Department of Oral and Maxillofacial Surgery, the Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China.
Front Med. 2011 Dec;5(4):401-13. doi: 10.1007/s11684-011-0161-7. Epub 2011 Dec 27.
Clinical imperatives for the reconstruction of jaw bone defects or resorbed alveolar ridge require new therapies or procedures instead of autologous/allogeneic bone grafts. Regenerative medicine, based on stem cell science and tissue engineering technology, is considered as an ideal alternative strategy for bone regeneration. In this paper, we review the current choices of cell source and strategies on directing the osteogenic differentiation of stem cells. The preclinical animal models for bone regeneration and the key translational points to clinical success in oral and maxillofacial region are also discussed. We propose comprehensive strategies based on stem cell and tissue engineering researches, allowing for clinical application in oral and maxillofacial region.
临床对于重建颌骨缺损或吸收牙槽嵴的迫切需求,要求我们寻找新的治疗方法或程序来替代自体/异体骨移植。基于干细胞科学和组织工程技术的再生医学被认为是骨再生的理想替代策略。本文综述了目前细胞来源的选择和定向干细胞成骨分化的策略。还讨论了骨再生的临床前动物模型和口腔颌面区域临床成功的关键转化点。我们提出了基于干细胞和组织工程研究的综合策略,以期实现在口腔颌面区域的临床应用。