Amrollahi Pouya, Shah Brinda, Seifi Amir, Tayebi Lobat
Helmerich Advanced Technology Research Center, School of Material Science and Engineering, Oklahoma State University, Tulsa, OK 74106, USA.
Marquette University School of Dentistry, Milwaukee, WI 53201, USA.
Mater Sci Eng C Mater Biol Appl. 2016 Dec 1;69:1383-90. doi: 10.1016/j.msec.2016.08.045. Epub 2016 Aug 20.
Although human mouth benefits from remarkable mechanical properties, it is very susceptible to traumatic damages, exposure to microbial attacks, and congenital maladies. Since the human dentition plays a crucial role in mastication, phonation and esthetics, finding promising and more efficient strategies to reestablish its functionality in the event of disruption has been important. Dating back to antiquity, conventional dentistry has been offering evacuation, restoration, and replacement of the diseased dental tissue. However, due to the limited ability and short lifespan of traditional restorative solutions, scientists have taken advantage of current advancements in medicine to create better solutions for the oral health field and have coined it "regenerative dentistry." This new field takes advantage of the recent innovations in stem cell research, cellular and molecular biology, tissue engineering, and materials science etc. In this review, the recently known resources and approaches used for regeneration of dental and oral tissues were evaluated using the databases of Scopus and Web of Science. Scientists have used a wide range of biomaterials and scaffolds (artificial and natural), genes (with viral and non-viral vectors), stem cells (isolated from deciduous teeth, dental pulp, periodontal ligament, adipose tissue, salivary glands, and dental follicle) and growth factors (used for stimulating cell differentiation) in order to apply tissue engineering approaches to dentistry. Although they have been successful in preclinical and clinical partial regeneration of dental tissues, whole-tooth engineering still seems to be far-fetched, unless certain shortcomings are addressed.
尽管人类口腔具有卓越的机械性能,但它极易受到创伤性损伤、微生物侵袭和先天性疾病的影响。由于人类牙齿在咀嚼、发声和美观方面起着至关重要的作用,因此找到有前景且更有效的策略,以便在牙齿功能受损时重建其功能,一直都很重要。追溯到古代,传统牙科一直在提供对患病牙齿组织的清除、修复和替换。然而,由于传统修复解决方案的能力有限且使用寿命短,科学家们利用当前医学的进步,为口腔健康领域创造更好的解决方案,并将其称为“再生牙科”。这个新领域利用了干细胞研究、细胞与分子生物学、组织工程和材料科学等方面的最新创新成果。在本综述中,我们使用Scopus和Web of Science数据库,评估了最近已知的用于牙齿和口腔组织再生的资源和方法。科学家们使用了各种各样的生物材料和支架(人工的和天然的)、基因(带有病毒和非病毒载体)、干细胞(从乳牙、牙髓、牙周韧带、脂肪组织、唾液腺和牙囊分离)和生长因子(用于刺激细胞分化),以便将组织工程方法应用于牙科。尽管他们在牙齿组织的临床前和临床部分再生方面取得了成功,但全牙工程似乎仍然遥不可及,除非某些缺点得到解决。