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Concise Review: Periodontal Tissue Regeneration Using Stem Cells: Strategies and Translational Considerations

机译:简要审查:使用干细胞的牙周组织再生:策略和翻译注意事项

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Periodontitis is a widespread disease characterized by inflammation‐induced progressive damage to the tooth‐supporting structures until tooth loss occurs. The regeneration of lost/damaged support tissue in the periodontium, including the alveolar bone, periodontal ligament, and cementum, is an ambitious purpose of periodontal regenerative therapy and might effectively reduce periodontitis‐caused tooth loss. The use of stem cells for periodontal regeneration is a hot field in translational research and an emerging potential treatment for periodontitis. This concise review summarizes the regenerative approaches using either culture‐expanded or host‐mobilized stem cells that are currently being investigated in the laboratory and with preclinical models for periodontal tissue regeneration and highlights the most recent evidence supporting their translational potential toward a widespread use in the clinic for combating highly prevalent periodontal disease. We conclude that in addition to in vitro cell‐biomaterial design and transplantation, the engineering of biomaterial devices to encourage the innate regenerative capabilities of the periodontium warrants further investigation. In comparison to cell‐based therapies, the use of biomaterials is comparatively simple and sufficiently reliable to support high levels of endogenous tissue regeneration. Thus, endogenous regenerative technology is a more economical and effective as well as safer method for the treatment of clinical patients.
机译:牙周炎是一种广泛的疾病,其特征在于炎症引起牙齿支撑结构的渐进性损伤,直至发生牙齿脱落。牙周组织中丢失/损坏的支持组织(包括牙槽骨,牙周膜和牙骨质)的再生是牙周再生治疗的雄心勃勃的目标,并可能有效减少牙周炎引起的牙齿脱落。干细胞用于牙周再生是转化研究的热点,也是牙周炎的新兴潜在治疗方法。简明扼要的综述总结了目前正在实验室中研究的使用培养扩展或宿主移动的干细胞以及牙周组织再生的临床前模型的再生方法,并重点介绍了支持其转化潜力的广泛使用的最新证据。对抗高度流行的牙周疾病的诊所。我们得出的结论是,除了体外细胞生物材料的设计和移植外,旨在鼓励牙周膜固有再生能力的生物材料设备的工程设计还需要进一步研究。与基于细胞的疗法相比,生物材料的使用相对简单且可靠,足以支持高水平的内源性组织再生。因此,内源性再生技术是治疗临床患者的一种更经济,有效和安全的方法。

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