Journal of Functional Biomaterials (Feb 2023)

Autologous Tooth Graft: Innovative Biomaterial for Bone Regeneration. Tooth Transformer<sup>®</sup> and the Role of Microbiota in Regenerative Dentistry. A Systematic Review

  • Angelo Michele Inchingolo,
  • Assunta Patano,
  • Chiara Di Pede,
  • Alessio Danilo Inchingolo,
  • Giulia Palmieri,
  • Elisabetta de Ruvo,
  • Merigrazia Campanelli,
  • Silvio Buongiorno,
  • Vincenzo Carpentiere,
  • Fabio Piras,
  • Vito Settanni,
  • Fabio Viapiano,
  • Denisa Hazballa,
  • Biagio Rapone,
  • Antonio Mancini,
  • Daniela Di Venere,
  • Francesco Inchingolo,
  • Maria Celeste Fatone,
  • Andrea Palermo,
  • Elio Minetti,
  • Felice Lorusso,
  • Antonio Scarano,
  • Salvatore Sauro,
  • Gianluca Martino Tartaglia,
  • Ioana Roxana Bordea,
  • Gianna Dipalma,
  • Giuseppina Malcangi

DOI
https://doi.org/10.3390/jfb14030132
Journal volume & issue
Vol. 14, no. 3
p. 132

Abstract

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Different biomaterials, from synthetic products to autologous or heterologous grafts, have been suggested for the preservation and regeneration of bone. The aim of this study is to evaluate the effectiveness of autologous tooth as a grafting material and examine the properties of this material and its interactions with bone metabolism. PubMed, Scopus, Cochrane Library, and Web of Science were searched to find articles addressing our topic published from 1 January 2012 up to 22 November 2022, and a total of 1516 studies were identified. Eighteen papers in all were considered in this review for qualitative analysis. Demineralized dentin can be used as a graft material, since it shows high cell compatibility and promotes rapid bone regeneration by striking an ideal balance between bone resorption and production; it also has several benefits, such as quick recovery times, high-quality newly formed bone, low costs, no risk of disease transmission, the ability to be performed as an outpatient procedure, and no donor-related postoperative complications. Demineralization is a crucial step in the tooth treatment process, which includes cleaning, grinding, and demineralization. Since the presence of hydroxyapatite crystals prevents the release of growth factors, demineralization is essential for effective regenerative surgery. Even though the relationship between the bone system and dysbiosis has not yet been fully explored, this study highlights an association between bone and gut microbes. The creation of additional scientific studies to build upon and enhance the findings of this study should be a future objective of scientific research.

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