Efficacy of parathyroid hormone supplementation on the osseointegration of implants: a systematic review

  • Fawad Javed
  • , Mohammad D. Al Amri
  • , Sergio Varela Kellesarian
  • , Abdulaziz A. Al-Kheraif
  • , Fahim Vohra
  • , José Luis Calvo-Guirado
  • , Hans Malmstrom
  • , Georgios E. Romanos

Research output: Contribution to journalReview articlepeer-review

23 Scopus citations

Abstract

Objective: The aim of the present systematic review was to assess the efficacy of parathyroid hormone supplementation on the osseointegration of implants. Methods: The addressed focused question was Does parathyroid hormone supplementation affect osseointegration around implants? Indexed databases were searched from 1965 up to and including April 2015 using various key words including: Bone to implant contact; implant; parathyroid hormone; and osseointegration. Letters to the Editor, case-reports/case-series, historic reviews, commentaries and articles published in languages other than English were excluded. The pattern of the present systematic review was customized to primarily summarize the pertinent data. Results: Eighteen studies fulfilled the eligibility criteria. Evidence was limited to preclinical animal studies only (11 studies in rodents, 4 in dogs and 3 in rabbits). Number of titanium implants placed ranged between 20 and 80 implants. Results from 16 studies showed that PTH supplementation enhanced new bone formation and/or BIC around implants. One study suggests that PTH-coated implants improve BIC and BA. One study showed no significant difference in BIC and new bone formation around implants with PTH hydrogel placement. Conclusion: Efficacy of PTH supplementation on osseointegration of implants shows promising results in animal models, however further investigation is necessary to assess the effectiveness in humans.

Original languageEnglish (US)
Pages (from-to)649-658
Number of pages10
JournalClinical oral investigations
Volume20
Issue number4
DOIs
StatePublished - May 1 2016
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2015, Springer-Verlag Berlin Heidelberg.

Keywords

  • Bone to implant contact
  • Implant
  • Osseointegration
  • Parathyroid hormone

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