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 and 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:

25 Jan 2017 12:15

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

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