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用于微创骨再生的人牙本质材料:动物研究与临床病例

Human dentin materials for minimally invasive bone regeneration: Animal studies and clinical cases.

作者信息

Murata Masaru, Nezu Takashi, Takebe Hiroaki, Hirose Yukito, Okubo Naoto, Saito Takashi, Akazawa Toshiyuki

机构信息

Division of Regenerative Medicine, School of Dentistry, Health Sciences University of Hokkaido, 1757 Kanazawa, Hokkaido 061-0293, Japan.

Division of Biomaterials and Bioengineering, School of Dentistry, Health Sciences University of Hokkaido, 1757 Kanazawa, Hokkaido 061-0293, Japan.

出版信息

J Oral Biosci. 2023 Mar;65(1):13-18. doi: 10.1016/j.job.2022.10.003. Epub 2022 Nov 3.

Abstract

OBJECTIVES

Bone, platelet concentrate, and tooth-derived dentin/cementum have been used as autologous materials in regenerative medicine Dentin materials were first recycled in 2002 for bone regeneration in humans, although bone autografts were noted in the 19th century, and auto-platelet concentrates were developed in 1998. Dentin/cementum-based material therapy has been applied as an innovative technique for minimally invasive bone surgery, while bone autografts are associated with donor site morbidity.

METHODS

In October 2021, PubMed, Google Scholar, Scopus, and the Cochrane Library databases from 1980 to 2020 were screened.

RESULTS

The demineralized dentin/cementum matrix (DDM) had better performance in bone induction and bone regeneration than mineralized dentin.

CONCLUSIONS

Unlike cell culture therapy, DDM is a matrix-based therapy that includes growth factors. A matrix-based system is a realistic and acceptable treatment, even in developing countries. The aim of this review was to summarize the evidence related to both animal studies and human clinical cases using human dentin materials with a patch of cementum, especially DDM.

摘要

目的

骨、浓缩血小板和牙齿来源的牙本质/牙骨质已被用作再生医学中的自体材料。牙本质材料于2002年首次用于人类骨再生,尽管19世纪就已出现骨自体移植,1998年开发出了自体浓缩血小板。基于牙本质/牙骨质的材料疗法已作为微创骨手术的创新技术应用,而骨自体移植会引发供区并发症。

方法

2021年10月,对1980年至2020年的PubMed、谷歌学术、Scopus和Cochrane图书馆数据库进行了筛选。

结果

脱矿牙本质/牙骨质基质(DDM)在骨诱导和骨再生方面比矿化牙本质表现更好。

结论

与细胞培养疗法不同,DDM是一种包含生长因子的基于基质的疗法。即使在发展中国家,基于基质的系统也是一种现实且可接受的治疗方法。本综述的目的是总结使用带有一片牙骨质的人牙本质材料,尤其是DDM的动物研究和人类临床病例的相关证据。

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