A Systematic Review on the Transformation of Bone Waste into Valuable Dental Biomaterials
DOI:
https://doi.org/10.60084/mp.v4i1.385Keywords:
Hydroxyapatite , Maxillofacial, Dentistry, Sustainable biomaterials, Bone wasteAbstract
Bone waste is a sustainable, calcium-rich resource for the production of hydroxyapatite (HA), a biomaterial widely used in dental and bone tissue engineering. This systematic review evaluates recent advances in the extraction, transformation, and biological performance of HA derived from bone waste. A total of 20 records were initially identified, of which 11 full-text articles met the eligibility criteria and were included in the qualitative synthesis. The reviewed studies demonstrate that bone waste can be effectively converted into HA through several routes, including thermal-based extraction (calcination, annealing, and sintering at 600–1000°C), alkaline hydrolysis, and hydrothermal or microwave-assisted methods, enabling the production of micro- and nano-sized HA with high purity. Post-extraction functionalization, such as ion doping (Mg²⁺, Na⁺, Co²⁺), drug loading, and composite formation, further enhances osteogenic, antimicrobial, and mechanical properties. Physicochemical characterization using XRD and FTIR consistently confirmed the formation of non-stoichiometric, ion-substituted HA with Ca/P ratios ranging from 1.6 to 1.9, closely resembling biogenic apatite. The presence of multiscale porosity (25–65%) and nano-scale features promotes protein adsorption, ion exchange, and cellular interactions. In vitro studies confirmed cytocompatibility, while ALP activity and mineralization assays demonstrated strong osteogenic potential. Overall, bone waste–derived HA offers biomimetic, functional, and environmentally sustainable alternatives for dental and maxillofacial applications.
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References
- Macavei, M. G., Gheorghe, V.-C., Ionescu, G., Volceanov, A., Pătrașcu, R., Mărculescu, C., and Magdziarz, A. (2024). Thermochemical Conversion of Animal-Derived Waste: A Mini-Review with a Focus on Chicken Bone Waste, Processes, 358. doi:10.3390/pr12020358.
- Álvarez-Castillo, E., Guerrero, P., de la Caba, K., Bengoechea, C., and Guerrero, A. (2023). Biorefinery Concept in the Meat Industry: From Slaughterhouse Biowastes to Superaborbent Materials, Chemical Engineering Journal, Vol. 471, 144564. doi:10.1016/j.cej.2023.144564.
- Rigueto, C. V. T., Rosseto, M., Alessandretti, I., de Oliveira, R., Wohlmuth, D. A. R., Ferreira Menezes, J., Loss, R. A., Dettmer, A., and Pizzutti, I. R. (2022). Gelatin Films from Wastes: A Review of Production, Characterization, and Application Trends in Food Preservation and Agriculture, Food Research International, Vol. 162, 112114. doi:10.1016/j.foodres.2022.112114.
- Mozhiarasi, V., and Natarajan, T. S. (2025). Slaughterhouse and Poultry Wastes: Management Practices, Feedstocks for Renewable Energy Production, and Recovery of Value Added Products, Biomass Conversion and Biorefinery, Vol. 15, No. 2, 1705–1728. doi:10.1007/s13399-022-02352-0.
- Ashilenje, D., Ashour, F., Barz, M., Belandria, V., Borello, A., Bostyn, S., Boushaki, T., Branciari, R., Bwapwa, J. K., Cerza, E., Dell’Orto, A., Bari, H. El, Govender, M., Habchi, S., Karouach, F., Khashaba, N. H., Kouisni, L., Marconi, O., Marrocchi, A., Saber, M., Sarh, B., Trois, C., Willenbacher, M., and Wohlgemuth, V. (2026). A Literature Review of Slaughterhouse Waste Valorisation: Techniques, Environmental, and Economic Implications, Resources, Conservation and Recycling, Vol. 224, 108571. doi:10.1016/j.resconrec.2025.108571.
- State, R. N., Ionescu, G., Volceanov, A., Coman, A. E., Magdziarz, A., and Marculescu, C. (2025). Combined Valorization of Bone Waste as Feedstock and Support Material for Ex-Situ Catalytic Pyrolysis, Journal of Environmental Chemical Engineering, Vol. 13, No. 5, 119091. doi:10.1016/j.jece.2025.119091.
- Hart, A., Ebiundu, K., Peretomode, E., Onyeaka, H., Nwabor, O. F., and Obileke, K. (2022). Value-Added Materials Recovered from Waste Bone Biomass: Technologies and Applications, RSC Advances, Vol. 12, No. 34, 22302–22330. doi:10.1039/D2RA03557J.
- Hong, M.-H., Lee, J. H., Jung, H. S., Shin, H., and Shin, H. (2026). Biomineralization of Bone Tissue: Calcium Phosphate-Based Inorganics in Collagen Fibrillar Organic Matrices, Biomaterials Research, Vol. 26, No. 1, 42. doi:10.1186/s40824-022-00288-0.
- Zhu, X., Wang, C., Bai, H., Zhang, J., Wang, Z., Li, Z., Zhao, X., Wang, J., and Liu, H. (2023). Functionalization of Biomimetic Mineralized Collagen for Bone Tissue Engineering, Materials Today Bio, Vol. 20, 100660. doi:10.1016/j.mtbio.2023.100660.
- Gao, M., Wang, Z., Xiao, W., Miao, L., Yang, Z., Liang, W., Ao, T., and Chen, W. (2024). Capacitive Deionization toward Fluoride Elimination: Selective Advantage, State of the Art, and Future Perspectives, Desalination, Vol. 577, 117392. doi:10.1016/j.desal.2024.117392.
- Schwarcz, H. P., Binkley, D. M., Luo, L., and Grandfield, K. (2020). A Search for Apatite Crystals in the Gap Zone of Collagen Fibrils in Bone Using Dark-Field Illumination, Bone, Vol. 135, 115304. doi:10.1016/j.bone.2020.115304.
- Firdaus Hussin, M. S., Abdullah, H. Z., Idris, M. I., and Abdul Wahap, M. A. (2022). Extraction of Natural Hydroxyapatite for Biomedical Applications—A Review, Heliyon, Vol. 8, No. 8. doi:10.1016/j.heliyon.2022.e10356.
- Surya, P., Nithin, A., Sundaramanickam, A., and Sathish, M. (2021). Synthesis and Characterization of Nano-Hydroxyapatite from Sardinella Longiceps Fish Bone and Its Effects on Human Osteoblast Bone Cells, Journal of the Mechanical Behavior of Biomedical Materials, Vol. 119, 104501. doi:10.1016/j.jmbbm.2021.104501.
- Adji, D., Sutrisno, B., Prastiwi, A., Anggoro, D., and Wuryastuti, H. (2025). Sustainable Synthesis of Hydroxyapatite from Poultry Waste for Veterinary Applications: A Calcination Approach, Open Veterinary Journal, Vol. 15, No. 4, 1695–1701. doi:10.5455/OVJ.2025.v15.i4.21.
- Mlonka-Mędrala, A., Sobek, S., Wądrzyk, M., Werle, S., Ionescu, G., Mărculescu, C., and Magdziarz, A. (2025). Energy and Material Recovery from Bone Waste: Steam Gasification for Biochar and Syngas Production in a Circular Economy Framework, Energy, Vol. 325, 136179. doi:10.1016/j.energy.2025.136179.
- Guerra, M., Morgado, M., Leira, Y., Leitão, T., Botelho, J., and Mendes, J. J. (2025). Integrating Sustainability in Dentistry: A Pathway towards Achieving the UN 2030 Agenda, Frontiers in Oral Health, Vol. Volume 6-. doi:10.3389/froh.2025.1549020.
- Mulimani, P. (2017). Green Dentistry: The Art and Science of Sustainable Practice, British Dental Journal, Vol. 222, No. 12, 954–961. doi:10.1038/sj.bdj.2017.546.
- Di Spirito, F., Giordano, F., Di Palo, M. P., De Benedetto, G., Aulisio, L., and Boccia, G. (2025). Sustainable Dental and Periodontal Practice: A Narrative Review on the 4R-Framework—Reduce, Reuse, Rethink, Recycle—And Waste Management Rationalization, Dentistry Journal, 392. doi:10.3390/dj13090392.
- Vyas, J., Raytthatha, N., Singh, S., Prajapati, B. G., Mohite, P., and Munde, S. (2024). Sustainable Sources of Raw Materials as Substituting Biomaterials for Additive Manufacturing of Dental Implants: A Review, Periodontal and Implant Research, Vol. 8, No. 1, 3. doi:10.1007/s41894-024-00130-x.
- Gnanasekaran, R., Yuvaraj, D., Muthu, C. M. M., Ashwin, R., Kaarthikeyan, K., Kumar, V. V., Ramalingam, R. J., Al-Lohedan, H., and Reddy, K. (2024). Extraction and Characterization of Biocompatible Hydroxyapatite (Hap) from Red Big Eye Fish Bone: Potential for Biomedical Applications and Reducing Biowastes, Sustainable Chemistry for the Environment, Vol. 7, 100142. doi:10.1016/j.scenv.2024.100142.
- Ofudje, E. A., Rajendran, A., Adeogun, A. I., Idowu, M. A., Kareem, S. O., and Pattanayak, D. K. (2018). Synthesis of Organic Derived Hydroxyapatite Scaffold from Pig Bone Waste for Tissue Engineering Applications, Advanced Powder Technology, Vol. 29, No. 1, 1–8. doi:10.1016/j.apt.2017.09.008.
- Kumar, R., and Mohanty, S. (2022). Hydroxyapatite: A Versatile Bioceramic for Tissue Engineering Application, Journal of Inorganic and Organometallic Polymers and Materials, Vol. 32, No. 12, 4461–4477. doi:10.1007/s10904-022-02454-2.
- Dewi, N., Rahmah, R. A., Wardhana, A. S., Puspitasari, D., Wasiaturrahmah, Y., and Gustiono, D. (2024). Remineralizing Potential of Natural Hydroxyapatite from Snakehead (Channa Striata) Fish Bone on Remineralization of Primary Teeth Enamel: An In Vitro Study, European Journal of General Dentistry, Vol. 14, No. 1, 11–19. doi:10.1055/s-0044-1791706.
- Osuchukwu, O. A., Salihi, A., Abdullahi, I., and Obada, D. O. (2022). Taguchi Grey Relational Optimization of Sol–Gel Derived Hydroxyapatite from a Novel Mix of Two Natural Biowastes for Biomedical Applications, Scientific Reports, Vol. 12, No. 1, 17968. doi:10.1038/s41598-022-22888-5.
- Alsharif, S. A., Badran, M. I., Moustafa, M. H., Meshref, R. A., and Mohamed, E. I. (2023). Hydrothermal Extraction and Physicochemical Characterization of Biogenic Hydroxyapatite Nanoparticles from Buffalo Waste Bones for in Vivo Xenograft in Experimental Rats, Scientific Reports, Vol. 13, No. 1, 17490. doi:10.1038/s41598-023-43989-9.
- Bih, N. L., Mahamat, A. A., Chinweze, C., Ayeni, O., Bidossèssi, H. J., Onwualu, P. A., and Boakye, E. E. (2022). The Effect of Bone Ash on the Physio-Chemical and Mechanical Properties of Clay Ceramic Bricks, Buildings, 336. doi:10.3390/buildings12030336.
- Horta, M. K. dos S., Westin, C., Rocha, D. N. da, de Campos, J. B., Souza, R. F. M. de, Aguilar, M. S., and Moura, F. J. (2023). Hydroxyapatite from Biowaste for Biomedical Applications: Obtainment, Characterization and in Vitro Assays, Materials Research, Vol. 26. doi:10.1590/1980-5373-MR-2022-0466.
- Afriani, F., Siswoyo, Amelia, R., Hudatwi, M., Zaitun, and Tiandho, Y. (2020). Hydroxyapatite from Natural Sources: Methods and Its Characteristics, IOP Conference Series: Earth and Environmental Science, Vol. 599, No. 1, 12055. doi:10.1088/1755-1315/599/1/012055.
- Suresh, N., Sweety, V. K., Suresh, N., Suraj, A. R., Waltimo, T., and Anil, S. (2026). NATURAL Sources of Hydroxyapatite for Biomedical Applications, Ceramics International, Vol. 52, No. 2, 1383–1391. doi:10.1016/j.ceramint.2025.12.019.
- Usta, E. N., Demirkol, N., Turan, B. C., Gürbüz, M., Göller, G., Barbaro, K., Sagrafoli, D., Fosca, M., and Rau, J. V. (2025). Characterization of Eco-Friendly Fabricated and Induction-Sintered Hydroxyapatite-Based Hybrid Composites, Materials, 5359. doi:10.3390/ma18235359.
- Diansari, V., Idroes, R., Sunarso, S., and Fitriyani, S. (2025). Extraction and Characterization of Aceh Bovine Bone-Derived Hydroxyapatite for Applications in Dentistry., European Journal of Dentistry. doi:10.1055/s-0045-1802946.
- Irfa’i, M. A., Muryanto, S., Prihanto, A., Pusparizkita, Y. M., Ismail, R., Jamari, J., Bayuseno, A. P., and Show, P. L. (2024). Microwave-Assisted Hydrothermal Synthesis of Carbonated Apatite with Calcium and Phosphate Resources Derived from Green Mussel Shell and Bovine Bone Wastes, Environmental Advances, Vol. 17, 100582. doi:10.1016/j.envadv.2024.100582.
- Arab, S., Bahraminasab, M., Asgharzade, S., Doostmohammadi, A., Zadeh, Z. K., and Nooshabadi, V. T. (2024). On the Osteogenic Differentiation of Dental Pulp Stem Cells by a Fabricated Porous Nano-Hydroxyapatite Substrate Loaded with Sodium Fluoride, BMC Oral Health, Vol. 24, No. 1, 1218. doi:10.1186/s12903-024-04987-z.
- Athinarayanan, J., Periasamy, V. S., and Alshatwi, A. A. (2020). Simultaneous Fabrication of Carbon Nanodots and Hydroxyapatite Nanoparticles from Fish Scale for Biomedical Applications, Materials Science and Engineering: C, Vol. 117, 111313. doi:10.1016/j.msec.2020.111313.
- Pusparizkita, Y. M., Schmahl, W. W., Satria, G. D. A., Ismail, R., Jamari, J., and Bayuseno, A. P. (2026). Synthesizing Calcium Phosphate Powder from Bovine Bone Wastes Using Calcination and Hydrothermal Techniques to Evaluate Physicochemical Properties and Mineralogy Speciation, Sustainable Chemistry for Climate Action, Vol. 8, 100165. doi:10.1016/j.scca.2025.100165.
- Maleki-Ghaleh, H., Kamiński, B., Moradpur-Tari, E., Raza, S., Khanmohammadi, M., Zbonikowski, R., Shakeri, M. S., Siadati, M. H., Akbari-Fakhrabadi, A., and Paczesny, J. (2024). Visible Light-Sensitive Sustainable Quantum Dot Crystals of Co/Mg Doped Natural Hydroxyapatite Possessing Antimicrobial Activity and Biocompatibility, Small, Vol. 20, No. 52, 2405708. doi:10.1002/smll.202405708.
- Sharifianjazi, F., Esmaeilkhanian, A., Moradi, M., Pakseresht, A., Asl, M. S., Karimi-Maleh, H., Jang, H. W., Shokouhimehr, M., and Varma, R. S. (2021). Biocompatibility and Mechanical Properties of Pigeon Bone Waste Extracted Natural Nano-Hydroxyapatite for Bone Tissue Engineering, Materials Science and Engineering: B, Vol. 264, 114950. doi:10.1016/j.mseb.2020.114950.
- Kusumawardani, R., Noviyanti, A. R., Nurhadi, M., Umar, A. A., Irwansyah, F. S., and Permana, M. D. (2025). Effect of Sintering Conditions on the Structural and Morphological Characteristics of Hydroxyapatite Synthesized from Belida Fish (Chitala Lopis) Bone, ASEAN Journal of Science and Engineering, Vol. 5, No. 3. doi:10.17509/ajse.v5i3.88775.
- Liu, Q., Matinlinna, J. P., Chen, Z., Ning, C., Ni, G., Pan, H., and Darvell, B. W. (2015). Effect of Thermal Treatment on Carbonated Hydroxyapatite: Morphology, Composition, Crystal Characteristics and Solubility, Ceramics International, Vol. 41, Nos. 5, Part A, 6149–6157. doi:10.1016/j.ceramint.2014.11.062.
- Kurzyk, A., Szwed-Georgiou, A., Pagacz, J., Antosik, A., Tymowicz-Grzyb, P., Gerle, A., Szterner, P., Włodarczyk, M., Płociński, P., Urbaniak, M. M., Rudnicka, K., and Biernat, M. (2023). Calcination and Ion Substitution Improve Physicochemical and Biological Properties of Nanohydroxyapatite for Bone Tissue Engineering Applications, Scientific Reports, Vol. 13, No. 1, 15384. doi:10.1038/s41598-023-42271-2.
- Malla, K. P., Regmi, S., Nepal, A., Bhattarai, S., Yadav, R. J., Sakurai, S., and Adhikari, R. (2020). Extraction and Characterization of Novel Natural Hydroxyapatite Bioceramic by Thermal Decomposition of Waste Ostrich Bone, International Journal of Biomaterials, Vol. 2020, No. 1, 1690178. doi:10.1155/2020/1690178.
- Touareb, D., Latifi, S., Saoiabi, S., Habraji, L., Hammani, O., Azzaoui, K., Jodeh, S., Yaghi, S., Sabbahi, R., Hammouti, B., and Saoiabi, S. (2025). Influence of Calcination Temperature on Equine Bone Hydroxyapatite Structure and Lead Adsorption Efficiency, Scientific Reports, Vol. 15, No. 1, 33990. doi:10.1038/s41598-025-11961-4.
- Rahyussalim, A. J., Supriadi, S., Marsetio, A. F., Pribadi, P. M., and Suharno, B. (2019). The Potential of Carbonate Apatite as an Alternative Bone Substitute Material, Medical Journal of Indonesia, Vol. 28, No. 1, 92–7. doi:10.13181/mji.v28i1.2681.
- Vijayan, A., Vishnu, J., A, R., Shankar, B., and Sambhudevan, S. (2025). A Review on Hydroxyapatite Fabrication: From Powders to Additive Manufactured Scaffolds, Biomaterials Science, Vol. 13, No. 4, 913–945. doi:10.1039/D4BM00972J.
- Correa-Piña, B. A., Gomez-Vazquez, O. M., and Rodriguez-García, M. E. (2026). Structural and Thermal Effects of Controlled Sodium Substitution in Nanocrystalline Carbonate Hydroxyapatite Synthesized by Precipitation with Spray-Based Reactant Delivery, Materials Chemistry and Physics, Vol. 349, 131836. doi:10.1016/j.matchemphys.2025.131836.
- Koontongkaew, S., Utispan, K., Worawongvasu, R., Chawhuaveang, D. D., and Yu, O. Y. (2024). Enamel and Its Interaction with the Oral Environment, L. C. Ardelean; L.-C. Rusu (Eds.), , IntechOpen, London. doi:10.5772/intechopen.114839.
- Torres, F. C. L., Sousa, E. M. B. De, and Cipreste, M. F. (2022). A Brief Review on Hydroxyapatite Nanoparticles Interactions with Biological Constituents, Journal of Biomaterials and Nanobiotechnology, Vol. 13, 12–44. doi:10.4236/jbnb.2022.131002.
- Lebre, F., Sridharan, R., Sawkins, M. J., Kelly, D. J., O’Brien, F. J., and Lavelle, E. C. (2017). The Shape and Size of Hydroxyapatite Particles Dictate Inflammatory Responses Following Implantation, Scientific Reports, Vol. 7, No. 1, 2922. doi:10.1038/s41598-017-03086-0.
- Abere, D. V., Ojo, S. A., Oyatogun, M. G., Paredes-epinosa, M. B., Niluxsshun, M. C. D., and Hakami, A. (2022). Mechanical and Morphological Characterization of Nano-Hydroxyapatite ( NHA ) for Bone Regeneration : A Mini Review, Biomedical Engineering Advances, Vol. 4, No. October, 100056. doi:10.1016/j.bea.2022.100056.
- Kareem, M. M., and Tanner, K. E. (2020). Optimising Micro-Hydroxyapatite Reinforced Poly(Lactide Acid) Electrospun Scaffolds for Bone Tissue Engineering, Journal of Materials Science: Materials in Medicine, Vol. 31, No. 4, 38. doi:10.1007/s10856-020-06376-8.
- Brum, I. da silva, Elias, C. N., Ciambarella, B. T., Fonseca, G. A. M. D. da, Frigo, L., Carvalho, M. A., and de Carvalho, J. J. (2024). Physicochemical Characterization of a Nano-Hydroxyapatite/β-Tricalcium Phosphate (n-HA/β-TCP) and Type 1 Collagen Composite: An In Vitro Study, Preprints, Preprints. doi:10.20944/preprints202412.2444.v1.
- Yoshikawa, H., Tamai, N., Murase, T., and Myoui, A. (2008). Interconnected Porous Hydroxyapatite Ceramics for Bone Tissue Engineering, Journal of The Royal Society Interface, Vol. 6, No. suppl_3, S341–S348. doi:10.1098/rsif.2008.0425.focus.
- Xie, P., Du, J., Li, Y., Wu, J., He, H., Jiang, X., and Liu, C. (2019). Robust Hierarchical Porous MBG Scaffolds with Promoted Biomineralization Ability, Colloids and Surfaces B: Biointerfaces, Vol. 178, 22–31. doi:10.1016/j.colsurfb.2019.02.042.
- Shan, E., Chamorro, C., Ferrández-Montero, A., Martin-Rodriguez, R. M., Ferrari, B., Sanchez-Herencia, A. J., Virto, L., Marín, M. J., Figuero, E., and Sanz, M. (2025). In Vitro Biological Properties Assessment of 3D-Printed Hydroxyapatite–Polylactic Acid Scaffolds Intended for Bone Regeneration, Journal of Functional Biomaterials, 218. doi:10.3390/jfb16060218.
- Pinteala, T., Sirbu, P.-D., Anghel, N., Rosca, I., Voicu, G., Calin, M., and Spiridon, I. (2024). Integrating Hydroxyapatite and Bovine Bone Mineral into Cellulose–Collagen Matrices for Enhanced Osteogenesis, Materials Advances, Vol. 5, No. 24, 9573–9585. doi:10.1039/D4MA00456F.
- Huang, X., Li, Z., Liu, A., Liu, X., Guo, H., Wu, M., Yang, X., Han, B., and Xuan, K. (2021). Microenvironment Influences Odontogenic Mesenchymal Stem Cells Mediated Dental Pulp Regeneration, Frontiers in Physiology, Vol. 12. doi:10.3389/fphys.2021.656588.
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