Bone Substitutes Graft for Regeneration of the Anterior Maxillary Alveolar Process: A Systematic Review

Author:

Assem Naida Zanini1,Pazmiño Victor Fabrizio Cabrera2,Rodas Miguel Augusto Riquelme3,Caliente Eliana Aparecida4,da Silva Dalben Gisele5,Soares Simone6,Santiago Joel Ferreira36,de Almeida Ana Lúcia Pompéia Fraga6

Affiliation:

1. 1 Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil.

2. 2 Carrera de Odontologia, Universidad Catõlica de Santiago de Guayaquil, Guayaquil, Guayas, Ecuador.

3. 3 Centro Universitãrio Sagrado Coração (Unisagrado), Bauru, Sao Paulo, Brazil.

4. 4 Department of Dentistry, Barretos Cancer Hospital, Barretos, São Paulo, Brazil.

5. 5 Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, São Paulo, Brazil.

6. 6 Department of Prosthodontics and Periodontics, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil.

Abstract

The objective of this systematic review was to identify the available scientific evidence on bone substitutes (BSs) compared with autogenous bone grafts (ABGs) for regeneration of horizontal bone resorption in the anterior maxillary alveolar process, aiming at rehabilitation with endosseous implants. This review was performed according to the PRISMA guidelines (2020) and registered in the database PROSPERO (CRD: 42017070574). The databases searched were PUBMED/MEDLINE, EMBASE, SCOPUS, SCIENCE DIRECT, WEB OF SCIENCE, and CENTRAL COCHRANE, in the English language. The Australian National Health and Medical Research Council (NHMRC) and Cochrane Risk of Bias Tool were used to assess the study's quality and risk of bias. A total of 524 papers were found. After the selection process, 6 studies were selected for review. A total of 182 patients were followed for a period of 6 to 48 months. The mean age of patients was 46.46 years, and 152 implants were installed in the anterior region. Two studies achieved a reduced graft and implant failure rate, whereas the remaining 4 studies had no losses. It may be concluded that the use of ABGs and some BSs is a viable alternative for the rehabilitation with implants in individuals with anterior horizontal bone loss. However, additional randomized controlled trials are warranted due to the limited number of papers.

Publisher

American Academy of Implant Dentistry

Subject

Oral Surgery

Reference60 articles.

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