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Table 2 Characteristics of the included studies

From: Stem cell-based therapy in periodontal regeneration: a systematic review and meta-analysis of clinical studies

Author and year

Type

Cell type

Case number(TEST/CTRL)

Age

Clinical intervention

Follow-up period

Primary outcome

Test

Control

Apatzidou 2021

RCT

Autologous alveolar bone marrow mesenchymal stem cells  (aABMMSCs)

19 patients(9/10)

20–68

 A biocomplex comprising aABMMSCs, prepared under clinical-grade, current Good Manufacturing Practice(cGMP) conditions suspended into autologous fibrin/platelet lysate (aFPL), and loaded into a collagen fleece was transplanted into the osseous defect.

Collagen fleece enriched with aFPL devoid of stem cells filled the osseous defect or the defects were treated by the Minimal Access Flap

12 months

CAL; PPD; REC; CEJ-BD; BC-BD; WD.

Sánchez 2020

RCT

Autologous periodontal ligament-derived mesenchymal stem cells (aPDLSCs)

20 patients(9/10)a

25–70

The experimental treatment consisted of 1 × 107 aPDLSCs incubated for 1 h (37ºC, 5% CO2 and 95% humidity) in 100 mg of a xenogeneic bone substitute.

The control treatment comprised the use of the same xenogeneic bone substitute seeded in 200 μm of physiological saline solution.

12 months

FMPI; CAL; PPD; REC.

Abdal-Wahab 2020

RCT

Autologous gingival fibroblasts and their associated mesenchymal stem cells (aGF-GSCs)

20 patients(10/10)

32–50

Ten intrabony periodontal defects received their cultured aGF-GSCs on a beta-tricalcium phosphate scaffold (β- TCP) followed non-perforated collagen membrane coverage

Ten intrabony periodontal defects received β-TCP followed by non-perforated collagen membrane.

6 months

CAL; VPD(PPD); RBG.

Ferrarotti 2018

RCT

Autologous dental pulp stem cells (aDPSCs)

29 patient(15/14)

39–69

The obtained micro-grafts enriched in aDPSCs were endorsed onto a collagen sponge scaffold. The collagen sponge was provided to the masked surgeon who filled the intrabony defect. The flaps were repositioned and tension-free primary flap closure was obtained using horizontal internal mattress and interrupted sutures

The collagen sponge was provided to the masked surgeon who filled the intrabony defect. The flaps were repositioned and tension-free primary flap closure was obtained using horizontal internal mattress and interrupted sutures

12 months

FMPS; FMBS; PPD; CAL; REC; IBD(BC-BD).

Chen 2016

RCT

Autologous periodontal ligament-derived mesenchymal stem cells (aABMMSCs)

30patients, 41 teeth (20/21)

18–65

 A standard initial preparation, including oral hygiene instruction, full-mouth scaling, and root planning before surgical treatment. Bio-oss®/cell sheets were administered only to the bony defect region

A standard initial preparation, including oral hygiene instruction, full-mouth scaling, and root planning before surgical treatment. Bio-oss® only were administered only to the bony defect region.

12 months

BDP(CEJ-BD); CAL; PD; GR(REC).

  1. CAL: clinical attachment levels; PPD: probing pocket depth; REC: recession of the gingival margin; CEJ-BD: linear distance from cementoenamel junction to bottom of defect; BC-BD: linear distance from bone crest to bottom of defect; WD: width of defect; FMPI: full-mouth plaque index; VPD: vertical pocket depth; RBG: Radiographic bone gain; FMPS: full-mouth plaque score; FMBS: full-mouth bleeding score; IBD: intrabony defect depth; BDP: the distance from the deepest part of the defect to the cementoenamel junction of the tooth; GR: gingival recession; aOne patient in the TEST group was lost to follow-up after 6 months.