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

Shukla 2016.

Methods Trial design: randomised, split‐mouth trial
Location: outpatient service on a teaching dental institute in North India (no further details given)
Number of centres: 1
Recruitment period: not specified
Source of funding: not stated
Ethical approval: Institutional Ethical Committee and Review Board of the Government Dental College and Research Institute, India
Number of surgeons: 1
Participants Inclusion criteria: presence of intrabony defects > 3 mm deep (distance between alveolar crest and base of the defect on intraoral periapical radiograph (IOPA)) and an interproximal PD > 5 mm
 Exclusion criteria: known systemic illness; taking any medications known to affect the outcomes of periodontal therapy; pregnancy/lactation; use of any form of tobacco; allergy to calcium phosphosilicate putty
 Age at baseline: mean = 40 + 10.5 years
 Gender: F 7/M 13
 Smokers: excluded
 Teeth treated: not stated
 Number randomised (participants/teeth): 20/40
 Number evaluated (participants/teeth): 20/40
Interventions Comparison: OFD + calcium phosphosilicate (CPS) + PRF versus OFD + CPS alone
Test group: OFD + CPS + PRF (n = 20)
Control group: OFD + CPS alone (n = 20)
Surgical technique: full thickness mucoperiosteal flap with PRF and CPS in test site and full thickness mucoperiosteal flap with CPS alone in control site
Follow‐up duration: 9 months
Outcomes Clinical: PI, PD, CAL, GI
Radiographic: radiographic bone filling
Other: none
Notes Sample size calculation: yes
Comparability at baseline: yes, assessed
Complications reported: no complications
Dropouts: no dropouts
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "randomization was performed using a computer‐generated randomization list"
Comment: correct method for random sequence generation
Allocation concealment (selection bias) Unclear risk Insufficient information provided on the allocation concealment method
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Impossible to blind the operator due to the surgical nature of the treatment
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Quote: "All the evaluations were performed by an independent trained observer not involved in the study"
Comment: blinding of outcome assessment properly done
Incomplete outcome data (attrition bias) 
 All outcomes Low risk All patients completed the study
Selective reporting (reporting bias) Low risk All results properly reported