de Souza Araújo Isaac J, Bottino Marco C
Department of Bioscience Research, College of Dentistry, University of Tennessee Health Science Center, Memphis, TN 38163, USA.
Department of Cariology, Restorative Sciences and Endodontics, School of Dentistry, University of Michigan, Ann Arbor, MI 48109, USA; Department of Biomedical Engineering, College of Engineering, University of Michigan, Ann Arbor, MI 48109, USA.
Dent Mater. 2025 Feb;41(2):179-193. doi: 10.1016/j.dental.2024.11.006. Epub 2024 Dec 4.
Periodontium is a compartmentalized and highly specialized tissue responsible for tooth stability. Loss of tooth attachment due to periodontitis and trauma is a complex clinical burden affecting a large parcel of the adult and elderly population worldwide, and regenerative strategies to reestablish the native conditions of the periodontium are paramount. Biofabrication of scaffolds, through various techniques and materials, for regenerative periodontics has significantly evolved in the last decades. From the basics of occlusive membranes and graft materials to the complexity of converging 3D printing and Bioprinting using image-based models, biofabrication opens many possibilities for patient-specific scaffolds that recapitulate the anatomical and physiological conditions of periodontal tissues and interfaces. Thus, this review presents fundamental concepts related to the native characteristics of the periodontal tissues, the key to designing personalized strategies, and the latest trends of biofabrication in regenerative periodontics with a critical overview of how these emerging technologies have the potential to shift the one-size-fits-all paradigm.
牙周组织是一种分区且高度特化的组织,负责牙齿的稳固。由牙周炎和创伤导致的牙齿附着丧失是一个复杂的临床负担,影响着全球大量的成年人和老年人群,而重建牙周组织天然状态的再生策略至关重要。在过去几十年中,通过各种技术和材料进行牙周再生支架的生物制造取得了显著进展。从封闭膜和移植材料的基础,到使用基于图像模型的融合3D打印和生物打印的复杂性,生物制造为能够重现牙周组织和界面的解剖学和生理学条件的个性化支架开辟了许多可能性。因此,本综述介绍了与牙周组织天然特性相关的基本概念、设计个性化策略的关键,以及再生牙周学中生物制造的最新趋势,并对这些新兴技术如何有可能改变一刀切模式进行了批判性概述。