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International Journal of Implant Dentistry
Published in: International Journal of Implant Dentistry 1/2015

Open Access 01-12-2015 | Review

Genomic analyses of early peri-implant bone healing in humans: a systematic review

Authors: Siddharth Shanbhag, Vivek Shanbhag, Andreas Stavropoulos

Published in: International Journal of Implant Dentistry | Issue 1/2015

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Abstract

Objective

The objective of the study was to systematically review the literature for studies reporting gene expression analyses (GEA) of the biological processes involved in early human peri-implant bone healing.

Methods

Electronic databases (MEDLINE, EMBASE) were searched in duplicate. Controlled and uncontrolled studies reporting GEA of human peri-implant tissues - including ≥5 patients and ≥2 time points - during the first 4 weeks of healing were eligible for inclusion. Methodological quality and risk of bias were also assessed.

Results

Four exploratory studies were included in reporting GEA of either tissues attached to SLA or SLActive implants after 4 to 14 days or cells attached to TiOBlast or Osseospeed implants after 3 to 7 days. A total of 111 implants from 43 patients were analyzed using validated array methods; however, considerable heterogeneity and risk of bias were detected. A consistent overall pattern of gene expression was observed; genes representing an immuno-inflammatory response were overexpressed at days 3 to 4, followed by genes representing osteogenic processes at day 7. Genes representing bone remodeling, angiogenesis, and neurogenesis were expressed concomitantly with osteogenesis. Several regulators of these processes, such as cytokines, growth factors, transcription factors, and signaling pathways, were identified. Implant surface properties seemed to influence the healing processes at various stages via differential gene expression.

Conclusion

Limited evidence from gene expression studies in humans indicates that osteogenic processes commence within the first post-operative week and they appear influenced at various stages by implant surface properties.
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Metadata
Title
Genomic analyses of early peri-implant bone healing in humans: a systematic review
Authors
Siddharth Shanbhag
Vivek Shanbhag
Andreas Stavropoulos
Publication date
01-12-2015
Publisher
Springer Berlin Heidelberg
Published in
International Journal of Implant Dentistry / Issue 1/2015
Electronic ISSN: 2198-4034
DOI
https://doi.org/10.1186/s40729-015-0006-2

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