Evaluation of the Effectiveness of Chitosan-Modified Bone Regeneration Materials: A Systematic Review

<b>Background/Objectives</b>: Today, regenerative therapy is routinely utilized in both medical and dental practices. Its outstanding results are due to the continuous development of technology and the invention of modern, more advanced biomaterials. The overarching idea in current regen...

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Main Authors: Tsvetalina Gerova-Vatsova, Stefan Peev, Ralitsa Yotsova, Varvara-Velika Rogova
Format: Article
Language:English
Published: MDPI AG 2025-05-01
Series:Pharmaceutics
Subjects:
Online Access:https://www.mdpi.com/1999-4923/17/5/665
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author Tsvetalina Gerova-Vatsova
Stefan Peev
Ralitsa Yotsova
Varvara-Velika Rogova
author_facet Tsvetalina Gerova-Vatsova
Stefan Peev
Ralitsa Yotsova
Varvara-Velika Rogova
author_sort Tsvetalina Gerova-Vatsova
collection DOAJ
description <b>Background/Objectives</b>: Today, regenerative therapy is routinely utilized in both medical and dental practices. Its outstanding results are due to the continuous development of technology and the invention of modern, more advanced biomaterials. The overarching idea in current regenerative therapy has shifted in the direction of the materials applied being osseointegrative, bioactive, responsive to stimuli from the body and actively promoting the overall regeneration of natural bone tissue. The aim is to determine whether chitosan is a material capable of improving the biological properties of different types of bone regeneration materials and, if so, which biological properties are affected. <b>Methods</b>: After going through the eligibility criteria, twenty articles, with a total of seventeen in vitro studies and six in vivo studies (some articles consisting of both), were included in this study. <b>Results</b>: The results presented colorimetric assays as the most commonly used methods investigating biological properties in in vitro studies, while in in vivo studies, researchers mainly rely on radiological and histological evaluation. After analyzing the data in this systematic review, it is clear that in vitro studies found a clear advantage of the results of chitosan-modified bone grafts in terms of bioactivity, osteogenic potential, biomineralization potential, biodegradability and antibacterial activity. In in vivo studies, chitosan-modified bone grafts stood out with better results in biocompatibility, osteogenic ability and biodegradability. <b>Conclusions</b>: In conclusion, it can be noted that chitosan-modified bone grafts have proven efficacy and the influence of chitosan is evidently favorable in terms of biological properties.
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spelling doaj-art-ac70ec369e544e678e028d769df658bc2025-08-20T01:56:44ZengMDPI AGPharmaceutics1999-49232025-05-0117566510.3390/pharmaceutics17050665Evaluation of the Effectiveness of Chitosan-Modified Bone Regeneration Materials: A Systematic ReviewTsvetalina Gerova-Vatsova0Stefan Peev1Ralitsa Yotsova2Varvara-Velika Rogova3Department of Periodontology and Dental Implantology, Faculty of Dental Medicine, Medical University of Varna, 9002 Varna, BulgariaDepartment of Periodontology and Dental Implantology, Faculty of Dental Medicine, Medical University of Varna, 9002 Varna, BulgariaDepartment of Oral Surgery, Faculty of Dental Medicine, Medical University of Varna, 9002 Varna, BulgariaDepartment of Oral Surgery, Faculty of Dental Medicine, Medical University of Varna, 9002 Varna, Bulgaria<b>Background/Objectives</b>: Today, regenerative therapy is routinely utilized in both medical and dental practices. Its outstanding results are due to the continuous development of technology and the invention of modern, more advanced biomaterials. The overarching idea in current regenerative therapy has shifted in the direction of the materials applied being osseointegrative, bioactive, responsive to stimuli from the body and actively promoting the overall regeneration of natural bone tissue. The aim is to determine whether chitosan is a material capable of improving the biological properties of different types of bone regeneration materials and, if so, which biological properties are affected. <b>Methods</b>: After going through the eligibility criteria, twenty articles, with a total of seventeen in vitro studies and six in vivo studies (some articles consisting of both), were included in this study. <b>Results</b>: The results presented colorimetric assays as the most commonly used methods investigating biological properties in in vitro studies, while in in vivo studies, researchers mainly rely on radiological and histological evaluation. After analyzing the data in this systematic review, it is clear that in vitro studies found a clear advantage of the results of chitosan-modified bone grafts in terms of bioactivity, osteogenic potential, biomineralization potential, biodegradability and antibacterial activity. In in vivo studies, chitosan-modified bone grafts stood out with better results in biocompatibility, osteogenic ability and biodegradability. <b>Conclusions</b>: In conclusion, it can be noted that chitosan-modified bone grafts have proven efficacy and the influence of chitosan is evidently favorable in terms of biological properties.https://www.mdpi.com/1999-4923/17/5/665chitosanbone graftbone substitutebone regenerationbiological properties
spellingShingle Tsvetalina Gerova-Vatsova
Stefan Peev
Ralitsa Yotsova
Varvara-Velika Rogova
Evaluation of the Effectiveness of Chitosan-Modified Bone Regeneration Materials: A Systematic Review
Pharmaceutics
chitosan
bone graft
bone substitute
bone regeneration
biological properties
title Evaluation of the Effectiveness of Chitosan-Modified Bone Regeneration Materials: A Systematic Review
title_full Evaluation of the Effectiveness of Chitosan-Modified Bone Regeneration Materials: A Systematic Review
title_fullStr Evaluation of the Effectiveness of Chitosan-Modified Bone Regeneration Materials: A Systematic Review
title_full_unstemmed Evaluation of the Effectiveness of Chitosan-Modified Bone Regeneration Materials: A Systematic Review
title_short Evaluation of the Effectiveness of Chitosan-Modified Bone Regeneration Materials: A Systematic Review
title_sort evaluation of the effectiveness of chitosan modified bone regeneration materials a systematic review
topic chitosan
bone graft
bone substitute
bone regeneration
biological properties
url https://www.mdpi.com/1999-4923/17/5/665
work_keys_str_mv AT tsvetalinagerovavatsova evaluationoftheeffectivenessofchitosanmodifiedboneregenerationmaterialsasystematicreview
AT stefanpeev evaluationoftheeffectivenessofchitosanmodifiedboneregenerationmaterialsasystematicreview
AT ralitsayotsova evaluationoftheeffectivenessofchitosanmodifiedboneregenerationmaterialsasystematicreview
AT varvaravelikarogova evaluationoftheeffectivenessofchitosanmodifiedboneregenerationmaterialsasystematicreview