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

Agarwal 2016.

Methods Trial design: randomised, split‐mouth trial
Location: Institute of Dental Sciences, Bareilly, India
Number of centres: 1
Recruitment period: not specified
Source of funding: nil
Ethical approval: Ethics Committee of MJP Rohilkhand University, Bareilly, India
Number of surgeons: not reported
Participants Inclusion criteria: adult patients in good general health and diagnosed with chronic advanced periodontitis, presence of 3 deep intrabony defects (3‐walled) with a PD > 5 mm located in the interproximal area in maxillary or mandibular posterior teeth in 3 different quadrants. Radiographic evidence of the defects should exist
 Exclusion criteria: smoking, antibiotic, or anti‐inflammatory treatment or the known use of any medication with the potential to affect periodontal tissues within the preceding 6 months, and pregnancy
 Age at baseline: not reported
 Gender: F 3/M 7
 Smokers: excluded
 Teeth treated: not specified
 Number randomised (participants/teeth): 10/30
 Number evaluated (participants/teeth): 8/28
Interventions Comparison: the control group (C) consisted of sites treated with OFD alone. Whereas, test group A consisted of sites treated with PRP alone and test group B received PRP in combination with DFDBA
Test group: OFD + PRP and PRP + DFDBA
Control group: OFD
Surgical technique: OFD
Follow‐up duration: 12 months
Outcomes Clinical: PI, GI, PD, and CAL
Radiographic: defect depth reduction and defect resolution. Defect fill was assessed by measuring distance between CEJ and base of the defect. The distance between alveolar crest and base of the defect depicted defect resolution. Change in alveolar crest level was also seen as a measurement of distance between CEJ and alveolar crest
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "The defects were assigned randomly to 3 groups"
Comment: insufficient information to determine method of random sequence generation
Allocation concealment (selection bias) Unclear risk Quote: "The defects were assigned randomly to 3 groups"
Comment: insufficient information to determine method of 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 Unclear risk No information was provided
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Only 2 patients (2 defects) did not return for follow‐up examination
Selective reporting (reporting bias) Low risk Data for outcomes of this review were reported appropriately