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. 2018 Nov 26;2018(11):CD011423. doi: 10.1002/14651858.CD011423.pub2

Agarwal 2014.

Methods Trial design: randomised, split‐mouth trial
Location: Aligarh, India
Number of centres: 1: Department of Periodontics, Dental College, Aligarh, India
Recruitment period: not stated
Source of funding: not stated
Ethical approval: yes, ethical committee of Aligarh Muslim University
Number of surgeons: 1
Participants Inclusion criteria: absence of any systemic disease, not taking any medication, no pregnancy or lactation, non‐smokers, no previous treatment for periodontal reasons, no furcation involved, matched pairs of intrabony defects with PD ≥ 6 mm following initial therapy
 Exclusion criteria: failure to satisfy inclusion criteria
 Age at baseline: mean not specified, range 30 to 65 years
 Gender: F 10/M 14
 Smokers: excluded
 Teeth treated: maxillary/mandibular premolars and first/second molars
 Number randomised (participants/teeth): 24/48
 Number evaluated (participants/teeth): 24/48
Interventions Comparison: PRP + DFDBA versus DFDBA + saline solution
Test group: PRP + DFDBA (n = 24 defects)
Control group : DFDBA + saline (n = 24 defects)
Surgical technique: OFD with the adjunct of a graft with DFDBA + PRP in test and saline in control
Follow‐up duration: 12 months
Outcomes Clinical: PD, CAL
Radiographic: CEJ‐AC, AC‐BD, CEJ‐BD, defect width
Notes Sample size calculation not reported
Radiographs were taken with a bite block for ensuring reproducibility
Comparability at baseline: yes, but not specified if it was assessed
Complications reported: yes (no complications)
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "defects were randomly divided into 2 groups by the flip of a coin"
Comment: correct method for random sequence generation
Allocation concealment (selection bias) Unclear risk Quote: "defects were randomly divided into 2 groups by the flip of a coin"
Comment: not sufficient information provided for allocation concealment
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Impossible to blind the clinician given the surgical nature of the treatment
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Quote: "Clinical parameters were recorded preoperatively and at 12 months postoperatively by one trained examiner who was blind to the treatment assignments. Radiographs were assessed on a light box by a single experienced clinician who was blind to the treatment used"
Comment: blinding likely to have been done properly
Incomplete outcome data (attrition bias) 
 All outcomes Low risk All randomised participants were included in the analyses
Selective reporting (reporting bias) Low risk Data for outcomes of this review were reported appropriately