Review Article

Regenerative Potential of Granulation Tissue in Periodontitis: A Systematic Review and Meta-analysis

Table 1

Summary of demographics and study design from studies included in quantitative analysis.

Author, year of publication, and countryStudy designDefinition of periodontitisAges (: periodontitis, : controls), periodontitis/controlsSample collection siteBiomarkers measured

Pall et al., 2015, RomaniaCase-controlNot mentioned
1/1Granulation tissue: removed from the deepest part of surgical area (pocket reduction surgical approach, modified flap operation); healthy control: palatal tissue sample (premolar site), collected during mucogingival surgery (connective tissue graft plus coronally advanced flap)CD34, CD45, CD49f, CD73, CD90, CD44, CD105, HLA-DR
Roman et al., 2016, RomaniaCase-controlNot mentioned
1/1Granulation tissue: removed from the deepest part of surgical area (pocket reduction surgical approach, modified flap operation); healthy control: connective tissue collected during a reentry surgery from the palatal premolar region that was already used as a donor site 6 months beforeCD34, CD45, CD49f, CD73, CD90, CD44, CD105, HLA-DR, CD79α
Hung et al., 2012, ChinaCase seriesAngular bony defects; chronic periodontitis according to 1999 AAP classification15/0Two- or three-walled intrabony defectsSTRO-1, CD146, CD90, CD44
Adam et al., 2019, GermanyCase seriesResidual periodontal defect exhibiting a pocket probing  mm, bleeding on probing, and a radiographically evident intrabony component of ≥3 mm4/0The bottom of the intrabony periodontal defectCD73, CD90, CD105, CD146, STRO-1, SSEA-4, CD34, CD45
Liu et al., 2012, ChinaCase-controlDiagnosed based on marked alveolar bone loss (2/3) and deep probing depth ( mm in more than one site)-40
-45
8/5Granulation tissue: extracted from tooth surface; healthy control: root apical papilla was gently separated from the surface of the rootCD90, CD146, STRO-1, OCT-4, SSEA-4
Adam et al., 2020, GermanyCase seriesResidual periodontal defect exhibiting a probing pocket  mm, bleeding on probing, and a radiographically evident intrabony  mm5/0The bottom of the intrabony periodontal defectSSEA4, NANOG, SOX2, OCT4, CD90, CD73, CD105, CD146, STRO-1, CD34, CD45

Abbreviation: AAP: American Academy of Periodontology. -40, -45, study did not mention exact value but only provided the range of ages.