Jazayeri Hossein E, Fahmy Mina D, Razavi Mehdi, Stein Brett E, Nowman Aatif, Masri Radi M, Tayebi Lobat
University of Pennsylvania School of Dental Medicine, Philadelphia, PA.
Marquette University School of Dentistry, Milwaukee, WI.
J Prosthodont. 2016 Aug;25(6):510-7. doi: 10.1111/jopr.12465. Epub 2016 Mar 21.
Clinical advances in the treatment of dentoalveolar defects continue to evolve with the introduction of new innovations in regenerative medicine and tissue bioengineering. Recent developments in tissue engineering are aimed at safely and effectively regenerating a damaged or necrotic area by replenishing its cells and increasing surrounding gene expression. Various techniques have successfully given rise to porous scaffolds being used by clinicians to treat the defect and initiate the repair process. Tissue reconstruction using bioengineered scaffolds is advantageous over traditional autografting, since it prevents the instigation of pain and donor site morbidity while ultimately creating both the environment and machinery needed to induce cell proliferation, migration, and reattachment within the affected area. This review article aims to describe and review the available literature regarding the regenerative capacity of natural polymers used for the treatment of dentoalveolar defects. The repair mechanisms, advantages of protein and polysaccharide derivatives, and the potential of stem cell therapy are discussed.
随着再生医学和组织生物工程新创新的引入,牙牙槽骨缺损治疗的临床进展不断发展。组织工程的最新进展旨在通过补充受损或坏死区域的细胞并增加周围基因表达,安全有效地再生该区域。各种技术已成功催生了多孔支架,临床医生使用这些支架来治疗缺损并启动修复过程。使用生物工程支架进行组织重建比传统自体移植更具优势,因为它可避免引发疼痛和供体部位并发症,同时最终创造出诱导受影响区域内细胞增殖、迁移和重新附着所需的环境和机制。这篇综述文章旨在描述和回顾有关用于治疗牙牙槽骨缺损的天然聚合物再生能力的现有文献。讨论了修复机制、蛋白质和多糖衍生物的优势以及干细胞治疗的潜力。