国际口腔医学杂志 ›› 2022, Vol. 49 ›› Issue (3): 272-282.doi: 10.7518/gjkq.2022024
摘要:
牙髓炎是常见的口腔疾病之一,目前常采取的治疗手段难以恢复牙髓的结构和功能,通过再生医学原理探索牙髓再生的策略成为目前的研究热点。根管和牙髓腔的形态具有特殊性,牙髓组织再生的难点在于牙髓血管网络的重建。牙髓血管形成策略研究目前主要集中于两个方向:原位血管生成策略和移植物预血管化技术。本文系统分析了基于牙髓干细胞的牙髓再生中血管再生的研究成果,重点讨论了体内原位血管生成的基本原理和促进血管再生过程中的信号分子、理化因素以及细胞外囊泡的调控作用;对预血管化系统所采用的细胞来源、血管网络构建条件、凝胶支架选择与微环境的配置进行了总结和讨论;同时对目前相关预血管化技术的临床研究情况进行了归纳,并对预血管化技术在牙髓再生中血管网络重建中的可行性和应用前景进行了探讨和展望。
中图分类号:
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