Applied Oral Sciences & Community Dental Care, Faculty of Dentistry, The University of Hong Kong, Hong Kong.
Applied Oral Sciences & Community Dental Care, Faculty of Dentistry, The University of Hong Kong, Hong Kong.
Int Dent J. 2024 Feb;74(1):25-34. doi: 10.1016/j.identj.2023.07.008. Epub 2023 Aug 2.
Regenerative dentistry is a rapidly evolving field in dentistry, which has been driven by advancements in biomedical engineering research and the rising treatment expectations and demands that exceed the scope of conventional approaches. Tissue engineering, the foundation of regenerative dentistry, mainly focuses on 3 key components: stem cells, bioactive molecules, and scaffolds. Dental tissue-derived stem cells are especially significant in this regard due to their remarkable properties. Regenerative techniques have provided novel approaches to many conventional treatment strategies in various disciplines of dentistry. For instance, regenerative endodontic procedures such as pulp revascularisation have provided an alternative approach to conventional root canal treatment. In addition, conventional surgical and nonsurgical periodontal treatment is being taken over by modified approaches of guided tissue regeneration with the aid of 3-dimensional bioprinting and computer-aided design, which has revolutionised oral and maxillofacial tissue engineering. This review presents a concise overview of the latest treatment strategies that have emerged into clinical practice, potential future technologies, and the role of dental tissue-derived stem cells in regenerative dentistry.
再生牙科是牙科领域中一个快速发展的领域,它受到生物医学工程研究的进步以及超出传统方法范围的治疗期望和需求的推动。组织工程是再生牙科的基础,主要集中在 3 个关键组成部分:干细胞、生物活性分子和支架。由于其显著的特性,牙源性组织衍生的干细胞在这方面尤为重要。再生技术为牙科的各个领域的许多传统治疗策略提供了新的方法。例如,再生牙髓治疗程序,如牙髓血运重建,为传统的根管治疗提供了替代方法。此外,传统的手术和非手术牙周治疗正在被 3D 生物打印和计算机辅助设计辅助下的引导组织再生的改良方法所取代,这彻底改变了口腔颌面组织工程学。本文简要综述了已进入临床实践的最新治疗策略、潜在的未来技术以及牙源性组织衍生干细胞在再生牙科中的作用。