Evidence map›Paper›PMID 41637083›Full record

SynthesisActa odontologica Scandinavica2026

Use of bmps as a treatment for medication-related maxillary osteonecrosis (mronj): a systematic review.

Lucía Hernando-Calzado, Aida Bauer-González, Carlos Manuel Cobo-Vázquez, Cristina Meniz-García, Juan López-Quiles, Cristina Madrigal Martínez-Pereda

Abstract readSystematic Review
In one paragraph

Synthesis in Acta odontologica Scandinavica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

6 authors.

Lucía Hernando-CalzadoDepartment of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, Madrid, Spain.
Aida Bauer-GonzálezDepartment of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, Madrid, Spain.
Carlos Manuel Cobo-VázquezDepartment of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, Madrid, Spain. cmcobo@ucm.es.
Cristina Meniz-GarcíaDepartment of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, Madrid, Spain; Surgical and Implant Therapies in the Oral Cavity Research Group, University Complutense, Madrid, Spain.
Juan López-QuilesDepartment of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, Madrid, Spain; Surgical and Implant Therapies in the Oral Cavity Research Group, University Complutense, Madrid, Spain.
Cristina Madrigal Martínez-PeredaDepartment of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, Madrid, Spain; Surgical and Implant Therapies in the Oral Cavity Research Group, University Complutense, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMedication-related osteonecrosis of the jaw (MRONJ) is an adverse condition in patients receiving antiresorptive or antiangiogenic therapies. Standard treatments, including surgical debridement, often yield suboptimal outcomes. In this context, bone morphogenetic proteins (BMPs), have been explored for their ability to stimulate osteogenesis and enhance bone repair.  Materials and methods: A systematic review of the literature was conducted, focusing on studies that applied rh-BMPs during surgeries to treat MRONJ. Databases were searched for relevant articles from inception to the present, using keywords such as 'MRONJ', 'BMP', and 'bone regeneration'. Inclusion criteria involved studies with human participants who had been treated with rh-BMPs, along with the surgical elimination of bone sequestrum, MRONJ stages 2 and 3 according to the AAOMS staging system and a minimum follow-up period of 6 months. Two independent reviewers (L.H.C. and C.C.V.) systematically selected the articles independently.

resultsThe review included nine studies with a total of 217 patients treated with rh-BMP. Bone regeneration and osteonecrosis healing was reported in all the studies included using rh-BMP. However, the measurement methods were very different between the studies, using clinical examinations, different radiological tests and biomarkers and own scales. Moreover, there were inconsistencies in treatment protocols and follow-up periods, making it difficult to standardize conclusions. DISCUSSION: While rh-BMPs show promising results for bone regeneration in MRONJ patients, the variability in study methodologies limits definitive conclusions. The biological potential of BMPs could be beneficial, but standardized protocols and longer-term studies are needed to establish their effectiveness.

conclusionsThe application of rh-BMPs may promote bone regeneration in MRONJ patients, but further research with standardized methods is required to confirm these findings.

Indexed as

Bisphosphonate-Associated Osteonecrosis of the JawBone Morphogenetic ProteinsOsteonecrosisHumansBone Morphogenetic Proteins

Identifiers

PMID41637083
PMCPMC12884370

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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.