Chen Huanhuan, Song Guangying, Xu Tianmin, Meng Chenda, Zhang Yunfan, Xin Tianyi, Yu Tingting, Lin Yifan, Han Bing
Department of Orthodontics, School and Hospital of Stomatology, Peking University, Beijing 100081, China.
National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China.
J Funct Biomater. 2024 Aug 20;15(8):233. doi: 10.3390/jfb15080233.
Advanced periodontitis poses a significant threat to oral health, causing extensive damage and loss of both hard and soft periodontal tissues. While traditional therapies such as scaling and root planing can effectively halt the disease's progression, they often fail to fully restore the original architecture and function of periodontal tissues due to the limited capacity for spontaneous regeneration. To address this challenge, periodontal tissue engineering has emerged as a promising approach. This technology centers on the utilization of biomaterial scaffolds, which function as three-dimensional (3D) templates or frameworks, supporting and guiding the regeneration of periodontal tissues, including the periodontal ligament, cementum, alveolar bone, and gingival tissue. These scaffolds mimic the extracellular matrix (ECM) of native periodontal tissues, aiming to foster cell attachment, proliferation, differentiation, and, ultimately, the formation of new, functional periodontal structures. Despite the inherent challenges associated with preclinical testing, the intensification of research on biomaterial scaffolds, coupled with the continuous advancement of fabrication technology, leads us to anticipate a significant expansion in their application for periodontal tissue regeneration. This review comprehensively covers the recent advancements in biomaterial scaffolds engineered specifically for periodontal tissue regeneration, aiming to provide insights into the current state of the field and potential directions for future research.
重度牙周炎对口腔健康构成重大威胁,会导致牙周软硬组织广泛受损和丧失。虽然诸如龈下刮治和根面平整等传统疗法能够有效阻止疾病进展,但由于自发再生能力有限,它们往往无法完全恢复牙周组织的原始结构和功能。为应对这一挑战,牙周组织工程已成为一种有前景的方法。该技术以生物材料支架的应用为核心,这些支架充当三维(3D)模板或框架,支持和引导牙周组织的再生,包括牙周韧带、牙骨质、牙槽骨和牙龈组织。这些支架模仿天然牙周组织的细胞外基质(ECM),旨在促进细胞附着、增殖、分化,并最终形成新的功能性牙周结构。尽管临床前测试存在固有挑战,但生物材料支架研究的强化,加上制造技术的不断进步,使我们预期其在牙周组织再生中的应用将大幅扩展。本综述全面涵盖了专门为牙周组织再生设计的生物材料支架的最新进展,旨在深入了解该领域的现状以及未来研究的潜在方向。