Farjaminejad Rosana, Farjaminejad Samira, Garcia-Godoy Franklin
Department of Health Services Research and Management, School of Health and Psychological Sciences, City, University of London, London WC1E 7HU, UK.
Department of Bioscience Research, Bioscience Research Center, College of Dentistry, University of Tennessee Health Science Center, 875 Union Avenue, Memphis, TN 38163, USA.
Polymers (Basel). 2025 May 26;17(11):1475. doi: 10.3390/polym17111475.
Regenerative Endodontic Therapies (RETs) offer transformative potential by leveraging polymer-based scaffolds, stem cells, and growth factors to regenerate damaged dental pulp tissue, thereby restoring tooth vitality and prolonging tooth function. While conventional treatments focus on infection control, they often compromise the structural and biological integrity of the tooth. RETs, in contrast, aim to restore the natural function of the pulp-dentin complex by promoting cellular regeneration and immune modulation. In this context, biodegradable polymers-such as collagen, gelatin methacryloyl (GelMA), and synthetic alternatives-serve as scaffolding materials that mimic the extracellular matrix, support cell attachment and proliferation, and enable localized delivery of bioactive factors. Together, the tissue engineering triad-polymer-based scaffolds, stem cells, and signaling molecules-facilitates root development, apical closure, and increased fracture resistance. Recent innovations in polymeric scaffold design, including injectable hydrogels and 3D bioprinting technologies, have enhanced clinical translation by enabling minimally invasive and patient-specific RETs. Despite progress, challenges such as immune compatibility, scaffold degradation rates, and the standardization of clinical protocols remain. RETs, thus, represent a paradigm shift in dental care, aligning with the body's intrinsic healing capacity and offering improved long-term outcomes for patients.
再生牙髓治疗(RETs)通过利用基于聚合物的支架、干细胞和生长因子来再生受损的牙髓组织,从而恢复牙齿活力并延长牙齿功能,具有变革性潜力。传统治疗方法侧重于控制感染,但往往会损害牙齿的结构和生物完整性。相比之下,RETs旨在通过促进细胞再生和免疫调节来恢复牙髓-牙本质复合体的自然功能。在这种情况下,可生物降解的聚合物,如胶原蛋白、甲基丙烯酰化明胶(GelMA)和合成替代品,作为模仿细胞外基质的支架材料,支持细胞附着和增殖,并能够局部递送生物活性因子。基于聚合物的支架、干细胞和信号分子这一组织工程三元组共同促进牙根发育、根尖闭合并提高抗折性。聚合物支架设计的最新创新,包括可注射水凝胶和3D生物打印技术,通过实现微创和个性化的RETs增强了临床转化。尽管取得了进展,但免疫相容性、支架降解率和临床方案标准化等挑战仍然存在。因此,RETs代表了牙科护理的范式转变,与身体的内在愈合能力相一致,并为患者提供了更好的长期治疗效果。
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