The effects of different regenerative technologies and materials on wound healing after surgical endodontic therapy: A meta-analysis

source extracted confidence: high 2026-04-09
#humans #animals #cattle #wound-healing #collagen

The effects of different regenerative technologies and materials on wound healing after surgical endodontic therapy: A meta-analysis

Wang et al., 2023 | Int Wound J | Meta Analysis

Citation

Wang Ge, Yuan Fang, ... Xu Jie. The effects of different regenerative technologies and materials on wound healing after surgical endodontic therapy: A meta-analysis. Int Wound J. 2023-Dec;20(10):4340-4348. doi:10.1111/iwj.14293

Abstract

A meta-analysis was performed to assess the effects of different regenerative technologies and materials on wound healing after surgical endodontic therapy and provide a reference for surgical endodontic treatment. We searched for studies on the use of regenerative technologies and materials in surgical endodontic therapy via PubMed, MEDLINE, EMBASE, Web of Science, China National Knowledge Infrastructure (CNKI), and Wanfang Data from the time of database creation to December 2022. Two researchers independently screened the literature, extracted information based on the inclusion and exclusion criteria, and evaluated the quality of the included studies. A meta-analysis was performed using Review Manager 5.4. The results showed that the use of regenerative technologies and materials significantly reduced wound healing failures (risk ratio [RR]: 0.30, 95% confidence intervals [CI]: 0.22-0.40, p < 0.001). Moreover, autologous platelet concentrations (APCs) (RR: 0.28, 95% CI: 0.15-0.53, p < 0.001) and collagen membrane plus bovine-derived hydroxyapatite (RR: 0.27, 95% CI. 0.12-0.61, p = 0.002) were more effective in improving wound healing failure rates than collagen membrane alone (RR: 0.51, 95% CI: 0.20-1.25, p = 0.140). Our findings showed that APCs, as well as collagen membrane plus bovine-derived hydroxyapatite, significantly improved wound healing after surgical endodontic therapy. In contrast, collagen membrane alone did not significantly improve wound healing outcomes. However, currently available studies vary significantly in sample size and methodologies. Hence, high-quality randomised controlled studies with large sample sizes are necessary to validate our findings.

Key Findings

Hence, high-quality randomised controlled studies with large sample sizes are necessary to validate our findings.

Outcomes Measured

  • Requires manual extraction

Population

Field Value
Population See abstract
Sample Size See abstract
Age Range See abstract
Condition See abstract

MeSH Terms

  • Humans
  • Animals
  • Cattle
  • Wound Healing
  • Collagen
  • Hydroxyapatites
  • China

Evidence Classification

  • Level: Meta Analysis
  • Publication Types: Meta-Analysis, Journal Article, Review, Retracted Publication
  • Vertical: collagen

Provenance

Source extracted via PubMed E-utilities API on 2026-04-09