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The effects of different regenerative technologies and materials on wound healing after surgical endodontic therapy: A meta‐analysis.
- Source :
- International Wound Journal; Dec2023, Vol. 20 Issue 10, p4340-4348, 9p
- Publication Year :
- 2023
-
Abstract
- A meta‐analysis was performed to assess the effects of different regenerative technologies and materials on wound healing after surgical endodontic therapy and provide a reference for surgical endodontic treatment. We searched for studies on the use of regenerative technologies and materials in surgical endodontic therapy via PubMed, MEDLINE, EMBASE, Web of Science, China National Knowledge Infrastructure (CNKI), and Wanfang Data from the time of database creation to December 2022. Two researchers independently screened the literature, extracted information based on the inclusion and exclusion criteria, and evaluated the quality of the included studies. A meta‐analysis was performed using Review Manager 5.4. The results showed that the use of regenerative technologies and materials significantly reduced wound healing failures (risk ratio [RR]: 0.30, 95% confidence intervals [CI]: 0.22–0.40, p < 0.001). Moreover, autologous platelet concentrations (APCs) (RR: 0.28, 95% CI: 0.15–0.53, p < 0.001) and collagen membrane plus bovine‐derived hydroxyapatite (RR: 0.27, 95% CI. 0.12–0.61, p = 0.002) were more effective in improving wound healing failure rates than collagen membrane alone (RR: 0.51, 95% CI: 0.20–1.25, p = 0.140). Our findings showed that APCs, as well as collagen membrane plus bovine‐derived hydroxyapatite, significantly improved wound healing after surgical endodontic therapy. In contrast, collagen membrane alone did not significantly improve wound healing outcomes. However, currently available studies vary significantly in sample size and methodologies. Hence, high‐quality randomised controlled studies with large sample sizes are necessary to validate our findings. [ABSTRACT FROM AUTHOR]
- Subjects :
- THERAPEUTIC use of biomedical materials
WOUND healing
BIOLOGICAL models
ONLINE information services
COLLAGEN
HYDROXYAPATITE
CATTLE
META-analysis
MEDICAL information storage & retrieval systems
SAMPLE size (Statistics)
CONFIDENCE intervals
ANIMAL experimentation
DENTAL care
TREATMENT effectiveness
ORAL surgery
DESCRIPTIVE statistics
MEDLINE
ODDS ratio
ENDODONTICS
MEDICAL specialties & specialists
Subjects
Details
- Language :
- English
- ISSN :
- 17424801
- Volume :
- 20
- Issue :
- 10
- Database :
- Complementary Index
- Journal :
- International Wound Journal
- Publication Type :
- Academic Journal
- Accession number :
- 173848913
- Full Text :
- https://doi.org/10.1111/iwj.14293