促进牙肉质再生:从干细胞/原生细胞移植中获得的临床观点和见解 (第二部分)
Sayna Shamszadeh1, Mohammad Jafar Eghbal1, Saeed Asgary1
1Iranian Center for Endodontic Research, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Science Tehran, Iran.
American journal of stem cells
|July 18, 2024
概括
干细胞移植在成熟和不成熟的牙中显示出再生性内牙科的前景,改善了放射和临床结果. 然而,有限的高质量研究需要谨慎的解释和进一步的研究.
科学领域:
- 牙周内科医院 牙周内科医院 牙周内科医院
- 再生医学是一种再生医学.
- 干细胞生物学 干细胞生物学
背景情况:
- 再生性内牙术的目的是用重要的功能性组织取代受损的脉组织.
- 干细胞移植是成熟和不成熟牙再生性内牙科的一个关键策略.
- 现有临床证据需要综合评估疗效和局限性.
研究的目的:
- 系统地审查关于再生性内牙科中干细胞移植的临床研究.
- 评估这些程序的放射和临床结果.
- 为了确定使用的干细胞类型,支架和生长因子.
主要方法:
- 在Scopus,PubMed,ISI Web Science和Google Scholar的系统电子文献搜索到2023年1月.
- 包括随机对照试验 (RCT),病例报告和病例系列.
- 评估放射性参数 (损伤大小,根长度等) 的评估. 和临床参数 (疼痛,敏感性).
主要成果:
- 在3250篇文章中选择了5项临床研究 (2项RCT,3项病例报告/系列).
- 牙髓干细胞 (DPSCs) 在不成熟的牙中增加了根长;带介质干细胞 (UC-MSCs) 在成熟的牙中减少了尖端病变.
- 在各种干细胞应用中观察到积极的脉反应,增加血流和矿化.
结论:
- 干细胞移植有可能在成熟和不成熟的牙中进行再生性内牙科.
- 发现了干细胞类型,支架和生长因子的异质性.
- 目前的证据基础有限,存在偏见的风险,需要进一步进行高质量的临床试验.
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