1. Scientific evidence on the use of recombinant human bone morphogenetic protein-2 (rhBMP-2) in oral and maxillofacial surgery.
- Author
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Gomes-Ferreira PH, Okamoto R, Ferreira S, De Oliveira D, Momesso GA, and Faverani LP
- Subjects
- Clinical Trials as Topic, Evidence-Based Medicine, Humans, Mandible surgery, Maxilla surgery, Osseointegration drug effects, Recombinant Proteins therapeutic use, Bone Morphogenetic Protein 2 therapeutic use, Oral Surgical Procedures methods, Surgery, Oral methods, Transforming Growth Factor beta therapeutic use
- Abstract
Purpose: This study aimed to identify the main indications for the use of recombinant human bone morphogenetic protein-2 (rhBMP-2) for bone repair and maintenance in the maxilla and mandible through a review of clinical trials evaluating the viability of using rhBMP-2 to delay the installation of dental implants, thus allowing satisfactory bone formation and long-term osseointegration., Methods: Literature search of the PubMed/Medline databases was performed using the following MeSH index terms-"bone morphogenetic protein 2" and "dentistry". Only clinical trials necessarily published in English, related to dentistry, and focused on bone reconstruction in critical defects, post-extraction alveoli, increasing the atrophic alveolar ridge, or surgery for maxillary sinus elevation were included, regardless of the age, sex, ethnicity, associated morbidities, or period of publication., Results: Of the 17 studies identified based on the search filters, 2 were excluded. Therefore, 15 studies were finally included in this review., Conclusions: Based on the results of our review, we concluded that the use of rhBMP-2 for the preservation of the alveolar ridge after tooth extraction or for increasing the local defects is safe and viable. The use of rhBMP-2/Bio-Oss® for the elevation of the maxillary sinus membrane is unnecessary; however, it can improve and accelerate the maturation process in cases of guided bone regeneration in peri-implant defects. Compounds comprising rhBMP-2, allogenic bone, and plasma-rich platelet (PRP) can act as autograft substitutes in mandibular critical defects.
- Published
- 2016
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