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Can a Blood-Clotting gel stop bleeding after tooth extraction for people on blood thinners?
NCT ID NCT07830875
First seen Sep 21, 2026 · Last updated Sep 21, 2026
Summary
Researchers test whether a local application of tranexamic acid-modified leukocyte- and platelet-rich fibrin (L-PRF) controls bleeding and improves healing after tooth extraction in people taking direct oral anticoagulants. Each participant has two teeth removed, with one socket receiving the modified L-PRF and the other a standard absorbable gelatin sponge. The study measures bleeding 30 minutes after extraction, pain at 24, 48, and 72 hours, and wound healing at 7, 14, and 21 days.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- tranexamic acid-modified leukocyte- and platelet-rich fibrin (L-PRF)
- What this could lead to
- If it works, this could offer a simple, local way to control bleeding and support healing after tooth extraction for people who take blood thinners, without stopping their medication.
- What could go wrong
- This is a small, single-center study of 21 people, so the results may not apply broadly. The treatment could fail to outperform the standard gelatin sponge, and local reactions or delayed healing remain possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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21 people
The number who actually took part.
- Started
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Aug 2025
- Finished
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Jan 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥18 years * Receiving treatment with one of the specified direct oral anticoagulants (DOACs) for at least 2 months * No known hypersensitivity to the study materials * No diagnosis of malignant or premalignant lesions * Indication for extraction of at least two non-adjacent teeth Exclusion Criteria: * Refusal to participate or inability/unwillingness to provide written informed consent * History of hypersensitivity or allergy to local anesthetics * Immunosuppression * Acute infection in any tooth planned for extraction * Treatment with antiresorptive medications * Essential or congenital coagulation disorders * Severe cirrhosis * Chronic kidney disease * Uncompensated diabetes mellitus * Uncontrolled hypertension * Pregnancy or breastfeeding
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Genom att skicka in godkänner du våra Användarvillkor
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Sivas Cumhuriyet University Faculty of Dentistry
Sivas, Sivas, 58000, Turkey (Türkiye)