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Growth Factors

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Tissue Engineering in Oral and Maxillofacial Surgery

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Abstract

In the human body, growth factors are soluble signalling molecules that contribute to tissue formation and regeneration. Their potential use in tissue engineering has been explored in numerous clinical and preclinical studies. Most of the growth factors currently considered are involved in the regeneration of mesenchymal and vascular tissues. Autogenous growth factors derived from platelet concentrates have shown to support soft tissue healing in dentoalveolar reconstructive procedures. Recombinant growth factors such as rhPDGF-BB and rhFGF-2 appear to be useful for the improvement of outcomes of periodontal treatment; the evidence for beneficial effects of rhPDGF-BB in ridge augmentation is yet very limited. The use of BMPs in ridge augmentation has shown some potential, although no controlled trials have clearly shown a beneficial effect over standard treatment yet. The effect of BMPs in sinus lift procedures has been very limited due to the high intrinsic regenerative capacity of this site, whereas the efficacy of rhBMP-2 in cleft repair has been satisfactory. Repair of larger bone defects such as segmental reconstruction appears to be limited to sites with uncompromised biology and unrestricted regenerative capacity. Innovative approaches with respect to sophisticated carrier technology and multiple growth factor delivery still have to await thorough preclinical testing and regulatory approval.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, University of Göttingen, Göttingen, Germany

    Henning Schliephake & Florian Böhrnsen

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  1. Henning Schliephake
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Correspondence to Henning Schliephake .

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  1. Department of Oral and Maxillofacial Diseases, University of Helsinki and Helsinki University Hospital, Helsinki, Finland

    Riitta Seppänen-Kaijansinkko

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Schliephake, H., Böhrnsen, F. (2019). Growth Factors. In: Seppänen-Kaijansinkko, R. (eds) Tissue Engineering in Oral and Maxillofacial Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-24517-7_5

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