“…During the past twenty years, many investigators have demonstrated the anabolic effects of locally application of many growth factors (GFs) on the promotion of periodontal attachment structures, namely alveolar bone, periodontal ligament (PDL) and tooth root cementum (Giannobile, 1996;King and Hughes, 2001;King and Cochran, 2002;Zhao, et al, 2002;Fujiwara, et al, 2005;Kaigler, et al, 2006). The mechanisms of GFs that control and enhance periodontal regeneration capacity are poorly understood; however, some studies have shown that the association of different GFs would enhance their activity in a synergistic manner compared to the activity of a single GF (Lynch, et al, 1991a(Lynch, et al, , 1991bShih, et al, 1996;Howell, et al, 1997;Zaman, et al, 1999;Ripamonti, et al, 2001;Puleo, 2004a, 2004b).…”