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从牙齿发育到组织工程及临床应用,牙齿再生的全面进展。

The comprehensive progress of tooth regeneration from the tooth development to tissue engineering and clinical application.

作者信息

Sui Yi, Zhou Ziqi, Zhang Siqi, Cai Zhigang

机构信息

Department of Oral Emergency and Oral Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Haidian District, No.22, Zhongguancun South Avenue, Beijing, 100081, People's Republic of China.

National Center for Stomatology, Beijing, People's Republic of China.

出版信息

Cell Regen. 2025 Jul 31;14(1):33. doi: 10.1186/s13619-025-00249-7.


DOI:10.1186/s13619-025-00249-7
PMID:40742495
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12314179/
Abstract

The advancement of tooth regeneration has offered revolutionary progress in the treatment of tooth defects and tooth loss, particularly in whole-tooth regeneration, pulp-dentin regeneration, and enamel regeneration. This review comprehensively analyzes the latest research progress in the biological foundations of tooth regeneration, stem cell applications, and tissue engineering technologies while discussing the prospects for clinical translation of these technologies. At present, pulp-dentin regeneration technology has entered clinical trials and demonstrated preliminary efficacy; however, the maturity and controllability of this technology require further enhancement. In situ whole-tooth regeneration has been achieved in animal models but still confronts ethical and functional challenges. Although the development of new materials has provided novel strategies for the epitaxial growth of enamel, enamel regeneration remains in its early stages. Tissue engineering technologies offer new avenues for tooth regeneration but still need to address issues such as immune rejection and long-term stability to realize the clinical application of tooth regeneration technologies.

摘要

牙齿再生的进展在牙齿缺损和牙齿缺失的治疗方面取得了革命性的进步,特别是在全牙再生、牙髓-牙本质再生和牙釉质再生方面。本综述全面分析了牙齿再生的生物学基础、干细胞应用和组织工程技术的最新研究进展,同时讨论了这些技术临床转化的前景。目前,牙髓-牙本质再生技术已进入临床试验并显示出初步疗效;然而,该技术的成熟度和可控性还需要进一步提高。原位全牙再生已在动物模型中实现,但仍面临伦理和功能方面的挑战。尽管新材料的开发为牙釉质的外延生长提供了新策略,但牙釉质再生仍处于早期阶段。组织工程技术为牙齿再生提供了新途径,但仍需解决免疫排斥和长期稳定性等问题,以实现牙齿再生技术的临床应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14c9/12314179/5fa54e32c21b/13619_2025_249_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14c9/12314179/5fa54e32c21b/13619_2025_249_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14c9/12314179/5fa54e32c21b/13619_2025_249_Fig1_HTML.jpg

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本文引用的文献

[1]
Single-cell RNA sequencing reveals vascularization-associated cell subpopulations in dental pulp: PDGFRβ+ DPSCs with activated PI3K/AKT pathway.

Stem Cells. 2024-10-9

[2]
Induction of periodontal ligament-derived mesenchymal stromal cell-like cells from human induced pluripotent stem cells.

Regen Ther. 2024-7-6

[3]
Direction-oriented fiber guiding with a tunable tri-layer-3D scaffold for periodontal regeneration.

RSC Adv. 2024-6-19

[4]
Functional extracellular vesicles from SHEDs combined with gelatin methacryloyl promote the odontogenic differentiation of DPSCs for pulp regeneration.

J Nanobiotechnology. 2024-5-17

[5]
Understanding the multi-functionality and tissue-specificity of decellularized dental pulp matrix hydrogels for endodontic regeneration.

Acta Biomater. 2024-6

[6]
Chemically modified microRNA delivery via DNA tetrahedral frameworks for dental pulp regeneration.

J Nanobiotechnology. 2024-4-4

[7]
From Pluripotent Stem Cells to Organoids and Bioprinting: Recent Advances in Dental Epithelium and Ameloblast Models to Study Tooth Biology and Regeneration.

Stem Cell Rev Rep. 2024-7

[8]
Enhancing Vasculogenesis in Dental Pulp Development: DPSCs-ECs Communication via FN1-ITGA5 Signaling.

Stem Cell Rev Rep. 2024-5

[9]
Injectable CNPs/DMP1-loaded self-assembly hydrogel regulating inflammation of dental pulp stem cells for dentin regeneration.

Mater Today Bio. 2023-12-9

[10]
Injectable Xenogeneic Dental Pulp Decellularized Extracellular Matrix Hydrogel Promotes Functional Dental Pulp Regeneration.

Int J Mol Sci. 2023-12-14

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