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. 2021 May 11;9:661332. doi: 10.3389/fbioe.2021.661332

Table 4.

Clinical studies using amniotic membrane to guide bone regeneration.

References No. = (Patients per group) Indication Treatments Evaluation methodology Results
Kothiwale et al. (2009) No. = 10 Periodontal furcation defect (Grade II) 1) DFDBA + AM
2) Bio-oss®+ AM
Measurement of CAL and PPD
2D Radiography
Significant improvement of parameters from baseline to 9 months in both groups without significant differences between groups.
Kiany and Moloudi (2015) No. = 10 Periodontal pockets 1) Bio-oss®+ AM
2) Bio-oss®+ Collagen membrane (Bio-gide®)
Measurement of CAL, PPD, GR, and probing bone Significant improvement of parameters from baseline to 6 months in both groups. No significant differences between the two groups after 6 months.
Kumar et al. (2015) No. = 27 Periodontal pockets 1) G-graft®
2) G-graft® + AM
Measurement of CAL, PPD, and inflammatory
2D Radiography
AM significantly increased bone fill and CAL after 6 months.
Sali and Pauline George (2016) No. = 10 Periodontal pockets 1) DFDBA
2) DFDBA + AM
Measurement of CAL, PPD, and GR
3D Radiography
Significant improvement of parameters from baseline to 12 months in both groups. No significant differences between the two groups at 12 months.
Pajnigara et al. (2017) No. = 20 Periodontal furcation defect (Grade II) 1) DFDBA
2) DFDBA + AM
Measurement of CAL, PPD, GR, and horizontal probing depth
3D Radiography
AM increased significantly bone fill and CAL at 6 months. AM reduced significantly PPD and GR at 6 months.
Kaur and Bathla (2018) No. = 15 Periodontal furcation defect (Grade II) 1) PRF
2) PRF + AM
Measurement of CAL and PPD
3D Radiography
AM significantly increased bone fill and CAL at 6 months. AM significantly reduced PPD at 6 months.
Akhlaghi et al. (2019) No. = 9 Jaw-bone defect 1) NBBM+ bone autograft + AM
2) NBBM + bone autograft + AM loaded with BFSCs
3D RadiographyHistology The mean increase in bone width was significantly greater in the AM + BFSCs group at 5 months.

AM, amniotic membrane; BFSCs, buccal fat pad-derived stromal cells; CAL, clinical attachment level; DFDBA, demineralized freeze dried bone allograft; GR, gingival recession; NBBM, natural bovine bone mineral; PPD, probing pocket depth; PRF, platelet-rich fibrin.