Halal-Critical Material Analysis of Dental Bone Graft in the Indonesian Market: Implications for Clinical Decision-Making

Authors

  • Ridhayani Hatta Universitas YARSI, Indonesia https://orcid.org/0000-0002-4032-5155
  • Mohamad Arif Budiman Putra Pratama Ministry of Defence, Indonesia
  • Nurfianti Nurfianti Universitas YARSI, Indonesia & Universiti Sains Malaysia, Malaysia
  • Fathimah Azzahra Universitas YARSI, Indonesia
  • Wastuti Hidayati Suriyah Universitas YARSI, Indonesia
  • Dede Arsista Universitas YARSI, Indonesia
  • Solachuddin Jauhari Arief Ichwan Universiti Brunei Darussalam, Brunei Darussalam

DOI:

https://doi.org/10.15575/ijhar.v8i1.40117

Keywords:

biomaterial, dental bone grafts, halal risk assessment, Indonesian halal regulation

Abstract

The application of halal principles in the selection of bone graft materials remains insufficiently studied. In Indonesia, it is essential to meet technological and ethical standards. In Indonesia, no organized framework currently exists to assess the halal criticality of commercially available bone graft products. This study aims to examine the potential presence of halal-critical materials in dental bone grafts available in the Indonesian market. An observational descriptive study was conducted on 16 commercial dental bone graft products classified into five categories: allografts, xenografts, alloplasts, growth factors, and composite grafts. Product compositions were identified using Material Safety Data Sheets (MSDS), Chemical Abstracts Service (CAS) numbers, and manufacturer disclosures, and evaluated against the Halal Positive List issued by LPPOM MUI. The results showed that alloplasts exhibited the lowest halal criticality, as they consist solely of synthetic, non-animal, and non-human materials. Conversely, xenografts and allografts showed a higher halal risk due to animal- and human-derived components, whereas growth factors and composite grafts showed variable risk profiles. This study provides a material-based halal criticality analysis to support clinical decision-making and accentuates the requirement for clearer halal regulatory guidance for dental biomaterials in Indonesia

Author Biographies

Ridhayani Hatta, Universitas YARSI

Department of Dental Materials Science, Faculty of Dentistry

Mohamad Arif Budiman Putra Pratama, Ministry of Defence

Air Force Health Service, Indonesian Air Force

Nurfianti Nurfianti, Universitas YARSI, Indonesia & Universiti Sains Malaysia

Department of Oral Medicine, Faculty of Dentistry, Universitas YARSI

Basic and Medical Sciences Unit, School of Dental Sciences, Universiti Sains Malaysia

Fathimah Azzahra, Universitas YARSI

Department of Oral Biology, Faculty of Dentistry

Wastuti Hidayati Suriyah, Universitas YARSI

Department of Oral Biology, Faculty of Dentistry

Dede Arsista, Universitas YARSI

Department of Dental Materials Science, Faculty of Dentistry

Solachuddin Jauhari Arief Ichwan, Universiti Brunei Darussalam

Dentistry Programme PAPRSB Institute of Health Sciences

References

Akbar, J., Gul, M., Jahangir, M., Adnan, M., Saud, S., Hassan, S., Nawaz, T., & Fahad, S. (2023). Global trends in halal food standards: A review. Foods, 12(23), 4200. https://doi.org/10.3390/foods12234200

Aliyah, H. (2019, February 22). CHCS: 72,5 % konsumen muslim yakin konsumsi produk halal kewajiban. Minanews. https://minanews.net/chcs-725-konsumen-muslim-yakin-konsumsi-produk-halal-kewajiban/

Alzeer, J., Rieder, U., & Hadeed, K. A. (2020). Good agricultural practices and its compatibility with halal standards. Trends in Food Science and Technology, 102, 237–241. https://doi.org/10.1016/j.tifs.2020.02.025

Archunan, M. W., & Petronis, S. (2021). Bone grafts in trauma and orthopaedics. Cureus, 13(9), e17705. https://doi.org/10.7759/cureus.17705

Assari, A., Hani, M., Qaid, H., Omar, B., & Aleid, L. (2022). Effect of religious beliefs on bone graft selection for oral and maxillofacial surgery in Saudi Arabia. Journal of Stomatology, Oral and Maxillofacial Surgery, 123(5), e563–e568. https://doi.org/10.2139/ssrn.3978785

Bokek-Cohen, Y., Gonen, L. D., & Tarabeih, M. (2023). The muslim patient and medical treatments based on porcine ingredients. BMC Medical Ethics, 24(1). https://doi.org/10.1186/s12910-023-00975-0

Charitos, I. A., Ballini, A., Cantore, S., Boccellino, M., Di Domenico, M., Borsani, E., Nocini, R., Di Cosola, M., Santacroce, L., & Bottalico, L. (2021). Stem cells: A historical review about biological, religious, and ethical issues. Stem Cells International, 2021(1), 9978837. https://doi.org/10.1155/2021/9978837

Cheah, C. W., Al-Namnam, N. M., Lau, M. N., Lim, G. S., Raman, R., Fairbairn, P., & Ngeow, W. C. (2021). Synthetic material for bone, periodontal, and dental tissue regeneration: Where are we now, and where are we heading next? Materials, 14(20), 6123. https://doi.org/10.3390/ma14206123

Cicciù, M., Fiorillo, L., Cervino, G., & Habal, M. B. (2021). BMP application as grafting materials for bone regeneration in the craniofacial surgery: Current application and future directions by an RCT analysis. Journal of Craniofacial Surgery, 32(2), 787–791. https://doi.org/10.1097/SCS.0000000000006937

Dayan, F., Sheraz, M. M., Al Mahmood, A. K., & Islam, S. (2021). The maximus of necessity and its application to organ transplantation: An islamic bioethical perspective. Bangladesh Journal of Medical Science, 20(3), 511–524. https://doi.org/10.3329/BJMS.V20I3.52792

Dwi Lestari, H., & Putri Pertiwi, I. F. (2021). The effect of corporate social responsibility (CSR), relationship marketing and shariah compliance on customer loyalty with customer emotional response as intervening. Social Science Studies, 2(1), 001–014. https://doi.org/10.47153/sss12.2142021

Ferraz, M. P. (2023). Bone grafts in dental medicine: An overview of autografts, allografts and synthetic materials. Materials, 16(11), 4117. https://doi.org/10.3390/ma16114117

Fukuba, S., Okada, M., Nohara, K., & Iwata, T. (2021). Alloplastic bone substitutes for periodontal and bone regeneration in dentistry: Current status and prospects. Materials, 14(5), 1096. https://doi.org/10.3390/ma14051096

Gill, S., Prakash, M., Forghany, M., & Vaderhobli, R. M. (2022). An ethical perspective to using bone grafts in dentistry. Journal of the American Dental Association, 153(1), 88–91. https://doi.org/10.1016/j.adaj.2021.09.011

Govoni, M., Vivarelli, L., Mazzotta, A., Stagni, C., Maso, A., & Dallari, D. (2021). Commercial bone grafts claimed as an alternative to autografts: Current trends for clinical applications in orthopaedics. Materials, 14(12), 3290. https://doi.org/10.3390/ma14123290

Herdiana, Y., & Rusdiana, T. (2022). Indonesian halal pharmaceutical: Challenges and market opportunities. Indonesian Journal of Pharmaceutics, 3(3), 99. https://doi.org/10.24198/idjp.v3i3.37660

Iftikhar, S., Jahanzeb, N., Saleem, M., ur Rehman, S., Matinlinna, J. P., & Khan, A. S. (2021). The trends of dental biomaterials research and future directions: A mapping review. Saudi Dental Journal, 33(5), 229–238. https://doi.org/10.1016/j.sdentj.2021.01.002

Islam, M. M., Syazwan, M., Talib, A., & Muhamad, N. (2023). Challenges of halal standards and halal certification for islamic marketing. Muslim Business and Economics Review, 2(1), 105–124. https://doi.org/10.56529/mber.v2i1.156

Jumiono, A. (2022). Identifikasi titik kritis kehalalan bahan hewani dan produk turunan hewan. Jurnal Ilmiah Pangan Halal, 4(2), 51–58. https://doi.org/10.30997/jiph.v4i2.9909

Kasri, R. A., Ahsan, A., Widiatmoko, D., & Hati, S. R. H. (2023). Intention to consume halal pharmaceutical products: Evidence from Indonesia. Journal of Islamic Marketing, 14(3), 735–756. https://doi.org/10.1108/JIMA-06-2021-0192

Khalaf, M., Abubakr, N., Alenezi, H., & Ziada, H. (2021). Patients' perspectives of grafting materials in implant dentistry: A qualitative analysis. Journal of International Society of Preventive and Community Dentistry, 11(4), 428–436. https://doi.org/10.4103/jispcd.JISPCD_82_21

Lu, H., Zhou, Y., Ma, Y., Xiao, L., Ji, W., Zhang, Y., & Wang, X. (2021). Current application of beta-tricalcium phosphate in bone repair and its mechanism to regulate osteogenesis. Frontiers in Materials, 8, 698915. https://doi.org/10.3389/fmats.2021.698915

Lutfika, E., Kusnandar, F., & Hunaefi, D. (2022). Comparative analysis and harmonization of global halal standards. International Journal of Halal Research, 4(1), 29–39. https://doi.org/10.18517/ijhr.4.1.29-39.2022

Ministry of Religious Affairs Indonesia. (2024). Al-Quran digital. https://quran.kemenag.go.id/

Mogahed, D. (2023, October 18). The majority of Muslims in the U.S. either prefer or require keeping a halal diet: An analysis for decision makers. Institute for Social Policy and Understanding (ISPU). https://ispu.org/halal-preferences

Mohd Zailani, M. F., Hamdan, M. N., & Mohd Yusof, A. N. (2023). Human–pig chimeric organ in organ transplantation from islamic bioethics perspectives. Asian Bioethics Review, 15(2), 181–188. https://doi.org/10.1007/s41649-022-00233-2

Moussa, N. T., & Dym, H. (2020). Maxillofacial bone grafting materials. Dental Clinics of North America, 64(3), 473–490. https://doi.org/10.1016/j.cden.2019.12.011

MUI. (2024). Daftar bahan tidak kritis (halal positive list of materials). Lembaga Pengkajian Pangan, Obat-obatan dan Kosmetika, Majelis Ulama Indonesia. https://cmsbl.halal.go.id/uploads/Daftar_Bahan_Dikecualikan_Dari_Kewajiban_Bersertifikat_Halal_NEW_39586726cb.pdf

Muslim, I. (2024). Sahih Muslim (A. H. Siddiqui, Trans.). Darussalam. https://sunnah.com/muslim

Nur, W., Syahirah, E., Ismail, W., Hafidz, M., & Maifiah, M. (2023). Porcine and bovine-derived ingredients: Islamic rules in halal pharmaceutical products. Journal of Fatwa Management and Research, 28(3), 41–57. https://doi.org/10.33102/jfatwa.vol28no3.549

Patel, D., & Tatum, S. A. (2023). Bone graft substitutes and enhancement in craniomaxillofacial surgery. Facial Plastic Surgery, 39(05), 556–563. https://doi.org/10.1055/s-0043-1770962

Qotadah, H. A., & Syarifah, M. (2022). Pig kidney xenotransplantation as an alternative solution for hifdz al nafs. International Journal of Islamic Khazanah, 12(2), 94–102. https://doi.org/10.15575/ijik.v12i2.17358

Ramli, S., Muhamad Zain, N., Bahru, J., & Norhidayu, C. (2023). Halal perspectives on collagen-based biomaterials in tissue engineering applications. Journal of Human Centered Technology, 2(2), 41–49. https://doi.org/10.11113/humentech.v2n2.62

Sanjaya, I. G. P. H., & Sri Maliawan. (2022). The role of bone morphogenetic protein-2 in craniofacial osteogenesis: A literature review. Intisari Sains Medis, 13(2), 390–392. https://doi.org/10.15562/ism.v13i2.1290

Steijvers, E., Ghei, A., & Xia, Z. (2022). Manufacturing artificial bone allografts: A perspective. Biomaterials Translational, 3(1), 65. https://doi.org/10.12336/biomatertransl.2022.01.007

Syahadah, S. N., Ali, M., & Gunardi, S. (2021). Porcine DNA in medicine toward postpartum patients from medical and Islamic perspectives in Malaysia. International Journal of Halal Research, 3(1), 29–41. https://doi.org/10.18517/IJHR.3.1.29-41.2021

Thalakiriyawa, D. S., & Dissanayaka, W. L. (2024). Advances in regenerative dentistry approaches: An update. International Dental Journal, 74(1), 25–34. https://doi.org/10.1016/j.identj.2023.07.008

TJ, G., GL, G., & Bhagavathy, K. (2023). Allogeneic and alloplastic bone grafts in dentistry. Al-Azhar Journal of Dental Science, 26(1), 85–89. https://doi.org/10.21608/ajdsm.2022.162849.1368

Windasari, N. A., Azhari, N. P. D. A., & Putra, I. F. (2024). Assessing consumer preferences on halal service: The emergence of Sharia hospitals for Muslim consumer. Journal of Islamic Marketing, 15(1), 22–41. https://doi.org/10.1108/JIMA-07-2022-0192

Wong, K. L., & Faris, W. F. (2023). Necessity in xenotransplantation: Islamic perspectives revisited. Al-Shajarah: Journal of the International Institute of Islamic Thought & Civilization, 28(2), 367–405. https://doi.org/10.31436/shajarah.v28i2.1650

Zhao, R., Yang, R., Cooper, P. R., Khurshid, Z., Shavandi, A., & Ratnayake, J. (2021). Bone grafts and substitutes in dentistry: A review of current trends and developments. Molecules, 26(10), 3007. https://doi.org/10.3390/molecules26103007

Published

2026-02-28

How to Cite

Hatta, R., Pratama, M. A. B. P., Nurfianti, N., Azzahra, F., Suriyah, W. H., Arsista, D., & Ichwan, S. J. A. (2026). Halal-Critical Material Analysis of Dental Bone Graft in the Indonesian Market: Implications for Clinical Decision-Making. Indonesian Journal of Halal Research, 8(1), 1–17. https://doi.org/10.15575/ijhar.v8i1.40117

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