Bone Augmentation of Atrophic Alveolar Ridges Using a Synthetic Bone Substitute With Mesenchymal Stem Cells: A Randomized, Controlled Clinical Trial

This manuscript presents the regenerative outcomes of a multicenter phase 2 randomized clinical trial funded by the European Union throughthe H2020 project titled “Personalised Maxillofacial Bone Regeneration, the Maxibone Project” (Grant Agreement ID: 779322; H2020- SC1-2017- Single-Stage-RTD) with...

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Autores: Sanz, Mariano, Gjerde, Cecilie Gudveig, Gjertsen, Bjørn T, Ortiz-Vigón, Alberto, SANCHEZ PEREZ, NEREA, HOORNAERT, ALAIN, Caballé-Serrano, Jordi, Giralt Hernando, Maria, Gaultier, Frederick, Reinald, Nicoleta, Pinholt, Else M., Rojewski, Markus, Rouard, Helen, Chevallier, Nathalie, Mohamed-Ahmed, Samih, Shi, Xieqi, Shi, Tie-Jun, Schrezenmeier, Hubert, Layrolle, Pierre, Mustafa, Kamal
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:20.500.12328/5130
Acceso en línea:http://hdl.handle.net/20.500.12328/5130
https://dx.doi.org/10.1111/clr.70025
Access Level:acceso abierto
Palabra clave:Alveolar ridge augmentation
Bone regeneration
Cell therapy
Mesenchymal cells dental implants
Aumento de la cresta alveolar
Regeneración ósea
Terapia celular
Células mesenquimales
Implantes dentales
Augment de la cresta alveolar
Regeneració òssia
Teràpia cel·lular
cèl·lules mesenquimàtiques
Implants dentals
616.3
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spelling Bone Augmentation of Atrophic Alveolar Ridges Using a Synthetic Bone Substitute With Mesenchymal Stem Cells: A Randomized, Controlled Clinical TrialSanz, MarianoGjerde, Cecilie GudveigGjertsen, Bjørn TOrtiz-Vigón, AlbertoSANCHEZ PEREZ, NEREAHOORNAERT, ALAINCaballé-Serrano, JordiGiralt Hernando, MariaGaultier, FrederickReinald, NicoletaPinholt, Else M.Rojewski, MarkusRouard, HelenChevallier, NathalieMohamed-Ahmed, SamihShi, XieqiShi, Tie-JunSchrezenmeier, HubertLayrolle, PierreMustafa, KamalAlveolar ridge augmentationBone regenerationCell therapyMesenchymal cells dental implantsAumento de la cresta alveolarRegeneración óseaTerapia celularCélulas mesenquimalesImplantes dentalesAugment de la cresta alveolarRegeneració òssiaTeràpia cel·lularcèl·lules mesenquimàtiquesImplants dentals616.3This manuscript presents the regenerative outcomes of a multicenter phase 2 randomized clinical trial funded by the European Union throughthe H2020 project titled “Personalised Maxillofacial Bone Regeneration, the Maxibone Project” (Grant Agreement ID: 779322; H2020- SC1-2017- Single-Stage-RTD) with EudraCT number 2018- 001227-39Objectives: To assess the efficacy and safety of a cell-based therapy for 3D bone augmentation of severe alveolar bone defectsprior to dental implant placement.Materials and Methods: A Phase 2 randomized controlled clinical trial evaluated the safety and efficacy of a cell therapy usingexpanded autologous iliac crest-derived mesenchymal cells seeded on a synthetic bioabsorbable bone substitute covered with anon-resorbable membrane. The control group received an autogenous bone block graft. After 5 months, CBCT scans were com-pared to measure the bone volume changes achieved after the regenerative surgery. Subsequently, dental implants were placedin the regenerated areas.Results: A total of 48 patients were included and randomized (36 patients in the test group and 12 in the control group). However,seven patients did not reach the minimum required number of expanded MSCs and were therefore unable to be treated. Thetested intervention demonstrated significantly greater gains in bone volume, with a mean difference of 480.01 mm 3 (p = 0.032).Similarly, the mean change in bone crest volume from baseline to 5 months was notably higher in the test group (1066.91 mm 3) compared to the control group (586.9 mm 3). Adverse reactions and patient morbidity were minor in both groups. Implants wereplaced on the regenerated bone, and all were integrated successfully in both groups.Conclusions: The cell-based therapy resulted in significant changes in bone volume compared to the control treatment, ena-bling dental implants in all patients. The procedure was associated with minimal adverse effects and patient morbidity.Trial Registration: ClinicalTrials.gov: NCT03373052, NCT04297813info:eu-repo/semantics/publishedVersionWiley2025info:eu-repo/semantics/article17http://hdl.handle.net/20.500.12328/5130https://dx.doi.org/10.1111/clr.70025reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésClinical Oral Implants Research779322/European Union© 2025 The Author(s). Clinical Oral Implants Research published by John Wiley & Sons Ltd.https://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:20.500.12328/51302026-05-29T05:05:01Z
dc.title.none.fl_str_mv Bone Augmentation of Atrophic Alveolar Ridges Using a Synthetic Bone Substitute With Mesenchymal Stem Cells: A Randomized, Controlled Clinical Trial
title Bone Augmentation of Atrophic Alveolar Ridges Using a Synthetic Bone Substitute With Mesenchymal Stem Cells: A Randomized, Controlled Clinical Trial
spellingShingle Bone Augmentation of Atrophic Alveolar Ridges Using a Synthetic Bone Substitute With Mesenchymal Stem Cells: A Randomized, Controlled Clinical Trial
Sanz, Mariano
Alveolar ridge augmentation
Bone regeneration
Cell therapy
Mesenchymal cells dental implants
Aumento de la cresta alveolar
Regeneración ósea
Terapia celular
Células mesenquimales
Implantes dentales
Augment de la cresta alveolar
Regeneració òssia
Teràpia cel·lular
cèl·lules mesenquimàtiques
Implants dentals
616.3
title_short Bone Augmentation of Atrophic Alveolar Ridges Using a Synthetic Bone Substitute With Mesenchymal Stem Cells: A Randomized, Controlled Clinical Trial
title_full Bone Augmentation of Atrophic Alveolar Ridges Using a Synthetic Bone Substitute With Mesenchymal Stem Cells: A Randomized, Controlled Clinical Trial
title_fullStr Bone Augmentation of Atrophic Alveolar Ridges Using a Synthetic Bone Substitute With Mesenchymal Stem Cells: A Randomized, Controlled Clinical Trial
title_full_unstemmed Bone Augmentation of Atrophic Alveolar Ridges Using a Synthetic Bone Substitute With Mesenchymal Stem Cells: A Randomized, Controlled Clinical Trial
title_sort Bone Augmentation of Atrophic Alveolar Ridges Using a Synthetic Bone Substitute With Mesenchymal Stem Cells: A Randomized, Controlled Clinical Trial
dc.creator.none.fl_str_mv Sanz, Mariano
Gjerde, Cecilie Gudveig
Gjertsen, Bjørn T
Ortiz-Vigón, Alberto
SANCHEZ PEREZ, NEREA
HOORNAERT, ALAIN
Caballé-Serrano, Jordi
Giralt Hernando, Maria
Gaultier, Frederick
Reinald, Nicoleta
Pinholt, Else M.
Rojewski, Markus
Rouard, Helen
Chevallier, Nathalie
Mohamed-Ahmed, Samih
Shi, Xieqi
Shi, Tie-Jun
Schrezenmeier, Hubert
Layrolle, Pierre
Mustafa, Kamal
author Sanz, Mariano
author_facet Sanz, Mariano
Gjerde, Cecilie Gudveig
Gjertsen, Bjørn T
Ortiz-Vigón, Alberto
SANCHEZ PEREZ, NEREA
HOORNAERT, ALAIN
Caballé-Serrano, Jordi
Giralt Hernando, Maria
Gaultier, Frederick
Reinald, Nicoleta
Pinholt, Else M.
Rojewski, Markus
Rouard, Helen
Chevallier, Nathalie
Mohamed-Ahmed, Samih
Shi, Xieqi
Shi, Tie-Jun
Schrezenmeier, Hubert
Layrolle, Pierre
Mustafa, Kamal
author_role author
author2 Gjerde, Cecilie Gudveig
Gjertsen, Bjørn T
Ortiz-Vigón, Alberto
SANCHEZ PEREZ, NEREA
HOORNAERT, ALAIN
Caballé-Serrano, Jordi
Giralt Hernando, Maria
Gaultier, Frederick
Reinald, Nicoleta
Pinholt, Else M.
Rojewski, Markus
Rouard, Helen
Chevallier, Nathalie
Mohamed-Ahmed, Samih
Shi, Xieqi
Shi, Tie-Jun
Schrezenmeier, Hubert
Layrolle, Pierre
Mustafa, Kamal
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Alveolar ridge augmentation
Bone regeneration
Cell therapy
Mesenchymal cells dental implants
Aumento de la cresta alveolar
Regeneración ósea
Terapia celular
Células mesenquimales
Implantes dentales
Augment de la cresta alveolar
Regeneració òssia
Teràpia cel·lular
cèl·lules mesenquimàtiques
Implants dentals
616.3
topic Alveolar ridge augmentation
Bone regeneration
Cell therapy
Mesenchymal cells dental implants
Aumento de la cresta alveolar
Regeneración ósea
Terapia celular
Células mesenquimales
Implantes dentales
Augment de la cresta alveolar
Regeneració òssia
Teràpia cel·lular
cèl·lules mesenquimàtiques
Implants dentals
616.3
description This manuscript presents the regenerative outcomes of a multicenter phase 2 randomized clinical trial funded by the European Union throughthe H2020 project titled “Personalised Maxillofacial Bone Regeneration, the Maxibone Project” (Grant Agreement ID: 779322; H2020- SC1-2017- Single-Stage-RTD) with EudraCT number 2018- 001227-39
publishDate 2025
dc.date.none.fl_str_mv 2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.12328/5130
https://dx.doi.org/10.1111/clr.70025
url http://hdl.handle.net/20.500.12328/5130
https://dx.doi.org/10.1111/clr.70025
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Clinical Oral Implants Research
779322/European Union
dc.rights.none.fl_str_mv © 2025 The Author(s). Clinical Oral Implants Research published by John Wiley & Sons Ltd.
https://creativecommons.org/licenses/by-nc/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv © 2025 The Author(s). Clinical Oral Implants Research published by John Wiley & Sons Ltd.
https://creativecommons.org/licenses/by-nc/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 17
dc.publisher.none.fl_str_mv Wiley
publisher.none.fl_str_mv Wiley
dc.source.none.fl_str_mv reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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