Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Engineering Research Center of Oral Biomaterials and Devices of Zhejiang Province, Hangzhou, China.
Int J Oral Sci. 2023 Aug 15;15(1):34. doi: 10.1038/s41368-023-00241-4.
The crosstalk between the nerve and stomatognathic systems plays a more important role in organismal health than previously appreciated with the presence of emerging concept of the "brain-oral axis". A deeper understanding of the intricate interaction between the nervous system and the stomatognathic system is warranted, considering their significant developmental homology and anatomical proximity, and the more complex innervation of the jawbone compared to other skeletons. In this review, we provide an in-depth look at studies concerning neurodevelopment, craniofacial development, and congenital anomalies that occur when the two systems develop abnormally. It summarizes the cross-regulation between nerves and jawbones and the effects of various states of the jawbone on intrabony nerve distribution. Diseases closely related to both the nervous system and the stomatognathic system are divided into craniofacial diseases caused by neurological illnesses, and neurological diseases caused by an aberrant stomatognathic system. The two-way relationships between common diseases, such as periodontitis and neurodegenerative disorders, and depression and oral diseases were also discussed. This review provides valuable insights into novel strategies for neuro-skeletal tissue engineering and early prevention and treatment of orofacial and neurological diseases.
神经与口腔颌面部系统的串扰在机体健康中的作用比以前认为的更为重要,这也出现了“脑-口轴”的新兴概念。考虑到神经系统和口腔颌面部系统在发育上的同源性和解剖学上的接近性,以及与其他骨骼相比,颌骨的神经支配更为复杂,因此有必要更深入地了解两者之间复杂的相互作用。在这篇综述中,我们深入研究了涉及神经发育、颅面发育和两个系统发育异常时发生的先天性异常的研究。本文总结了神经与颌骨之间的相互调节以及颌骨各种状态对骨内神经分布的影响。与神经系统和口腔颌面部系统都密切相关的疾病分为由神经疾病引起的颅面疾病和由口腔颌面部系统异常引起的神经疾病。还讨论了常见疾病(如牙周炎和神经退行性疾病、抑郁症和口腔疾病)之间的双向关系。本文综述为神经-骨骼组织工程和口腔颌面部及神经疾病的早期预防和治疗提供了有价值的见解。