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骨替代技术的进展——颌骨药物相关性骨坏死(MRONJ)导致上颌骨和下颌骨切除术后的潜在用途。

Advancements in Bone Replacement Techniques-Potential Uses After Maxillary and Mandibular Resections Due to Medication-Related Osteonecrosis of the Jaw (MRONJ).

作者信息

Bovari-Biri Judit, Miskei Judith A, Kover Zsanett, Steinerbrunner-Nagy Alexandra, Kardos Kinga, Maroti Peter, Pongracz Judit E

机构信息

Department of Pharmaceutical Biotechnology, Faculty of Pharmacy, University of Pecs, 7624 Pecs, Hungary.

Department of Maxillo-Facial Surgery, Clinical Centre, The Medical School, University of Pecs, 7624 Pecs, Hungary.

出版信息

Cells. 2025 Jan 20;14(2):145. doi: 10.3390/cells14020145.

Abstract

Maxillofacial bone defects can have a profound impact on both facial function and aesthetics. While various biomaterial scaffolds have shown promise in addressing these challenges, regenerating bone in this region remains complex due to its irregular shape, intricate structure, and differing cellular origins compared to other bones in the human body. Moreover, the significant and variable mechanical loads placed on the maxillofacial bones add further complexity, especially in cases of difficult-to-treat medical conditions. This review provides a brief overview of medication-related osteonecrosis of the jaw (MRONJ), highlighting the medication-induced adverse reactions and the associated clinical challenges in treating this condition. The purpose of this manuscript is to emphasize the role of biotechnology and tissue engineering technologies in therapy. By using scaffold materials and biofactors in combination with autologous cells, innovative solutions are explored for the repair of damaged facial bones. The ongoing search for effective scaffolds that can address these challenges and improve in vitro bone preparation for subsequent regeneration in the maxillofacial region remains critical. The primary purpose of this review is to spotlight current research trends and novel approaches in this area.

摘要

颌面骨缺损会对面部功能和美观产生深远影响。尽管各种生物材料支架在应对这些挑战方面显示出了前景,但由于该区域形状不规则、结构复杂以及与人体其他骨骼相比细胞来源不同,在此区域再生骨骼仍然很复杂。此外,颌面骨承受的巨大且多变的机械负荷进一步增加了复杂性,尤其是在难以治疗的病症中。本综述简要概述了颌骨药物性骨坏死(MRONJ),强调了药物引起的不良反应以及治疗这种病症时相关的临床挑战。本手稿的目的是强调生物技术和组织工程技术在治疗中的作用。通过将支架材料和生物因子与自体细胞相结合,探索修复受损面部骨骼的创新解决方案。持续寻找能够应对这些挑战并改善体外骨制备以便在颌面部区域进行后续再生的有效支架仍然至关重要。本综述的主要目的是突出该领域当前的研究趋势和新方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7804/11763601/8fec98cf6ee1/cells-14-00145-g001.jpg

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