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微创牙科:第8部分。牙髓的生物疗法。

Minimal intervention dentistry: part 8. Biotherapies for the dental pulp.

作者信息

Chaussain C, Poliard A

机构信息

1] EA 2496, Pathologies et Biothérapies de la Dent, UFR Odontologie Paris Descartes, PRES Sorbonne Paris Cité, Montrouge, France-92120 [2] Service Odontologie Bretonneau, AP-HP, France-75018.

EA 2496, Pathologies et Biothérapies de la Dent, UFR Odontologie Paris Descartes, PRES Sorbonne Paris Cité, Montrouge, France-92120.

出版信息

Br Dent J. 2014 Jun 13;216(11):619-21. doi: 10.1038/sj.bdj.2014.450.

DOI:10.1038/sj.bdj.2014.450
PMID:24923934
Abstract

The development of new therapies, the biotherapies, can now be envisioned in dentistry thanks to the important development of research in the stem cell and biomaterial fields. Indeed, the recent discovery of stem cells in different tissues of the body, and in particular in the dental pulp, should allow the development of new therapeutic approaches for pulpo-dentinal lesions. In case of moderate pulp injury, the stimulation by biomolecules of pulp stem cells located in the remaining pulp is the approach to be considered. In case of more severe lesions requiring a total removal of pulp tissues, a cell therapy could be considered. The objective of this article is to present these innovative therapeutic approaches for the future of dentistry.

摘要

由于干细胞和生物材料领域研究的重大进展,如今在牙科领域可以设想新型疗法即生物疗法的发展。事实上,最近在身体不同组织,尤其是牙髓中发现干细胞,这应该能够为牙髓-牙本质病变开发新的治疗方法。对于中度牙髓损伤,可考虑通过生物分子刺激位于剩余牙髓中的牙髓干细胞。对于需要完全去除牙髓组织的更严重病变,可考虑细胞疗法。本文的目的是介绍这些牙科未来的创新治疗方法。

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本文引用的文献

1
Mobilized dental pulp stem cells for pulp regeneration: initiation of clinical trial.动员牙髓干细胞用于牙髓再生:临床试验启动
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2
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J Dent Res. 2011 Aug;90(8):1013-8. doi: 10.1177/0022034511408426. Epub 2011 May 17.
4
Abnormal presence of the matrix extracellular phosphoglycoprotein-derived acidic serine- and aspartate-rich motif peptide in human hypophosphatemic dentin.人低磷血症牙本质中细胞外基质磷蛋白衍生酸性丝氨酸和天冬氨酸丰富基序肽的异常存在。
Am J Pathol. 2010 Aug;177(2):803-12. doi: 10.2353/ajpath.2010.091231. Epub 2010 Jun 25.
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Direct pulp capping with mineral trioxide aggregate: an immunohistologic comparison with calcium hydroxide in rodents.三氧化矿物凝聚体直接盖髓术与氢氧化钙盖髓术的免疫组织学比较:啮齿动物实验研究。
J Endod. 2010 May;36(5):814-9. doi: 10.1016/j.joen.2010.02.001. Epub 2010 Mar 15.
6
Reparative dentinogenesis induced by mineral trioxide aggregate: a review from the biological and physicochemical points of view.三氧化矿物凝聚体诱导的修复性牙本质生成:从生物学和物理化学角度的综述
Int J Dent. 2009;2009:464280. doi: 10.1155/2009/464280. Epub 2009 Dec 28.
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Mineral trioxide aggregate: a comprehensive literature review--part II: leakage and biocompatibility investigations.三氧化矿物凝聚体:全面文献回顾——第二部分:渗漏和生物相容性研究。
J Endod. 2010 Feb;36(2):190-202. doi: 10.1016/j.joen.2009.09.010.
8
MMP2-cleavage of DMP1 generates a bioactive peptide promoting differentiation of dental pulp stem/progenitor cell.MMP2 对 DMP1 的切割生成了一种具有生物活性的肽,促进牙髓干细胞/祖细胞的分化。
Eur Cell Mater. 2009 Nov 12;18:84-95. doi: 10.22203/ecm.v018a08.
9
Human mandible bone defect repair by the grafting of dental pulp stem/progenitor cells and collagen sponge biocomplexes.牙髓干细胞/祖细胞与胶原海绵生物复合物移植修复人下颌骨骨缺损。
Eur Cell Mater. 2009 Nov 12;18:75-83. doi: 10.22203/ecm.v018a07.
10
Mesenchymal stem cells derived from dental tissues vs. those from other sources: their biology and role in regenerative medicine.源自牙组织的间充质干细胞与源自其他来源的间充质干细胞:它们的生物学特性及其在再生医学中的作用。
J Dent Res. 2009 Sep;88(9):792-806. doi: 10.1177/0022034509340867.