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干细胞在口腔颌面部的应用。

Usage of stem cells in oral and maxillofacial region.

作者信息

Pourlak T, Pourlak T, Ghodrati M, Mortazavi A, Dolati S, Yousefi M

机构信息

Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran.

Department of Pathology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

J Stomatol Oral Maxillofac Surg. 2021 Sep;122(4):441-452. doi: 10.1016/j.jormas.2020.10.003. Epub 2020 Oct 21.

Abstract

Malformations of the maxillofacial region has disturbing psychosocial effects and causes enormous socioeconomic concerns. The management of maxillofacial defects caused by congenital anomalies, trauma, osteoporotic fractures, periodontitis, or cancer treatment is challenging for oral and maxillofacial surgeons. Numerous approaches have been recommended for the managing of these deficiencies. The traditional treatment for maxillofacial defects or their repair is an intricate process by autologous bone grafts from the scapula, ribs, fibula, or iliac crest origins. Regenerative medicine is well thought-out as a perfect substitute approach for autologous bone grafts to renovate bone deficiencies. The use of stem cells has improved results and offered a technique to reconstruct craniofacial bone defects. The field of tissue engineering for the regeneration of maxillofacial needs integration of biochemical and biomaterial engineering aspects with cell transplantation to generate better-quality biomimetic scaffolds, prevascularize three-dimensional (3D) tissue structures, and engineer the composite interface of diverse facial tissues. In this review, we have discussed the application of different adult stem cells to repair oral and maxillofacial defects in animal models and clinical trials.

摘要

颌面部畸形具有令人不安的社会心理影响,并引发巨大的社会经济问题。对于口腔颌面外科医生而言,处理由先天性异常、创伤、骨质疏松性骨折、牙周炎或癌症治疗导致的颌面部缺损颇具挑战。针对这些缺损的处理,人们推荐了众多方法。颌面部缺损的传统治疗或修复是一个复杂的过程,需采用来自肩胛骨、肋骨、腓骨或髂嵴的自体骨移植。再生医学被视为替代自体骨移植修复骨缺损的理想方法。干细胞的应用改善了治疗效果,并提供了一种重建颅面骨缺损的技术。用于颌面部再生的组织工程领域需要将生物化学和生物材料工程方面与细胞移植相结合,以生成质量更高的仿生支架,使三维(3D)组织结构预先血管化,并构建不同面部组织的复合界面。在本综述中,我们讨论了不同成体干细胞在动物模型和临床试验中修复口腔颌面部缺损的应用。

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