Autologous and Heterologous Minor and Major Bone Regeneration with Platelet-Derived Growth Factors
Abstract
1. Introduction
2. Materials and Methods
2.1. Processing Searches
2.2. Data Processing
2.3. Quality Assessment
3. Results
3.1. Quality Assessment and Risk of Bias of Included Articles
3.2. Results and Comparative Analysis
3.3. Clinical Significance and Limitations
4. Discussion
4.1. Effectiveness of CGFs
4.2. Bone Quality and Quantity
4.3. Autologous Materials
4.4. Biomolecular Mechanisms
4.5. Clinical Implications
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Abbreviations
CGF | concentrated growth factor |
EGF | epidermal growth factor |
MRONJ | medication-related osteonecrosis of the jaw |
PDGF | platelet-derived growth factor |
VEGF | vascular endothelial growth factor |
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Authors | Type of the Study | Aim of the Study | Materials and Methods | Results |
---|---|---|---|---|
Huang et al. (2018) [37] | Split-mouth randomized double-blind clinical trial | To evaluate the effectiveness of CGF in reducing postoperative complications after impacted third molar extraction. | A total of 25 patients with bilaterally impacted third molars. CGF was applied on one side, while the other side served as a control. Pain, swelling, and bone healing were assessed using CBCT. | Significant reduction in pain on the 3rd and 7th postoperative days in CGF sites compared to controls. No significant differences in swelling or bone healing between groups. |
Yüce et al. (2021) [52] | Randomized Controlled Trial | To evaluate the effectiveness of concentrated growth factor (CGF) in the healing process of osteoporotic patients with MRONJ | A total of 28 elderly women with osteoporosis and MRONJ, divided into two groups: one treated with CGF and primary closure, the other with primary closure only. Postoperative analysis conducted over 6 months. | Complete healing in 19 out of 28 patients. The CGF group showed less bone exposure and infections, but results were not statistically significant. |
Isler et al. (2018) [53] | A 12-month randomized clinical trial | To evaluate the clinical and radiographic outcomes of regenerative surgical treatment for peri-implantitis using CGF or collagen membranes. | A total of 52 patients with peri-implantitis were treated using bone substitutes combined with either collagen membranes or concentrated growth factors. Clinical and radiographic evaluations were conducted at baseline, 6, and 12 months. | Both treatment methods led to significant improvements in clinical and radiographic outcomes. At 12 months, collagen membranes showed better results in probing depth and clinical attachment level. |
Minetti et al. (2023) [21] | Case Series Study | To assess the effectiveness of socket preservation using autologous tooth grafts. | A total of 20 socket preservation procedures with 18-month follow-up. Histological evaluation during implant placement. | Significant bone regeneration with uniform structure and no inflammation. Histomorphometric analysis shows promising results; further research needed for long-term outcomes. |
Minetti et al. (2023) [54] | Pilot Study | To analyze mixed graft materials (50% dentin + 50% xenograft) for socket preservation. | Seven socket preservation surgeries with histological analysis at 4 and 8 months. | New bone formation at 29.03% (4 months) and 34.11% (8 months). Different absorption rates: dentin 71–90%; xenograft 6–26%. Dentin resorption increases new bone formation. |
Minetti et al. (2023) [17] | Observational Study | To evaluate the granule size of bone graft materials from Tooth Transformer® for osteogenesis. | Laser analysis of granules produced by Tooth Transformer® device. | A total of 85% of granules were 100–1000 μm, aligning with literature recommendations for osteogenesis and bone regeneration. |
Ma et al. (2023) [55] | Randomized Controlled Trial | To evaluate the impact of CGF on alveolar ridge preservation post-extraction. | A total of 50 patients randomized to CGF or control groups; healing scores, CBCT, and computerized microtomography analyses were performed. | CGF improves healing scores, reduces vertical and horizontal bone resorption, and enhances new bone formation compared to controls. |
Xie et al. (2023) [12] | Randomized Controlled Trial | To evaluate sticky bone combined with CGF for anterior alveolar ridge augmentation. | A total of 28 patients randomized to sticky bone with CGF or saline-mixed bone powders; CBCT analysis and VAS scores. | Sticky bone with CGF improves bone augmentation (72% vs. 57% volume conversion) and reduces pain (lower VAS scores). |
Elayah et al. (2023) [8] | Randomized Controlled Trial | To assess the efficacy of CGF in ridge preservation following lower third molar extraction. | A total of 60 sites in 30 patients compared CGF-treated sockets to controls; CBCT and histological analysis. | CGF-treated sockets show greater bone height, width, and density. Improved periodontal pocket reduction and bone preservation. |
Huang et al. (2024) [27] | Randomized, Double-Blind, Split-Mouth Trial | To evaluate the effect of concentrated growth factor (CGF) in reducing postoperative complications after mandibular third molar extractions. | A total of 25 patients with bilaterally impacted third molars (50 extraction sites) were included. Each patient acted as their own control. CGF was placed in one extraction socket, while the other was sutured without CGF. Pain, swelling, and bone healing were assessed postoperatively. | Significant pain reduction was observed on the 3rd and 7th postoperative days in the CGF group. No significant differences were found in facial swelling or bone healing between the CGF and control groups. No adverse effects were reported. |
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Dipalma, G.; Inchingolo, A.M.; Colonna, V.; Marotti, P.; Carone, C.; Ferrante, L.; Inchingolo, F.; Palermo, A.; Inchingolo, A.D. Autologous and Heterologous Minor and Major Bone Regeneration with Platelet-Derived Growth Factors. J. Funct. Biomater. 2025, 16, 16. https://doi.org/10.3390/jfb16010016
Dipalma G, Inchingolo AM, Colonna V, Marotti P, Carone C, Ferrante L, Inchingolo F, Palermo A, Inchingolo AD. Autologous and Heterologous Minor and Major Bone Regeneration with Platelet-Derived Growth Factors. Journal of Functional Biomaterials. 2025; 16(1):16. https://doi.org/10.3390/jfb16010016
Chicago/Turabian StyleDipalma, Gianna, Angelo Michele Inchingolo, Valeria Colonna, Pierluigi Marotti, Claudio Carone, Laura Ferrante, Francesco Inchingolo, Andrea Palermo, and Alessio Danilo Inchingolo. 2025. "Autologous and Heterologous Minor and Major Bone Regeneration with Platelet-Derived Growth Factors" Journal of Functional Biomaterials 16, no. 1: 16. https://doi.org/10.3390/jfb16010016
APA StyleDipalma, G., Inchingolo, A. M., Colonna, V., Marotti, P., Carone, C., Ferrante, L., Inchingolo, F., Palermo, A., & Inchingolo, A. D. (2025). Autologous and Heterologous Minor and Major Bone Regeneration with Platelet-Derived Growth Factors. Journal of Functional Biomaterials, 16(1), 16. https://doi.org/10.3390/jfb16010016