Outcomes of regenerative treatment with rhPDGF‐BB and rhFGF‐2 for periodontal intra‐bony defects: a systematic review and meta‐analysis

作者: Vahid Khoshkam , Hsun-Liang Chan , Guo-Hao Lin , James Mailoa , William V. Giannobile

DOI: 10.1111/JCPE.12354

关键词:

摘要: BACKGROUND The aim was to evaluate the effects of recombinant human platelet-derived growth factor-BB (rhPDGF-BB) and fibroblast factor-2 (rhFGF-2) on treating periodontal intra-bony defects, compared control (carrier alone). METHODS Electronic hand searches were performed identify eligible studies. weighed mean differences linear defect fill (LDF), probing depth (PD) reduction, clinical attachment level (CAL) gain gingival recession (GR) calculated using random effect meta-analysis. RESULTS yielded 1018 articles, which seven studies included. Only one included study considered at low risk bias. outcomes that reached statistical significance in comparison carriers alone included: LDF (0.95 mm, 95% CI: 0.62-1.28 mm or 20.17%, 11.81-28.54%) CAL (0.34 0.03-0.65 mm) for PDGF, (21.22%, 5.82-36.61%) FGF-2. CONCLUSIONS Within limits this review, rhPDGF-BB demonstrated significantly more gain; rhFGF-2 resulted higher percentage LDF.

参考文章(49)
Marcelo Camelo, Robert K Schenk, Myron Nevins, Samuel E Lynch, Marc L Nevins, Periodontal regeneration in human Class II furcations using purified recombinant human platelet-derived growth factor-BB (rhPDGF-BB) with bone allograft. International Journal of Periodontics & Restorative Dentistry. ,vol. 23, pp. 213- 225 ,(2003)
Richard T Kao, Myron Nevins, Samuel E Lynch, Michael K McGuire, rhPDGF-BB promotes healing of periodontal defects: 24-month clinical and radiographic observations. International Journal of Periodontics & Restorative Dentistry. ,vol. 26, pp. 223- 231 ,(2006)
James T. Mellonig, Maria Del Pilar Valderrama, David L. Cochran, Histological and clinical evaluation of recombinant human platelet-derived growth factor combined with beta tricalcium phosphate for the treatment of human Class III furcation defects. International Journal of Periodontics & Restorative Dentistry. ,vol. 29, pp. 169- 177 ,(2009)
Daniel Holzclaw, Paul S Rosen, Nicholas Toscano, Mark A Reynolds, A retrospective consecutive case series using mineralized allograft combined with recombinant human platelet-derived growth factor BB to treat moderate to severe osseous lesions. International Journal of Periodontics & Restorative Dentistry. ,vol. 31, pp. 335- ,(2011)
James T. Mellonig, David L. Cochran, Heather K. Ridgway, Human histologic and clinical evaluation of recombinant human platelet-derived growth factor and beta-tricalcium phosphate for the treatment of periodontal intraosseous defects. International Journal of Periodontics & Restorative Dentistry. ,vol. 28, pp. 171- 179 ,(2008)
Christoph A. Ramseier, Giulio Rasperini, Salvatore Batia, William V. Giannobile, Advanced reconstructive technologies for periodontal tissue repair Periodontology 2000. ,vol. 59, pp. 185- 202 ,(2012) , 10.1111/J.1600-0757.2011.00432.X
Jack Caton, Helmut A. Zander, Osseous repair of an infrabony pocket without new attachment of connective tissue Journal of Clinical Periodontology. ,vol. 3, pp. 54- 58 ,(1976) , 10.1111/J.1600-051X.1976.TB01850.X
Thorkild Karring, Store Nyman, Jan Lindhe, Healing following implantation of periodontitis affected roots into bone tissue. Journal of Clinical Periodontology. ,vol. 7, pp. 96- 105 ,(1980) , 10.1111/J.1600-051X.1980.TB01952.X