TABLE 7.
Characteristics of the clinical trials utilizing tissue-engineering strategies for alveolar ridge preservation
| Cell-based tissue engineering | ||||||
|---|---|---|---|---|---|---|
|
| ||||||
| Reference | Defect type | Cell type | Origin | Scaffold | Control group | Flap, complete closure |
| Kaigler et al191 | Not reported | Autogenous stem and progenitor cells | Bone marrow from iliac crest | Gelatin sponge (+ collagen membrane) | Gelatin sponge (+ collagen membrane) | Flaps raised, primary closure |
| Signaling molecule-based tissue engineering | ||||||
|---|---|---|---|---|---|---|
|
| ||||||
| Reference | Defect type | Biologic | Scaffold | Membrane | Control group | Flap, complete closure |
| Coomes et al160 | Buccal bone dehiscence ≥50% | Recombinant human bone morphogenetic protein-2 | Collagen sponge | No | Collagen sponge | FlaplFlapless, no primary closure |
| Fiorellini et al173 | Buccal bone dehiscence ≥50% | Recombinant human bone morphogenetic protein-2 | Collagen sponge | No | Group 1: collagen sponge Group 2: spontaneous healing |
Flaps raised, primary closure |
| Geurs et al176 and Ntounis et al217 | Not reported | Recombinant human platelet-derived growth factor-BB | Freeze-dried bone allograft/β-tricalcium phosphate | No | Group 1: collagen plug Group 2: freeze-dried bone allograft/β-tricalcium phosphate + collagen plug Group 3: freeze-dried bone allograft/β-tricalcium phosphate + platelet-rich plasma + collagen plug | FlaplFlapless, no primary closure |
| Huh et al183 | Teeth to be extracted with <50% alveolar vertical bone loss | Recombinant human bone morphogenetic protein-2 | Hydroxyapatite/β-tricalcium phosphate | No | Hydroxyapatite/β-tricalcium phosphate | Not reported, not reported |
| Jo et al188 | Teeth to be extracted with >50% alveolar bone height | Recombinant human bone morphogenetic protein-2 | Collagen sponge | Bioabsorbable collagen membrane | No control group | FlapsFlaps raised, no primary closure |
| Recombinant human bone morphogenetic protein-2 | Hydroxyapatite/β-tricalcium phosphate | Bioabsorbable collagen membrane | No control group | |||
| Kim et al196 | Residual socket with <50% bone loss | Recombinant human bone morphogenetic protein-2 | Demineralized bone matrix gel | Bioabsorbable collagen membrane | Demineralized bone matrix gel | FlapsFlaps raised, no primary closure |
| Lee and Jeong199 | Residual socket with <50% bone loss | Enamel matrix derivative | Demineralized bovine bone matrix | Bioabsorbable collagen membrane | Group 1: demineralized bovine bone matrix + bioabsorbable collagen membrane Group 2: spontaneous healing | FlaplFFlapless, no primary closure |
| Lee et al200 | Buccal bone dehiscence ≥50% | Enamel matrix derivative | Xenogeneic bone mineral containing collagen | Bioabsorbable collagen membrane | Xenogeneic bone mineral containing collagen + bioabsorbable collagen membrane | Flapless, primary closure |
| McAllister et al208 | Not reported | Recombinant human platelet-derived growth factor-BB | Xenogeneic bone mineral containing collagen | No | No control group | Flaps raised, pediculated palatal connective tissue graft used for primary closure |
| Recombinant human platelet-derived growth factor-BB | β-Tricβ-Tricalcium phosphate | No | No control group | |||
| Mercado et al209 | Buccal bone dehiscence ≤1 mm at the time of extraction, no palatal defect | Enamel matrix derivative | Xenogeneic bone mineral containing collagen | No | Xenogeneic bone mineral containing collagen | Flapless, free gingival graft used for primary closure |
| Nevins et al215 | Not reported | Recombinant human platelet-derived growth factor-BB | Xenogeneic bone mineral containing collagen | No | Xenogeneic bone mineral containing collagen | Flaps Flaps raised, primary closure |
| Enamel matrix derivative | Xenogeneic bone mineral containing collagen | No | Xenogeneic bone mineral containing collagen | |||
| Enamel matrix derivative | BoneBone ceramic | No | Xenogeneic bone mineral containing collagen | |||
| Shim et al237 | Not reported | Recombinant human bone morphogenetic protein-2 | HydroHydroxyapatite | No | Demineralized bovine bone matrix | FlapsFlaps raised, primary closure |