Enxertos, substitutos ósseos, mediadores bioativos para regeneração óssea: uma revisão atualizada
DOI:
https://doi.org/10.33448/rsd-v13i6.46042Palavras-chave:
Biomateriais para regeneração óssea; Biomateriais em regeneração óssea guiada; Material sintético para osso; Biomateriais e implantes; Regeneração óssea guiada; Aumento ósseo.Resumo
Objetivos: Fornecer aos clínicos uma atualização sobre enxertos ósseos, substitutos de biomateriais e mediadores bioativos para técnicas de regeneração óssea. Materiais e Métodos: Realizou-se uma revisão narrativa em inglês, priorizando publicações dos últimos cinco anos. A pesquisa foi conduzida em bases de dados, complementada com buscas manuais em revistas relevantes. Resultados: Os enxertos autólogos mostraram a maior ganho ósseo, porém estavam associados a mais efeitos adversos e complicações no local doador. Os materiais ricos em plaquetas não demonstraram complicações, seja individualmente ou em combinação. No entanto, mais pesquisas são necessárias sobre fatores de crescimento, terapia celular e andamios impressos em 3D para melhorar a eficácia e segurança na regeneração óssea guiada. Conclusões: A busca contínua pelo material ótimo é evidente. A habilidade do cirurgião e a gestão do colgajo influenciam na regeneração óssea. Pesquisas futuras devem se concentrar em otimizar técnicas considerando variações clínicas individuais.
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