回顾口腔成纤维细胞与间充质干细胞相比,在正畸牙齿移动期间或之后修复牙周缺损的益处和临床效果。

IF 17.5 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Periodontology 2000 Pub Date : 2024-08-20 DOI:10.1111/prd.12602
Ludovica Parisi, Eleni Mavrogonatou, Anton Sculean, Dimitris Kletsas, Martin Degen
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引用次数: 0

摘要

正畸治疗会对牙齿施加压力,导致牙周韧带发生炎症反应。牙周韧带的重塑可以修复这种反应,从而使牙齿移位。虽然正畸治疗大多在儿童和青少年时期开始,但随着社会审美意识的提高,寻求正畸治疗的成年人数量也在不断增加。然而,成年人可能已经存在牙周组织异常,导致正畸治疗效率低下,因为健康的牙周是成功的关键。许多危险因素都与牙周病变有关,而正畸牙齿移动可能对其影响甚微。虽然对患者来说,这些组织损伤主要是美观问题而非功能问题,但修复往往需要侵入性程序。治疗牙周并发症的自体细胞作为一种侵入性较小的替代疗法越来越受欢迎。本综述分析了使用间充质干细胞和口腔组织来源的成纤维细胞治疗可能与正畸牙齿移动有关的牙周缺损的文献。此外,还研究了这两种细胞类型的优势和挑战。虽然目前临床研究的数量有限,但我们的研究表明,口腔成纤维细胞有可能成为牙周组织工程的下一个新兴前锋。
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Reviewing the benefits and clinical outcomes of oral fibroblasts over mesenchymal stem cells for repairing periodontal defects during or after orthodontic tooth movement.

Orthodontic therapy applies forces to teeth, causing an inflammatory reaction in the periodontal ligament. This is repaired by remodeling of the periodontium, allowing tooth displacement. Although orthodontic therapy is mostly initiated during childhood and adolescence, the number of adults seeking this treatment is increasing as our society's esthetic awareness rises. However, adults may already have periodontal tissue abnormalities, rendering orthodontic treatment inefficient because a healthy periodontium is essential for success. Numerous risk factors have been linked to periodontal lesions, with orthodontic tooth movement possibly playing a minimal influence. Although such tissue damages are mostly of esthetic rather than functional concern for patients, restoration frequently requires invasive procedures. Autologous cells for the treatment of periodontal complications have grown in popularity as a less intrusive alternative. The present review analyzed the literature on the use of mesenchymal stem cells and oral tissue-derived fibroblasts for the healing of periodontal defects that may be related to orthodontic tooth movement. Furthermore, the advantages and challenges of the two cell types have been examined. Although the number of clinical studies is currently limited, our study demonstrates that oral fibroblasts have the potential to be the next emergent frontrunners for tissue engineering in the periodontium.

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来源期刊
Periodontology 2000
Periodontology 2000 医学-牙科与口腔外科
CiteScore
34.10
自引率
2.20%
发文量
62
审稿时长
>12 weeks
期刊介绍: Periodontology 2000 is a series of monographs designed for periodontists and general practitioners interested in periodontics. The editorial board selects significant topics and distinguished scientists and clinicians for each monograph. Serving as a valuable supplement to existing periodontal journals, three monographs are published annually, contributing specialized insights to the field.
期刊最新文献
Methods for 3D evaluation and quantification of gingival recessions and gingival margin changes: Advancements from conventional techniques. Periodontal and orthodontic management of impacted canines. Periodontal disease: A systemic condition. Periodontal diseases in Africa. Autogenous platelet concentrates for treatment of intrabony defects—A systematic review with meta‐analysis
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