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再生牙髓病学的最新进展:当前技术与未来方向综述

Recent Advances in Regenerative Endodontics: A Review of Current Techniques and Future Directions.

作者信息

Alothman Firas A, Hakami Lamia S, Alnasser Ali, AlGhamdi Faris M, Alamri Abdullah A, Almutairii Basel M

机构信息

Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, SAU.

Dentistry, Private Clinic, Khobar, SAU.

出版信息

Cureus. 2024 Nov 20;16(11):e74121. doi: 10.7759/cureus.74121. eCollection 2024 Nov.

Abstract

Regenerative endodontics is a rapidly evolving discipline focused on biologically restoring the pulp-dentin complex to revive vitality in non-vital teeth. Unlike traditional endodontic therapies that rely on inert materials to preserve structure, regenerative techniques aim to re-establish natural structure and function by harnessing advancements in tissue engineering. This narrative review examines recent progress in stem cell applications, scaffold development, signaling molecules, and clinical protocols that contribute to successful regenerative outcomes. Advances in stem cell sources, biomimetic scaffolds, and growth factor delivery systems have shown promising results, though challenges such as variability in outcomes and the need for standardized clinical protocols remain. This review also highlights future directions, including gene therapy and three-dimensional bioprinting, which hold the potential to overcome current limitations and pave the way for effective and reliable biologically restorative dental treatments.

摘要

再生牙髓病学是一门快速发展的学科,专注于通过生物学方法恢复牙髓-牙本质复合体,以恢复无活力牙齿的生机。与依靠惰性材料来维持结构的传统牙髓治疗不同,再生技术旨在通过利用组织工程学的进展来重建天然结构和功能。这篇叙述性综述探讨了干细胞应用、支架开发、信号分子和临床方案等方面的最新进展,这些进展有助于实现成功的再生结果。干细胞来源、仿生支架和生长因子递送系统的进展已显示出有前景的结果,尽管仍存在诸如结果变异性以及对标准化临床方案的需求等挑战。本综述还强调了未来的方向,包括基因治疗和三维生物打印,它们有可能克服当前的局限性,为有效且可靠的生物修复性牙科治疗铺平道路。

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本文引用的文献

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Recent advances in regenerative biomaterials.再生生物材料的最新进展
Regen Biomater. 2022 Dec 5;9:rbac098. doi: 10.1093/rb/rbac098. eCollection 2022.
5
Regenerative Endodontics: A Paradigm Shift in Clinical Endodontics.再生牙髓病学:临床牙髓病学的范式转变。
J Pharm Bioallied Sci. 2020 Aug;12(Suppl 1):S20-S26. doi: 10.4103/jpbs.JPBS_112_20. Epub 2020 Aug 28.
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Bioactive molecule carrier systems in endodontics.牙髓病学中的生物活性分子载体系统。
Expert Opin Drug Deliv. 2020 Aug;17(8):1093-1112. doi: 10.1080/17425247.2020.1777981. Epub 2020 Jun 16.
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Regenerative Endodontics: A Systematic Analysis of the Failed Cases.再生牙髓学:失败病例的系统分析。
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