Bone Regeneration Comparison of Non-Autograft and Autograft Material in Dental Implants Thomas Aurelius Dharma, Luki Astuti, Olivia Nauli Komala
Universitas Trisakti
Abstract
Background: Autograft is widely considered the gold standard for bone grafting due to its high compatibility and effectiveness. However, it has notable drawbacks, including donor site morbidity, limited availability, and the risk of infection requiring a secondary surgical site. Non-autograft options, such as allografts, xenografts, and alloplasts, offer potential benefits by avoiding these issues and should be considered as viable alternatives for bone grafting procedures. Objective: This study aims to conduct a scoping review to compare bone regeneration outcomes between non-autograft and autograft materials for dental implants, focusing on radiographic measurements. Method: A scoping review was conducted using the Population, Concept, and Context (PCC) framework. The review focused on humans undergoing immediate or delayed dental implant procedures, assessing radiographic bone regeneration as the concept, and bone grafts for dental implants as the context. Inclusion criteria encompassed human studies on autograft, xenograft, alloplast, and non-autograft materials published in Indonesian or English over the past 15 years. The search, adhering to PRISMA guidelines, was performed on PubMed and Wiley databases in September 2021. Results: Out of 464 articles initially identified, nine met the inclusion criteria. Among these, 77% (n=7) reported no significant differences in at least one dimensional measurement (vertical, horizontal, area, volume, or remodeling) between non-autograft and autograft materials. Conversely, 22% (n=2) observed significant differences in one or more measurements. Conclusion: The review indicates that both autograft and non-autograft bone grafts generally show similar outcomes in terms of dimensional changes upon radiographic examination, suggesting that non-autografts could be viable alternatives.
Keywords: Bone graft, autograft, non-autograft, dental implant, bone regeneration, radiographic evaluation
