Autogenous dentin grafts in implant dentistry: A scoping review of clinical applications and processing protocols.

IF 2.2 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Y-F Braga, E-F Maferano, T-S Lopes, M-R Neto, L-E Macas, F-W Costa
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引用次数: 0

Abstract

Background: This scoping review aimed to systematically map and synthesize the current evidence regarding the use of autogenous dentin grafts (ADG) in bone augmentation procedures.

Material and methods: The review was conducted following the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines. A comprehensive search was performed in MEDLINE (PubMed), EMBASE, CINAHL, Cochrane Library, Livivo, LILACS, Web of Science, Scopus, and ProQuest Dissertations & Theses Global Google Scholar (gray literature) using the descriptors "Bone Regeneration," "Dentin," and "Dental Implants" combined with the Boolean operator and 7,690 studies identified through Google Scholar.

Results: The initial search, conducted on December 23, 2024, retrieved 2,391 records, of which 16 met the eligibility criteria and were included in the final review. The findings indicate that autogenous dentin demonstrates efficacy in bone regeneration and alveolar ridge preservation, frequently exceeding the performance of allografts and xenografts. ADG was associated with increased bone density, enhanced implant stability, and improved soft tissue outcomes, particularly when combined with growth factors. Moreover, it was found to be a cost-effective alternative, producing outcomes comparable to other biomaterials regarding new bone formation and bone quality. Its osteoinductive properties further support long-term bone regeneration.

Conclusions: Nonetheless, a lack of standardization in dentin processing protocols was noted across studies. ADG represents an effective and accessible option for implant-supported rehabilitation, and future research should focus on standardizing its clinical application.

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种植牙科中的自体牙本质移植物:临床应用和处理方案的范围综述。
背景:本综述旨在系统地绘制和综合目前关于自体牙本质移植物(ADG)在骨增强手术中的应用的证据。材料和方法:本综述遵循PRISMA-ScR(系统评价和meta分析扩展范围评价的首选报告项目)指南进行。在MEDLINE (PubMed)、EMBASE、CINAHL、Cochrane Library、Livivo、LILACS、Web of Science、Scopus和谷歌Scholar(灰色文献)中使用描述符“Bone Regeneration”、“Dentin”和“Dental implant”结合布尔运算符and进行全面检索。结果:初步检索于2024年12月23日进行,检索到2391条记录,其中16条符合资格标准,纳入最终评审。研究结果表明,自体牙本质在骨再生和牙槽嵴保存方面的效果优于同种异体和异种牙本质。ADG与增加骨密度、增强种植体稳定性和改善软组织预后相关,特别是与生长因子联合使用时。此外,它被发现是一种具有成本效益的替代方案,在新骨形成和骨质量方面产生与其他生物材料相当的结果。其骨诱导特性进一步支持长期骨再生。结论:尽管如此,在所有研究中都注意到牙本质处理方案缺乏标准化。ADG是种植体支持康复的一种有效且可及的选择,未来的研究应侧重于规范其临床应用。
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来源期刊
Medicina Oral Patologia Oral Y Cirugia Bucal
Medicina Oral Patologia Oral Y Cirugia Bucal DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
4.60
自引率
0.00%
发文量
52
审稿时长
3-8 weeks
期刊介绍: 1. Oral Medicine and Pathology: Clinicopathological as well as medical or surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, as well as orofacial neurological disorders, and systemic conditions with an impact on the oral cavity. 2. Oral Surgery: Surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, teeth, implants, oral surgical procedures. Surgical management of diseases affecting head and neck areas. 3. Medically compromised patients in Dentistry: Articles discussing medical problems in Odontology will also be included, with a special focus on the clinico-odontological management of medically compromised patients, and considerations regarding high-risk or disabled patients. 4. Implantology 5. Periodontology
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