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. 2024 Dec 8;13(SP1):e3533. doi: 10.31661/gmj.v13iSP1.3533

Table1. Summarizes and Compares the Different Materials Utilized in Mandibular Reconstruction .

Category Type Source Major Benefit Major Limitation
Autografts Patient’s bone (e.g., iliac crest, fibula) High biocompatibility, osteogenic potential, no immune rejection Donor site morbidity, limited availability of graft material
Biological Allografts Donor (cadaveric human bone) Readily available in large quantities, no donor site morbidity Risk of immune rejection, lower osteogenic potential
Xenografts Animal sources (e.g., bovine, porcine) Readily available, can be osteoconductive Risk of immune rejection, potential disease transmission
Cell-Based Therapies Patient-derived osteoblasts, chondrocytes Promotes bone and cartilage regeneration, biologically active High cost, experimental, potential cell survival challenges
Tissue Engineering Stem Cells (MSCs, iPSCs) Mesenchymal stem cells, induced pluripotent stem cells High regenerative potential, promotes bone and tissue growth Risk of tumorigenesis, immune response, experimental, expensive
Biomaterials (Scaffolds) Synthetic or natural biomaterials (e.g., collagen, PLGA) Acts as a scaffold for tissue growth, customizable Lack of mechanical strength may require additional bioactive agents
Metals (Titanium, Stainless Steel) Manufactured (titanium, alloys) High mechanical strength, durability, good biocompatibility Lack of osteoinductive properties, risk of stress shielding
Synthetic Polymers (PMMA, PEEK) Manufactured (synthetic polymers) Lightweight, customizable, good mechanical properties Poor osteoinduction, potential for soft tissue encapsulation
Ceramics (Hydroxyapatite, Bioglass) Synthetic or processed from minerals Excellent biocompatibility, promotes bone integration Brittle, lower mechanical strength, slow bone regeneration
Composites Metal-Ceramic Composites Combination of metals and ceramics Combines strength with osteoconductivity, improved integration Complex manufacturing, the potential for material degradation
Polymer-Ceramic Composites Combination of polymers and ceramics Flexible, customizable, supports bone healing Lower mechanical strength compared to metals, gradual resorption