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The potential use of hydroxyapatite from sea coral as a bone substitute: a systematic review

  • Indra Wahyudi (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hasanuddin University) ;
  • Andi Tajrin (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hasanuddin University) ;
  • Husni Mubarak (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hasanuddin University)
  • 투고 : 2025.02.03
  • 심사 : 2025.09.29
  • 발행 : 2025.10.20

초록

Background: Bone defects can result from trauma, neoplasms, infections, or congenital anomalies. A common strategy for managing these defects is bone grafting, which must meet three essential biological requirements: osteoconductivity, osteogenicity, and osteoinductivity. Bone graft materials may be sourced from either natural or synthetic origins. Among natural materials, hydroxyapatite derived from marine coral has attracted attention as a bioceramic due to its compositional similarity to the mineral phase of human bone. Methods: Coral-derived hydroxyapatite primarily serves as an osteoconductive scaffold, supporting the attachment, proliferation, and differentiation of stem cells and osteoblasts. This process facilitates bone regeneration and the formation of new bone tissue. Additionally, coral hydroxyapatite may contribute to osteoinduction by stimulating local stem cells and osteoblasts, thus promoting osteogenesis and enhancing bone healing. Results: Owing to these properties, coral hydroxyapatite is considered a promising material for encouraging bone regeneration in defect sites. Conclusion: Hydroxyapatite obtained from marine coral represents a viable and effective bone graft substitute for reconstructing bone defects.

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참고문헌

  1. Titsinides S, Agrogiannis G, Karatzas T. Bone grafting materials in dentoalveolar reconstruction: a comprehensive review. Jpn Dent Sci Rev 2019;55:26-32. https://doi.org/10.1016/j.jdsr.2018.09.003
  2. Hurley CM, McConn Walsh R, Shine NP, O'Neill JP, Martin F, O'Sullivan JB, et al. Current trends in craniofacial reconstruction. Surgeon 2023;21:e118-25. https://doi.org/10.1016/j.surge.2022.04.004
  3. Farina R, Trombelli L. Wound healing of extraction sockets. Endodontic Topics 2013;25:16-43. https://doi.org/10.1111/etp.2012.25.issue-1
  4. Ferraz MP. Bone grafts in dental medicine: an overview of autografts, allografts and synthetic materials. Materials (Basel) 2023;16:4117. https://doi.org/10.3390/ma16114117
  5. Zhao R, Yang R, Cooper PR, Khurshid Z, Shavandi A, Ratnayake J, et al. Bone grafts and substitutes in dentistry: a review of current trends and developments. Molecules 2021;26:3007. https://doi.org/10.3390/molecules26103007
  6. Kumar VM, Govind GK, Siva B, Marish P, Ashwin S, Kiran M. Corals as bone substitutes. J Int Oral Health 2016;8:96-102. https://doi.org/10.4103/0976-7428.199492
  7. Sheehy EJ, Lemoine M, Clarke D, Gonzalez Vazquez A, O'Brien FJ. The incorporation of marine coral microparticles into collagen-based scaffolds promotes osteogenesis of human mesenchymal stromal cells via calcium ion signalling. Mar Drugs 2020;18:74. https://doi.org/10.3390/md18020074
  8. Siswanto, Hikmawati D, Benecdita N, Nurmala S. Synthesis of hydroxyapatite based on nano coral using precipitation method for bone substitution. J Phys Conf Ser 2020;1445:012015. https://doi.org/10.1088/1742-6596/1445/1/012015
  9. Selcuk AA. A guide for systematic reviews: PRISMA. Turk Arch Otorhinolaryngol 2019;57:57-8. https://doi.org/10.5152/tao.
  10. Eriksen MB, Frandsen TF. The impact of patient, intervention, comparison, outcome (PICO) as a search strategy tool on literature search quality: a systematic review. J Med Libr Assoc 2018;106:420-31.
  11. Nandi SK, Kundu B, Mukherjee J, Mahato A, Datta S, Balla VK, et al. Converted marine coral hydroxyapatite implants with growth factors: in vivo bone regeneration. Mater Sci Eng C Mater Biol Appl 2015;49:816-23. https://doi.org/10.1016/j.msec.2015.01.078
  12. Karacan I, Cox N, Dowd A, Vago R, Milthorpe B, Cazalbou S, et al. The synthesis of hydroxyapatite from artificially grown Red Sea hydrozoan coral for antimicrobacterial drug delivery system applications. J Aust Ceram Soc 2021;57:399-407. https://doi.org/10.1007/s41779-020-00554-1
  13. Mohan N, Palangadan R, Fernandez FB, Varma H. Preparation of hydroxyapatite porous scaffold from a 'coral-like' synthetic inorganic precursor for use as a bone substitute and a drug delivery vehicle. Mater Sci Eng C Mater Biol Appl 2018;92:329-37. https://doi.org/10.1016/j.msec.2018.06.064
  14. Fendi F, Abdullah B, Suryani S, Raya I, Tahir D, Iswahyudi I. Hydroxyapatite based for bone tissue engineering: innovation and new insights in 3D printing technology. Polym Bull 2024;81:1097-116. https://doi.org/10.1007/s00289-023-04794-6
  15. Munoz-Sanchez ER, Arrieta-Gonzalez CD, Quinto-Hernandez A, Garcia-Hernandez E, Porcayo-Calderon J. Synthesis of hydroxyapatite from eggshell and its electrochemical characterization as a coating on titanium. Int J Electrochem Sci 2023;18:100204.
  16. Urban IA, Montero E, Monje A, Sanz-Sanchez I. Effectiveness of vertical ridge augmentation interventions: a systematic review and meta-analysis. J Clin Periodontol 2019;46 Suppl 21:319-39. https://doi.org/10.1111/jcpe.2019.46.issue-S21
  17. Mauffrey C, Barlow BT, Smith W. Management of segmental bone defects. J Am Acad Orthop Surg 2015;23:143-53.
  18. Pawar S, Somwanshi P. Classification of maxillofacial defects: a review article. Int J Adv Res 2022;10:361-7. https://doi.org/10.21474/IJAR01
  19. Gillman CE, Jayasuriya AC. FDA-approved bone grafts and bone graft substitute devices in bone regeneration. Mater Sci Eng C Mater Biol Appl 2021;130:112466. https://doi.org/10.1016/j.msec.2021.112466
  20. Badriana MR, Avrionesti, Surya MY, Abdurrahman U, Pratyaksa IF, Hidayatullah AI, et al. Potential coral implementation area for Indonesia Coral Reef Garden in Nusa Dua, Bali. IOP Conf Ser Earth Environ Sci 2021;925:012024. https://doi.org/10.1088/1755-1315/925/1/012024
  21. Firdaus Hussin MS, Abdullah HZ, Idris MI, Abdul Wahap MA. Extraction of natural hydroxyapatite for biomedical applications: a review. Heliyon 2022;8:e10356. https://doi.org/10.1016/j.heliyon.2022.e10356
  22. Ratnasari A, Sofiyaningsih N, Nizar MS, Hernawan H. Synthesis of E-TCP by wet precipitation method from natural lime. Indones J Ind Res 2020;29:101-8. https://doi.org/10.32537/jkgi.v29i2