Systematic Reviews
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Mar 26, 2022; 10(9): 2801-2810
Published online Mar 26, 2022. doi: 10.12998/wjcc.v10.i9.2801
Efficacy of bone grafts in jaw cystic lesions: A systematic review
Jin Wang, Qiu-Yun Yao, Hui-Yong Zhu
Jin Wang, Qiu-Yun Yao, Hui-Yong Zhu, Department of Oral and Maxillofacial Surgery, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, Zhejiang Province, China
Author contributions: Wang J and Zhu HY designed the research; Wang J and Yao QY performed the literature research and data analysis; Wang J performed the drafting of paper; Zhu HY made the final approval; all authors have read and approved the final manuscript.
Conflict-of-interest statement: All the authors declare that they have no competing interests.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hui-Yong Zhu, MD, PhD, Professor, Department of Oral and Maxillofacial Surgery, First Affiliated Hospital, College of Medicine, Zhejiang University, No. 79 Qingchun Road, Hangzhou 310003, Zhejiang Province, China. zhuhuiyong@zju.edu.cn
Received: September 22, 2021
Peer-review started: September 22, 2021
First decision: December 10, 2021
Revised: December 23, 2021
Accepted: February 15, 2022
Article in press: February 15, 2022
Published online: March 26, 2022
Processing time: 180 Days and 23.8 Hours
ARTICLE HIGHLIGHTS
Research background

Bone grafts have been widely applied in orthopedic surgery, but their efficacy in relation to bone regeneration in jaw cystic lesions remains unclear.

Research motivation

To identify whether bone grafts are beneficial for bone regeneration in jaw cystic lesions and when bone grafts should be used.

Research objectives

To study the level of bone regeneration after bone grafting compared to spontaneous healing in the treatment of jaw cystic lesions.

Research methods

A literature search was performed in Medline, Cochrane Library and Embase to identify related articles published in English in the last ten years. Articles without assessment of bone regeneration or uniform follow-up time were excluded. Case reports, clinical trials, clinical studies, observational studies and randomized controlled trials were included.

Research results

Ten studies were included. Over 90% of bone regeneration occurred within 6 mo after bone grafting. The bone regeneration rate after cystectomy ranged from 50% to 100% after 6 mo, but reached over 90% after 12 mo.

Research conclusions

Bone grafts accelerate the process of healing and significantly increase bone quality, but the long-term superiority of bone grafting compared with spontaneous healing after cystectomy is unclear.

Research perspectives

There is a need for future studies with better assessment methods, variable control and strict randomized design, as well as longer follow-up time.