PMID- 34683712 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20211026 IS - 1996-1944 (Print) IS - 1996-1944 (Electronic) IS - 1996-1944 (Linking) VI - 14 IP - 20 DP - 2021 Oct 15 TI - Synthetic Material for Bone, Periodontal, and Dental Tissue Regeneration: Where Are We Now, and Where Are We Heading Next? LID - 10.3390/ma14206123 [doi] LID - 6123 AB - Alloplasts are synthetic, inorganic, biocompatible bone substitutes that function as defect fillers to repair skeletal defects. The acceptance of these substitutes by host tissues is determined by the pore diameter and the porosity and inter-connectivity. This narrative review appraises recent developments, characterization, and biological performance of different synthetic materials for bone, periodontal, and dental tissue regeneration. They include calcium phosphate cements and their variants beta-tricalcium phosphate (beta-TCP) ceramics and biphasic calcium phosphates (hydroxyapatite (HA) and beta-TCP ceramics), calcium sulfate, bioactive glasses and polymer-based bone substitutes which include variants of polycaprolactone. In summary, the search for synthetic bone substitutes remains elusive with calcium compounds providing the best synthetic substitute. The combination of calcium sulphate and beta-TCP provides improved handling of the materials, dispensing with the need for a traditional membrane in guided bone regeneration. Evidence is supportive of improved angiogenesis at the recipient sites. One such product, (EthOss((R)) Regeneration, Silesden, UK) has won numerous awards internationally as a commercial success. Bioglasses and polymers, which have been used as medical devices, are still in the experimental stage for dental application. Polycaprolactone-TCP, one of the products in this category is currently undergoing further randomized clinical trials as a 3D socket preservation filler. These aforementioned products may have vast potential for substituting human/animal-based bone grafts. FAU - Cheah, Chia Wei AU - Cheah CW AUID- ORCID: 0000-0002-5795-4249 AD - Faculty of Dentistry, University of Malaya, Kuala Lumpur 50603, Malaysia. FAU - Al-Namnam, Nisreen Mohammed AU - Al-Namnam NM AUID- ORCID: 0000-0003-1832-8496 AD - School of Dental Sciences, Faculty of Medical Sciences, Newcastle University, Framlington Place, Newcastle upon Tyne NE2 4BW, UK. FAU - Lau, May Nak AU - Lau MN AUID- ORCID: 0000-0001-5896-2753 AD - Faculty of Dentistry, University of Malaya, Kuala Lumpur 50603, Malaysia. FAU - Lim, Ghee Seong AU - Lim GS AUID- ORCID: 0000-0003-2236-1555 AD - Faculty of Dentistry, University of Malaya, Kuala Lumpur 50603, Malaysia. FAU - Raman, Renukanth AU - Raman R AD - Oral Health Division, Ministry of Health Malaysia, Putrajaya 62590, Malaysia. FAU - Fairbairn, Peter AU - Fairbairn P AD - Department of Periodontology and Implant Dentistry, School of Dentistry, University of Detroit Mercy, 2700 Martin Luther King, Jr. Boulevard, Detroit, MI 48208, USA. FAU - Ngeow, Wei Cheong AU - Ngeow WC AUID- ORCID: 0000-0003-4354-3518 AD - Faculty of Dentistry, University of Malaya, Kuala Lumpur 50603, Malaysia. LA - eng PT - Journal Article PT - Review DEP - 20211015 PL - Switzerland TA - Materials (Basel) JT - Materials (Basel, Switzerland) JID - 101555929 PMC - PMC8537464 OTO - NOTNLM OT - bioglass OT - bone substitute OT - hydroxyapatite OT - polymers OT - synthetic COIS- All authors declare no conflicts of interest. EDAT- 2021/10/24 06:00 MHDA- 2021/10/24 06:01 PMCR- 2021/10/15 CRDT- 2021/10/23 01:16 PHST- 2021/08/25 00:00 [received] PHST- 2021/09/28 00:00 [revised] PHST- 2021/10/11 00:00 [accepted] PHST- 2021/10/23 01:16 [entrez] PHST- 2021/10/24 06:00 [pubmed] PHST- 2021/10/24 06:01 [medline] PHST- 2021/10/15 00:00 [pmc-release] AID - ma14206123 [pii] AID - materials-14-06123 [pii] AID - 10.3390/ma14206123 [doi] PST - epublish SO - Materials (Basel). 2021 Oct 15;14(20):6123. doi: 10.3390/ma14206123.