Which biomaterials may promote periodontal regeneration in intrabony periodontal defects? A systematic review of preclinical studies.

Ivanovic, Aleksandar; Nikou, George; Miron, Richard; Nikolidakis, Dimitris; Sculean, Anton (2014). Which biomaterials may promote periodontal regeneration in intrabony periodontal defects? A systematic review of preclinical studies. Quintessence international, 45(5), pp. 385-395. Quintessenz Verlags-GmbH 10.3290/j.qi.a31538

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OBJECTIVE

To systematically analyze the regenerative effect of the available biomaterials either alone or in various combinations for the treatment of periodontal intrabony defects as evaluated in preclinical histologic studies.

DATA SOURCES

A protocol covered all aspects of the systematic review methodology. A literature search was performed in Medline, including hand searching. Combinations of searching terms and several criteria were applied for study identification, selection, and inclusion. The preliminary outcome variable was periodontal regeneration after reconstructive surgery obtained with the various regenerative materials, as demonstrated through histologic/ histomorphometric analysis. New periodontal ligament, new cementum, and new bone formation as a linear measurement in mm or as a percentage of the instrumented root length were recorded. Data were extracted based on the general characteristics, study characteristics, methodologic characteristics, and conclusions. Study selection was limited to preclinical studies involving histologic analysis, evaluating the use of potential regenerative materials (ie, barrier membranes, grafting materials, or growth factors/proteins) for the treatment of periodontal intrabony defects. Any type of biomaterial alone or in various combinations was considered. All studies reporting histologic outcome measures with a healing period of at least 6 weeks were included. A meta-analysis was not possible due to the heterogeneity of the data.

CONCLUSION

Flap surgery in conjunction with most of the evaluated biomaterials used either alone or in various combinations has been shown to promote periodontal regeneration to a greater extent than control therapy (flap surgery without biomaterials). Among the used biomaterials, autografts revealed the most favorable outcomes, whereas the use of most biologic factors showed inferior results compared to flap surgery.

Item Type:	Journal Article (Review Article)
Division/Institute:	04 Faculty of Medicine > School of Dental Medicine > Department of Periodontology
UniBE Contributor:	Ivanovic, Aleksandar, Miron, Richard John, Sculean, Anton
Subjects:	600 Technology > 610 Medicine & health
ISSN:	0033-6572
Publisher:	Quintessenz Verlags-GmbH
Language:	English
Submitter:	Eveline Carmen Schuler
Date Deposited:	27 Jan 2015 16:59
Last Modified:	02 Mar 2023 23:25
Publisher DOI:	10.3290/j.qi.a31538
PubMed ID:	24634903
Uncontrolled Keywords:	animal studies, histology, intrabony periodontal defects, preclinical studies, systematic review
URI:	https://boris.unibe.ch/id/eprint/61691