Evidence map›Paper›PMID 39575990›Full record

ArticleClinical oral implants research2025

Regeneration of Chronic Alveolar Vertical Defects Using a Micro Dosage of rhBMP-2. An Experimental In Vivo Study.

Istvan A Urban, Sándor Farkasdi, Dieter D Bosshardt, Mauricio G Araujo, Andrea Ravidà, Kathrin Becker, Robert Kerberger, Hom-Lay Wang, Ulf M E Wikesjö, Gabor Varga and 1 more

Abstract read
In one paragraph

Article in Clinical oral implants research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Istvan A UrbanDepartment of Oral Medicine, Infection Control and Immunity, Harvard University, Boston, Massachusetts, USA.ORCID 0000-0002-9368-4047
Sándor FarkasdiDepartment of Oral Biology, Semmelweis University, Budapest, Hungary.ORCID 0000-0001-7531-8046
Dieter D BosshardtDepartment of Periodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.
Mauricio G AraujoState University of Maringá, Maringá, Paraná, Brazil.ORCID 0000-0003-2224-982X
Andrea RavidàDepartment of Periodontics & Oral Medicine, University of Pittsburg, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-3029-8130
Kathrin BeckerDepartment of Orthodontics and Dentofacial Orthopedics, Center for Oral Health Sciences, Charité-Universitätsmedizin, Berlin, Germany.ORCID 0000-0003-1936-4683
Robert KerbergerDepartment of Orthodontics and Dentofacial Orthopedics, Center for Oral Health Sciences, Charité-Universitätsmedizin, Berlin, Germany.ORCID 0009-0008-1167-711X
Hom-Lay WangDepartment of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan, USA.ORCID 0000-0003-4238-1799
Ulf M E WikesjöUniformed Services University Dental School US Army Fort Eisenhower, Augusta, Georgia, USA.ORCID 0000-0003-1607-0583
Gabor VargaDepartment of Oral Biology, Semmelweis University, Budapest, Hungary.ORCID 0000-0002-5506-8198
Muhammad H A SalehDepartment of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan, USA.ORCID 0000-0001-5067-7317

Funding

Osteogenics Biomedical, Lubbock, TX, USA
6 · The paper itself

Abstract

objectiveThe objective of this study is to compare the effect of the location of recombinant human bone morphogenetic protein 2 (rhBMP-2) from the native bone and the periosteum for vertical alveolar bone augmentation. MATERIALS AND

methodsMandibular, chronic, standardized, bilateral, and vertical defects in 12 beagle dogs were evaluated using four modalities: a xenograft alone (XENO; n = 6); rhBMP-2 alone (BMP; n = 6); a technique with rhBMP-2 close to the host bone covered by xenograft (SAN; n = 6); and a technique with rhBMP-2 close to the flap on top of the xenograft (LAS; n = 6). After 8 weeks, a series of in vivo inspections, fluorescence microscopy, histologic and histomorphometric evaluations, and micro-CT analyses.

resultsAfter 8 weeks of healing, new bone formation correlated with proximity of rhBMP to the perforated membrane with BMP and LAS (p = 0.024). The highest total bone volume was found in the LAS group (45.1% ± 13.3%), followed by the SAN group (35.2% ± 6.7%), BMP group (33.1% ± 11.8%), followed by the XENO group (23.1% ± 6.5%). The SAN group demonstrated frequent seroma formation. Blood vessel formation was more pronounced in the LAS + rhBMP group, with a significant increase of 27.1% compared to the XENO group (p = 0.02). Micro-CT revealed a strong trend for higher bone volume in the BMP group (34.7%) compared to the XENO group (13.6%) (p = 0.06). Only rhBMP-2 groups demonstrated bone formation above the perforated membrane.

conclusionThe location of rhBMP-2 in relation to the biomaterial and periosteum influenced the effectiveness of vertical bone regeneration.

Indexed as

Alveolar Bone LossAlveolar Ridge AugmentationBone Morphogenetic Protein 2Bone RegenerationTransforming Growth Factor betaAnimalsDogsHumansMandibleMicroscopy, FluorescencePeriosteumRecombinant ProteinsX-Ray MicrotomographyBone Morphogenetic Protein 2recombinant human bone morphogenetic protein-2Recombinant ProteinsTransforming Growth Factor betaalveolar ridge augmentationanimals bone morphogenetic proteinsdental implants

Identifiers

PMID39575990
PMCPMC11810558

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.