Exploring the Impact of Biological Agents on Protecting Against Experimental Periodontitis: A Systematic Review of Animal-Based Studies.

Autor: Oliveira GE; Department of Diagnosis and Surgery, School of Dentistry, São Paulo State University-UNESP, Aracatuba, São Paulo 16015-050, Brazil., da Silva Barbirato D; Department of Basic and Oral Biology, Faculty of Dentistry of Ribeirão Preto, University of São Paulo (FORP/USP) 14040-904, Ribeirão Preto, São Paulo, Brazil., de Menezes BS; Division of Periodontics, Dental School, Federal University of Rio de Janeiro-UFRJ, Rio de Janeiro, Rio de Janeiro 21941-617, Brazil., Fuly MS; Division of Periodontics, Dental School, Federal University of Rio de Janeiro-UFRJ, Rio de Janeiro, Rio de Janeiro 21941-617, Brazil., Pelegrine HCL; Department of Diagnosis and Surgery, School of Dentistry, São Paulo State University-UNESP, Aracatuba, São Paulo 16015-050, Brazil., Bonilha DC; Department of Diagnosis and Surgery, School of Dentistry, São Paulo State University-UNESP, Aracatuba, São Paulo 16015-050, Brazil., de Alencar JGP; Department of Diagnosis and Surgery, School of Dentistry, São Paulo State University-UNESP, Aracatuba, São Paulo 16015-050, Brazil., Theodoro LH; Department of Diagnosis and Surgery, School of Dentistry, São Paulo State University-UNESP, Aracatuba, São Paulo 16015-050, Brazil., de Molon RS; Department of Diagnosis and Surgery, School of Dentistry, São Paulo State University-UNESP, Aracatuba, São Paulo 16015-050, Brazil.
Jazyk: angličtina
Zdroj: BioMed research international [Biomed Res Int] 2024 Dec 02; Vol. 2024, pp. 1716735. Date of Electronic Publication: 2024 Dec 02 (Print Publication: 2024).
DOI: 10.1155/bmri/1716735
Abstrakt: Aim: This systematic review was aimed at addressing the focused question: What is the protective potential of biological agents against alveolar bone resorption during the progression of experimental periodontitis (EP)? Material and Methods: The study protocol was registered in the Open Science Framework database (doi:10.17605/OSF.IO/3P2HY). A comprehensive literature search was conducted across PubMed, Web of Science, Cochrane Library, Scopus, and Embase databases up to December 2023. Inclusion criteria consisted of preclinical studies in animal models of EP that examined the effects of biological agents on preventing periodontal bone loss and reducing tissue inflammation. Studies were excluded if they (i) used non-EP animal models; (ii) focused on antimicrobial agents; (iii) centered on prebiotics or probiotics; (iv) evaluated compounds not classified as biologicals; or (v) included randomized clinical trials, clinical studies, or reviews. Eligibility was determined based on the PI/ECOs framework, and study quality was assessed using the SYRCLE risk-of-bias tool. Results: After screening an initial pool of 5236 records from databases, registries, and hand searches, 39 studies met the inclusion criteria. A total of 23 biological agents were evaluated across these studies. The majority of studies employed the ligature-induced model of EP to test the effectiveness of biologicals as preventive or therapeutic interventions. The dosage of biological agents and the duration of disease induction varied depending on the EP model. In all studies, the main outcome-alveolar bone loss, a hallmark of EP-was significantly inhibited by biological agents, which also reduced proinflammatory mediators when compared to untreated controls. A key strength of this review is the high number of studies included, most of which were classified as having low risk of bias. However, a notable limitation is the absence of a meta-analysis, the short follow-up periods in the included studies, and the heterogeneity among the compound dosages and route of administration. Conclusion: This systematic review demonstrates that biological agents are effective in reducing bone loss and mitigating inflammation during EP progression. Randomized clinical trials are needed to confirm these findings in human populations.
Competing Interests: The authors declare no conflicts of interest.
(Copyright © 2024 Gabriela Ezequiel Oliveira et al.)
Databáze: MEDLINE
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