Challenges and Innovations in Alveolar Bone Regeneration: A Narrative Review on Materials, Techniques, Clinical Outcomes, and Future Directions

This review explores the recent advancements and ongoing challenges in regenerating alveolar bone, which is essential for dental implants and periodontal health. It examines traditional techniques like guided bone regeneration and bone grafting, alongside newer methods such as stem cell therapy, gen...

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Main Authors: Diana Marian, Giuseppe Toro, Giovanbattista D’Amico, Maria Consiglia Trotta, Michele D’Amico, Alexandru Petre, Ioana Lile, Anca Hermenean, Anca Fratila
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Medicina
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Online Access:https://www.mdpi.com/1648-9144/61/1/20
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author Diana Marian
Giuseppe Toro
Giovanbattista D’Amico
Maria Consiglia Trotta
Michele D’Amico
Alexandru Petre
Ioana Lile
Anca Hermenean
Anca Fratila
author_facet Diana Marian
Giuseppe Toro
Giovanbattista D’Amico
Maria Consiglia Trotta
Michele D’Amico
Alexandru Petre
Ioana Lile
Anca Hermenean
Anca Fratila
author_sort Diana Marian
collection DOAJ
description This review explores the recent advancements and ongoing challenges in regenerating alveolar bone, which is essential for dental implants and periodontal health. It examines traditional techniques like guided bone regeneration and bone grafting, alongside newer methods such as stem cell therapy, gene therapy, and 3D bioprinting. Each approach is considered for its strengths in supporting bone growth and integration, especially in cases where complex bone defects make regeneration difficult. This review also looks at different biomaterials, from bioactive scaffolds to nanomaterials, assessing how well they encourage cell growth and healing. Personalized treatments, like customized 3D-printed scaffolds, show promise in enhancing bone formation and tissue compatibility. Additionally, signaling molecules, like bone morphogenetic proteins, play a crucial role in guiding the process of bone formation and remodeling. Despite these advances, challenges remain—particularly with severe bone loss and with refining biomaterials for more reliable, long-term outcomes. This review proposes combining advanced materials, regenerative technologies, and personalized approaches to achieve more effective and consistent outcomes in oral and maxillofacial surgery.
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spelling doaj-art-0347dc00707149fa9e35edaf1dd2e3622025-01-24T13:40:16ZengMDPI AGMedicina1010-660X1648-91442024-12-016112010.3390/medicina61010020Challenges and Innovations in Alveolar Bone Regeneration: A Narrative Review on Materials, Techniques, Clinical Outcomes, and Future DirectionsDiana Marian0Giuseppe Toro1Giovanbattista D’Amico2Maria Consiglia Trotta3Michele D’Amico4Alexandru Petre5Ioana Lile6Anca Hermenean7Anca Fratila8Department of Dentistry, Faculty of Dentistry, “Vasile Goldiș” Western University of Arad, 94-96 Revolutiei Blvd., 310025 Arad, RomaniaMultidisciplinary Department of Medical, Surgical and Dental Sciences, University of Campania “Luigi Vanvitelli”, 80138 Naples, ItalySchool of Geriatrics, University of Studies of L’Aquila, 67010 L’Aquila, ItalyDepartment of Experimental Medicine, University of Campania “Luigi Vanvitelli”, 80138 Naples, ItalyDepartment of Experimental Medicine, University of Campania “Luigi Vanvitelli”, 80138 Naples, ItalyDepartment of Prosthodontics, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, RomaniaDepartment of Dentistry, Faculty of Dentistry, “Vasile Goldiș” Western University of Arad, 94-96 Revolutiei Blvd., 310025 Arad, Romania“Aurel Ardelean” Institute of Life Sciences, “Vasile Goldiș” Western University of Arad, 310025 Arad, RomaniaDepartment of Dental Medicine and Nursing, Faculty of Medicine, “Lucian Blaga” University of Sibiu, 550169 Sibiu, RomaniaThis review explores the recent advancements and ongoing challenges in regenerating alveolar bone, which is essential for dental implants and periodontal health. It examines traditional techniques like guided bone regeneration and bone grafting, alongside newer methods such as stem cell therapy, gene therapy, and 3D bioprinting. Each approach is considered for its strengths in supporting bone growth and integration, especially in cases where complex bone defects make regeneration difficult. This review also looks at different biomaterials, from bioactive scaffolds to nanomaterials, assessing how well they encourage cell growth and healing. Personalized treatments, like customized 3D-printed scaffolds, show promise in enhancing bone formation and tissue compatibility. Additionally, signaling molecules, like bone morphogenetic proteins, play a crucial role in guiding the process of bone formation and remodeling. Despite these advances, challenges remain—particularly with severe bone loss and with refining biomaterials for more reliable, long-term outcomes. This review proposes combining advanced materials, regenerative technologies, and personalized approaches to achieve more effective and consistent outcomes in oral and maxillofacial surgery.https://www.mdpi.com/1648-9144/61/1/20alveolar bone regenerationbiomaterialsguided bone regeneration
spellingShingle Diana Marian
Giuseppe Toro
Giovanbattista D’Amico
Maria Consiglia Trotta
Michele D’Amico
Alexandru Petre
Ioana Lile
Anca Hermenean
Anca Fratila
Challenges and Innovations in Alveolar Bone Regeneration: A Narrative Review on Materials, Techniques, Clinical Outcomes, and Future Directions
Medicina
alveolar bone regeneration
biomaterials
guided bone regeneration
title Challenges and Innovations in Alveolar Bone Regeneration: A Narrative Review on Materials, Techniques, Clinical Outcomes, and Future Directions
title_full Challenges and Innovations in Alveolar Bone Regeneration: A Narrative Review on Materials, Techniques, Clinical Outcomes, and Future Directions
title_fullStr Challenges and Innovations in Alveolar Bone Regeneration: A Narrative Review on Materials, Techniques, Clinical Outcomes, and Future Directions
title_full_unstemmed Challenges and Innovations in Alveolar Bone Regeneration: A Narrative Review on Materials, Techniques, Clinical Outcomes, and Future Directions
title_short Challenges and Innovations in Alveolar Bone Regeneration: A Narrative Review on Materials, Techniques, Clinical Outcomes, and Future Directions
title_sort challenges and innovations in alveolar bone regeneration a narrative review on materials techniques clinical outcomes and future directions
topic alveolar bone regeneration
biomaterials
guided bone regeneration
url https://www.mdpi.com/1648-9144/61/1/20
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