Abdel Nasser Atia Gamal, Shalaby Hany K, Zehravi Mehrukh, Ghobashy Mohamed Mohamady, Ahmad Zubair, Khan Farhat S, Dey Abhijit, Rahman Md Habibur, Joo Sang Woo, Barai Hasi Rani, Cavalu Simona
Department of Oral Medicine, Periodontology, and Diagnosis, Faculty of Dentistry, Suez Canal University, Ismailia P.O. Box 41522, Egypt.
Department of Oral Medicine, Periodontology and Oral Diagnosis, Faculty of Dentistry, Suez University, Suez P.O. Box 43512, Egypt.
Polymers (Basel). 2022 Jul 21;14(14):2964. doi: 10.3390/polym14142964.
Bone and periodontium are tissues that have a unique capacity to repair from harm. However, replacing or regrowing missing tissues is not always effective, and it becomes more difficult as the defect grows larger. Because of aging and the increased prevalence of debilitating disorders such as diabetes, there is a considerable increase in demand for orthopedic and periodontal surgical operations, and successful techniques for tissue regeneration are still required. Even with significant limitations, such as quantity and the need for a donor area, autogenous bone grafts remain the best solution. Topical administration methods integrate osteoconductive biomaterial and osteoinductive chemicals as hormones as alternative options. This is a promising method for removing the need for autogenous bone transplantation. Furthermore, despite enormous investigation, there is currently no single approach that can reproduce all the physiologic activities of autogenous bone transplants. The localized bioengineering technique uses biomaterials to administer different hormones to capitalize on the host's regeneration capacity and capability, as well as resemble intrinsic therapy. The current study adds to the comprehension of the principle of hormone redirection and its local administration in both bone and periodontal tissue engineering.
骨骼和牙周组织具有从损伤中修复的独特能力。然而,替换或再生缺失组织并不总是有效,而且随着缺损变大,难度也会增加。由于老龄化以及糖尿病等使人衰弱的疾病患病率上升,骨科和牙周外科手术的需求大幅增加,组织再生的成功技术仍然是必需的。即使存在诸如数量和需要供体区域等重大限制,自体骨移植仍然是最佳解决方案。局部给药方法将骨传导生物材料和骨诱导化学物质作为激素整合在一起作为替代选择。这是一种有望消除自体骨移植需求的方法。此外,尽管进行了大量研究,但目前还没有一种单一方法能够重现自体骨移植的所有生理活动。局部生物工程技术使用生物材料来施用不同激素,以利用宿主的再生能力,以及类似于内在疗法。当前的研究增进了对激素重定向原理及其在骨和牙周组织工程中的局部给药的理解。