Sone Eli D, McCulloch Christopher A
Institute of Biomedical Engineering, University of Toronto, Toronto, ON, Canada.
Department of Materials Science and Engineering, University of Toronto, Toronto, ON, Canada.
Front Dent Med. 2023 Mar 7;4:1124968. doi: 10.3389/fdmed.2023.1124968. eCollection 2023.
The attachment of the roots of mammalian teeth of limited eruption to the jawbone is reliant in part on the mineralization of collagen fibrils of the periodontal ligament (PDL) at their entry into bone and cementum as Sharpey's fibers. In periodontitis, a high prevalence infection of periodontal tissues, the attachment apparatus of PDL to the tooth root is progressively destroyed. Despite the pervasiveness of periodontitis and its attendant healthcare costs, and regardless of decades of research into various possible treatments, reliable restoration of periodontal attachment after surgery is not achievable. Notably, treatment outcomes in animal studies have often demonstrated more positive regenerative outcomes than in human clinical studies. Conceivably, defining how species diversity affects cementogenesis and cementum/PDL regeneration could be instructive for informing novel and more efficacious treatment strategies. Here we briefly review differences in cementum and PDL attachment in commonly used animal models to consider how species differences may lead to enhanced regenerative outcomes.
哺乳动物有限萌出牙齿的牙根与颌骨的附着部分依赖于牙周韧带(PDL)的胶原纤维在进入骨和牙骨质时矿化形成沙比纤维。在牙周炎(一种牙周组织的高发性感染疾病)中,PDL与牙根的附着装置会逐渐遭到破坏。尽管牙周炎普遍存在且伴随高昂的医疗成本,并且经过数十年对各种可能治疗方法的研究,但术后可靠地恢复牙周附着仍无法实现。值得注意的是,动物研究中的治疗结果往往比人类临床研究显示出更积极的再生结果。可以想象,确定物种多样性如何影响牙骨质形成和牙骨质/PDL再生,可能有助于制定新的、更有效的治疗策略。在这里,我们简要回顾常用动物模型中牙骨质和PDL附着的差异,以探讨物种差异如何导致更好的再生结果。
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