Evidence map›Paper›PMID 41003412›Full record

ReviewJournal of functional biomaterials2025

Types of Bone Substitutes and Their Application in Regenerative Medicine: A Systematic Review.

Nikoleta Ivanova, Stoyan Ivanov, Stefan Peev, Tsanka Dikova

Abstract readReview
In one paragraph

Review in Journal of functional biomaterials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

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

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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

4 authors.

Nikoleta IvanovaDepartment of Biology, Faculty of Pharmacy, Medical University of Varna, 9002 Varna, Bulgaria.ORCID 0000-0001-9241-4304
Stoyan IvanovDepartment of Orthopedics and Traumatology, Faculty of Medicine, Medical University of Varna, 9002 Varna, Bulgaria.ORCID 0000-0003-4711-2766
Stefan PeevDepartment of Periodontology and Dental Implantology, Faculty of Dental Medicine, Medical University of Varna, 9002 Varna, Bulgaria.ORCID 0000-0003-4846-013X
Tsanka DikovaDepartment of Dental Material Science and Prosthetic Dental Medicine, Faculty of Dental Medicine, Medical University of Varna, 9002 Varna, Bulgaria.ORCID 0000-0003-0266-9333

Funding

This study is financed by the European Union-Next Generation EU through the National Re-covery and Resilience Plan of the Republic of Bulgaria, Project No. BG-RRP-2.004-0009. This study is financed by the European Union-Next Generation EU through the National Re-covery and Resilience Plan of the Republic of Bulgaria, Project No. BG-RRP-2.004-0009.
6 · The paper itself

Abstract

backgroundThe growing demand for effective methods of bone tissue regeneration highlights the relevance of studying modern bone substitutes and their applications in regenerative medicine. The aim of this work was to conduct a comprehensive analysis of the biological, mechanical, and clinical characteristics of various types of bone substitutes to determine their potential in regenerative medicine.

methodsThe study was performed as a systematic literature review in accordance with PRISMA guidelines, analyzing 68 high-quality scientific sources from 2019 to May 2025, using the PubMed, Scopus, Web of Science, and Google Scholar databases.

resultsIt was established that autogenous grafts exhibit the highest osteogenic properties due to the presence of growth factors BMP-2, BMP-7, and concentrated growth factors; however, their use is limited by donor site morbidity in 20-30% of patients and the requirement to treat 6% of fractures complicated by non-union. Allogeneic and xenogeneic substitutes provide structural support for large defects but require intensive processing in accordance with European Directives 2004/23/EC and 2006/86/EC to minimize the risk of infection transmission. Synthetic substitutes based on calcium phosphate ceramics with pore sizes ranging from 23 to 210 micrometres demonstrate excellent biocompatibility and controlled degradation, with β-tricalcium phosphate exhibiting optimal characteristics for long-term applications compared to calcium sulphate.

conclusionsThe findings of the study highlight the necessity of a personalized approach in selecting bone substitutes, considering the specific requirements of medical specialities, and support the development of hybrid biomaterials to combine structural strength with biological activity.

Indexed as

bone defectsbone tissueclinical efficacyremodellingstem cells

Identifiers

PMID41003412
PMCPMC12470451

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.