Effectiveness of biomolecule-based bioactive surfaces, on os-seointegration of titanium dental implants: A systematic review and meta-analysis of in vivo studies

Titanium and alloy osseointegrated implants are used to replace missing teeth; however, some fail and are removed. Modifications of the implant surface with biologically active substances have been proposed. MEDLINE [via Pubmed], Embase and Web of Science were searched with the terms “titanium denta...

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Main Authors: Nansi López-Valverde, Javier Aragoneses, Antonio López-Valverde, Norberto Quispe-López, Cinthia Rodríguez, Juan Manuel Aragoneses
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Bioengineering and Biotechnology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fbioe.2022.986112/full
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author Nansi López-Valverde
Javier Aragoneses
Antonio López-Valverde
Antonio López-Valverde
Norberto Quispe-López
Cinthia Rodríguez
Juan Manuel Aragoneses
author_facet Nansi López-Valverde
Javier Aragoneses
Antonio López-Valverde
Antonio López-Valverde
Norberto Quispe-López
Cinthia Rodríguez
Juan Manuel Aragoneses
author_sort Nansi López-Valverde
collection DOAJ
description Titanium and alloy osseointegrated implants are used to replace missing teeth; however, some fail and are removed. Modifications of the implant surface with biologically active substances have been proposed. MEDLINE [via Pubmed], Embase and Web of Science were searched with the terms “titanium dental implants”, “surface properties”, “bioactive surface modifications”, “biomolecules”, “BMP”, “antibacterial agent”, “peptide”, “collagen”, “grown factor”, “osseointegration”, “bone apposition”, “osteogenic”, “osteogenesis”, “new bone formation”, “bone to implant contact”, “bone regeneration” and “in vivo studies”, until May 2022. A total of 10,697 references were iden-tified and 26 were included to analyze 1,109 implants, with follow-ups from 2 to 84 weeks. The ARRIVE guidelines and the SYRCLE tool were used to evaluate the methodology and scientific evidence. A meta-analysis was performed (RevMan 2020 software, Cochane Collaboration) with random effects that evaluated BIC at 4 weeks, with subgroups for the different coatings. The heterogeneity of the pooled studies was very high (95% CI, I2 = 99%). The subgroup of BMPs was the most favorable to coating. Surface modification of Ti implants by organic bioactive molecules seems to favor osseointegration in the early stages of healing, but long-term studies are necessary to corroborate the results of the experimental studies.
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spelling doaj.art-c35d680c9eb1496998d14881c9b3ad552022-12-22T02:05:56ZengFrontiers Media S.A.Frontiers in Bioengineering and Biotechnology2296-41852022-09-011010.3389/fbioe.2022.986112986112Effectiveness of biomolecule-based bioactive surfaces, on os-seointegration of titanium dental implants: A systematic review and meta-analysis of in vivo studiesNansi López-Valverde0Javier Aragoneses1Antonio López-Valverde2Antonio López-Valverde3Norberto Quispe-López4Cinthia Rodríguez5Juan Manuel Aragoneses6Department of Medicine and Medical Specialties, Faculty of Health Sciences, Universidad Alcalá de Henares, Madrid, SpainDepartment of Medicine and Medical Specialties, Faculty of Health Sciences, Universidad Alcalá de Henares, Madrid, SpainDepartment of Surgery, Instituto de Investigación Biomédica de Salamanca (IBSAL), University of Salamanca, Salamanca, SpainDepartment of Dentistry, Universidad Federico Henríquez y Carvajal, Santo Domingo, Dominican RepublicDepartment of Surgery, Instituto de Investigación Biomédica de Salamanca (IBSAL), University of Salamanca, Salamanca, SpainDepartment of Dentistry, Universidad Federico Henríquez y Carvajal, Santo Domingo, Dominican RepublicFaculty of Dentistry, Universidad Alfonso X El Sabio, Madrid, SpainTitanium and alloy osseointegrated implants are used to replace missing teeth; however, some fail and are removed. Modifications of the implant surface with biologically active substances have been proposed. MEDLINE [via Pubmed], Embase and Web of Science were searched with the terms “titanium dental implants”, “surface properties”, “bioactive surface modifications”, “biomolecules”, “BMP”, “antibacterial agent”, “peptide”, “collagen”, “grown factor”, “osseointegration”, “bone apposition”, “osteogenic”, “osteogenesis”, “new bone formation”, “bone to implant contact”, “bone regeneration” and “in vivo studies”, until May 2022. A total of 10,697 references were iden-tified and 26 were included to analyze 1,109 implants, with follow-ups from 2 to 84 weeks. The ARRIVE guidelines and the SYRCLE tool were used to evaluate the methodology and scientific evidence. A meta-analysis was performed (RevMan 2020 software, Cochane Collaboration) with random effects that evaluated BIC at 4 weeks, with subgroups for the different coatings. The heterogeneity of the pooled studies was very high (95% CI, I2 = 99%). The subgroup of BMPs was the most favorable to coating. Surface modification of Ti implants by organic bioactive molecules seems to favor osseointegration in the early stages of healing, but long-term studies are necessary to corroborate the results of the experimental studies.https://www.frontiersin.org/articles/10.3389/fbioe.2022.986112/fulltitanium dental implantsbioactive surface modificationsbiomoleculespeptidesbone morphogenetic proteingrown factor
spellingShingle Nansi López-Valverde
Javier Aragoneses
Antonio López-Valverde
Antonio López-Valverde
Norberto Quispe-López
Cinthia Rodríguez
Juan Manuel Aragoneses
Effectiveness of biomolecule-based bioactive surfaces, on os-seointegration of titanium dental implants: A systematic review and meta-analysis of in vivo studies
Frontiers in Bioengineering and Biotechnology
titanium dental implants
bioactive surface modifications
biomolecules
peptides
bone morphogenetic protein
grown factor
title Effectiveness of biomolecule-based bioactive surfaces, on os-seointegration of titanium dental implants: A systematic review and meta-analysis of in vivo studies
title_full Effectiveness of biomolecule-based bioactive surfaces, on os-seointegration of titanium dental implants: A systematic review and meta-analysis of in vivo studies
title_fullStr Effectiveness of biomolecule-based bioactive surfaces, on os-seointegration of titanium dental implants: A systematic review and meta-analysis of in vivo studies
title_full_unstemmed Effectiveness of biomolecule-based bioactive surfaces, on os-seointegration of titanium dental implants: A systematic review and meta-analysis of in vivo studies
title_short Effectiveness of biomolecule-based bioactive surfaces, on os-seointegration of titanium dental implants: A systematic review and meta-analysis of in vivo studies
title_sort effectiveness of biomolecule based bioactive surfaces on os seointegration of titanium dental implants a systematic review and meta analysis of in vivo studies
topic titanium dental implants
bioactive surface modifications
biomolecules
peptides
bone morphogenetic protein
grown factor
url https://www.frontiersin.org/articles/10.3389/fbioe.2022.986112/full
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