Key Laboratory of Emergency and Trauma of Ministry of Education, Department of Stomatology, Key Laboratory of Hainan Trauma and Disaster Rescue, The First Affiliated Hospital of Hainan Medical University, Haikou, Hainan Province, China.
School of Stomatology, Hainan Medical University, Haikou, Hainan Province, China.
Medicine (Baltimore). 2024 Aug 23;103(34):e39422. doi: 10.1097/MD.0000000000039422.
Autogenous dentin matrix (ADM), derived from a patient's extracted tooth, can be repurposed as an autologous grafting material in reconstructive dentistry. Extracted teeth provide a source for ADM, which distinguishes itself with its low rejection rate, osteoinductive capabilities and ease of preparation. Consequently, it presents a viable alternative to autogenous bone. Animal studies have substantiated its effective osteoinductive properties, while its clinical applications encompass post-extraction site preservation, maxillary sinus floor augmentation, and guided bone tissue regeneration. Nevertheless, the long-term efficacy of ADM applied in bone regeneration remains underexplored and there is a lack of standardization in the preparation processes. This paper comprehensively explores the composition, mechanisms underlying osteoinductivity, preparation methods, and clinical applications of ADM with the aim of establishing a fundamental reference for future studies on this subject.
自体牙本质基质 (ADM) 来源于患者拔出的牙齿,可以被重新用作修复牙科中的自体移植物材料。拔出的牙齿为 ADM 提供了来源,其特点是低排斥率、成骨诱导能力和易于制备。因此,它为自体骨提供了一种可行的替代方案。动物研究证实了其有效的成骨诱导特性,其临床应用包括拔牙后位点保存、上颌窦底提升和引导骨组织再生。然而,ADM 在骨再生中的长期疗效仍未得到充分探索,其制备过程也缺乏标准化。本文全面探讨了 ADM 的组成、成骨诱导机制、制备方法和临床应用,旨在为该领域的未来研究建立一个基本的参考。