oral health (periodontally healthy or with treated periodontitis), with a BoP <20% and a PI <20%. Systemically healthy, without any disease that may contraindicate minor oral surgery, that does not take any medication that may influence coagulation and / or that takes any NSAID or paracetamol daily. Non-smokers or smokers of <10 cigarettes/day. No pregnancy or lactation. The tooth to be extracted will be included or semi-included and will have fully formed roots. Absence of infectious and cystic pathology in the molar to be extracted. |
Pacientes >18 años. Presencia de salud oral (periodontalmente sanos o con periodontitis tratada), con un BoP <20% y un PI <20%. Sistémicamente sanos, sin ninguna enfermedad que pueda contraindicar una cirugía oral menor, que no tome ningún medicamento que pueda influir en la coagulación y/o que tome diariamente algún AINE o paracetamol. No fumadores o fumadores de <10 cigarrillos/día. No embarazo ni lactancia. El diente a extraer será incluido o semiincluido y tendrá las raíces totalmente formadas. Ausencia de patología infecciosa y quística en el molar a extraer. |
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E.4 | Principal exclusion criteria |
Patients who due to systemic conditions are not possible to draw blood. Penicillin allergy. Allergy to ibuprofen and / or paracetamol. Diseases that limit the use of ibuprofen and / or paracetamol. |
Pacientes que por condiciones sistémicos no sea posible la extracción de sangre. Alergia a la penicilina. Alergia al ibuprofeno y/o paracetamol. Enfermedades que limiten el uso de ibuprofeno y/o paracetamol. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Intensity of postoperative pain measured by an Analog Visual Scale |
Intensidad del dolor postoperatorio medido mediante una Escala Visual Analógica |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
At 1, 2, 3, 4, 5, 6 and 7 day |
A los 1, 2, 3, 4, 5, 6 y 7 días |
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E.5.2 | Secondary end point(s) |
Inflammation level according to Pasqualini's Visual scale. Level of healing according to the Landry index. Postoperative complications: trismus and / or osteitis. Number of analgesic pills needed. |
Nivel de inflamación según la escala Visual de Pasqualini. Nivel de cicatrización según el índice de Landry. Complicaciones postoperatorias: trismus y/o osteítis. Número de pastillas analgésicas necesarias. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | No |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | Yes |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | Yes |
E.8.2.3.1 | Comparator description |
Cicatrización natural |
Natural healing |
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E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |