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Review Article

Periosteum-derived Micrografts for bone regeneration

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Pages 400-412 | Received 01 Aug 2022, Accepted 03 Feb 2023, Published online: 17 May 2023
 

ABSTRACT

Bone regeneration is currently one of the most widely researched topics in regenerative medicine. Several bone-grafting materials have been introduced and compared. However, the limitations of the currently available grafts have led researchers to investigate new materials to be used. In contrast, the periosteum performs endogenous bone regeneration as seen in physiological bone fracture repair, and transplanted periosteum has been used to induce bone regeneration in animal models. Although many of the introduced bone grafting materials have not been clinically evaluated, the use of the periosteum for bone regeneration has been documented in several clinical situations. Recently, the Micrograft concept, which was initially used to treat burn patients, where the tissue sample is cut into smaller pieces to expand the area that they can cover, has been applied to oral periosteal tissue for inclusion in scaffolds for bone defect healing, and was evaluated in various clinical bone augmentation procedures. This article first presents a brief overview of some of the commonly used bone grafts and their limitations. Next, it provides background information on the periosteum, including its histology and the cell biology and signaling involved in its osteogenic effect, periosteum-derived Micrografts, their osteogenic potential, and their recent clinical applications for bone augmentation.

Acknowledgments

The authors would like to thank Dr. Antika Chingtanasan for her kind assistance in creating the figures of this article. This project is supported by the Second Century Fund (C2F), Chulalongkorn University.

Disclosure statement

No potential conflict of interest was reported by the authors.

Declaration of conflicting interests

The authors declare that there are no conflicts of interest.

Additional information

Funding

The author(s) reported there is no funding associated with the work featured in this article.

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