Autologous Tooth Graft: Innovative Biomaterial for Bone Regeneration. Tooth Transformer® and the Role of Microbiota in Regenerative Dentistry. A Systematic Review

Author:

Inchingolo Angelo Michele1ORCID,Patano Assunta1ORCID,Di Pede Chiara1ORCID,Inchingolo Alessio Danilo1ORCID,Palmieri Giulia1ORCID,de Ruvo Elisabetta1,Campanelli Merigrazia1ORCID,Buongiorno Silvio1,Carpentiere Vincenzo1ORCID,Piras Fabio1ORCID,Settanni Vito1ORCID,Viapiano Fabio1,Hazballa Denisa1ORCID,Rapone Biagio1ORCID,Mancini Antonio1ORCID,Di Venere Daniela1ORCID,Inchingolo Francesco1ORCID,Fatone Maria Celeste2ORCID,Palermo Andrea3ORCID,Minetti Elio4ORCID,Lorusso Felice5ORCID,Scarano Antonio5ORCID,Sauro Salvatore16ORCID,Tartaglia Gianluca Martino78ORCID,Bordea Ioana Roxana9ORCID,Dipalma Gianna1ORCID,Malcangi Giuseppina1ORCID

Affiliation:

1. Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy

2. PTA Trani-ASL BT, Viale Padre Pio, 76125 Trani, Italy

3. College of Medicine and Dentistry Birmingham, University of Birmingham, Birmingham B4 6BN, UK

4. Department of Biomedical, Surgical, and Dental Science, Università Degli Studi di Milano, 20122 Milan, Italy

5. Department of Innovative Technologies in Medicine and Dentistry, University of Chieti-Pescara, 66100 Chieti, Italy

6. Dental Biomaterials and Minimally Invasive Dentistry, Department of Dentistry, Cardenal Herrera-CEU University, CEU Universities, C/Santiago Ramón y Cajal, s/n., Alfara del Patriarca, 46115 Valencia, Spain

7. Department of Biomedical, Surgical and Dental Sciences, School of Dentistry, University of Milan, 20100 Milan, Italy

8. UOC Maxillo-Facial Surgery and Dentistry Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, 20122 Milan, Italy

9. Department of Oral Rehabilitation, Faculty of Dentistry, Iuliu Hațieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania

Abstract

Different biomaterials, from synthetic products to autologous or heterologous grafts, have been suggested for the preservation and regeneration of bone. The aim of this study is to evaluate the effectiveness of autologous tooth as a grafting material and examine the properties of this material and its interactions with bone metabolism. PubMed, Scopus, Cochrane Library, and Web of Science were searched to find articles addressing our topic published from 1 January 2012 up to 22 November 2022, and a total of 1516 studies were identified. Eighteen papers in all were considered in this review for qualitative analysis. Demineralized dentin can be used as a graft material, since it shows high cell compatibility and promotes rapid bone regeneration by striking an ideal balance between bone resorption and production; it also has several benefits, such as quick recovery times, high-quality newly formed bone, low costs, no risk of disease transmission, the ability to be performed as an outpatient procedure, and no donor-related postoperative complications. Demineralization is a crucial step in the tooth treatment process, which includes cleaning, grinding, and demineralization. Since the presence of hydroxyapatite crystals prevents the release of growth factors, demineralization is essential for effective regenerative surgery. Even though the relationship between the bone system and dysbiosis has not yet been fully explored, this study highlights an association between bone and gut microbes. The creation of additional scientific studies to build upon and enhance the findings of this study should be a future objective of scientific research.

Publisher

MDPI AG

Subject

Biomedical Engineering,Biomaterials

Reference165 articles.

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5. Minetti, E., Carasco, A., Carasco, M., Giacometti, E., Ho, K.L.H., Palermo, A., Savadori, P., and Taschieri, S. (2020). Il Dente Come Materiale Da Innesto, EDRA. [1st ed.].

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