1,721,106 research outputs found

    About stem cell research in dentistry: Many doubts and too many pitfalls still affect the regenerative dentistry

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    Stem cells (SCs) research is one of the most promising approaches to regenerative medicine. Our understanding of SCs biology and their potential role in tissue repairing has notably increased during the last few years. Mesenchymal stem cells (MSCs) are present in almost all human tissues, including oral and dental tissues (dental-derived stem cells or DDSCs). Despite many doubts and too many pitfalls still affect regenerative dentistry; however, it represents an exciting challenge for the next generations of young dentists. Educating and training in regenerative medicine the new generation of researchers is of utmost importance, albeit often underestimated: regenerative dentistry represents a big opportunity for the next generations of researchers and clinicians, and this review report underlines that dental schools should pay more attention to teachings of strategic subjects, such as cell biology, molecular biology and tissue engineering

    Bioethics in Reusing of Biomedical Waste in Regenerative Dentistry

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    Stem cell-based therapies are the most promising breakthrough in almost all the fields of medicine. Despite stem cells are widely investigated, scientific community is still debating if stemness is a peculiar ability of a specific cytotype or if any differentiated cell may adopt stem-cell-like properties, according to an organ’s needs. Resident stem cells undergo to changes in chromatin structure depending from stimulus-responsive transcriptional programs highlighting how stem cells can be induced during both embryonic development and adult tissue regeneration in several different tissues, regardless of their biological niche. Biological wastes are usually considered as matter to be discharged, but in the last years, especially after the Nobel Prize in Physiology or Medicine to Randy Schekman, the interest toward the re-use of wasted tissues has become a hot topic in biomedical research

    Science is not a Social Opinion

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    Recently, the main American associations in the dental field reported concerns regarding a film on the Netflix, Amazon, Apple, and Vimeo platforms that reported that endodontic treatments of root canals are linked to serious systemic pathologies, against any scientific evidence. This extreme case highlights how information, in a social networking era, is dramatically conditioned by a small number of users, leading to large scale consequences in political opinions, alimentary choices, or even in healthcare policy. It is urgent to demonstrate a strong awareness by the academic, institutional, and associative bodies in order to restore the correct flow of information on mass media and social networks

    Entropy meets Physiology:Should We Translate Aging as Disorder?

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    Aging is characterized by an alteration of several physiological processes and biological pathways that leads to an increased susceptibility to age-related diseases and death. Normally, multipotential stem/progenitor cells may contribute to tissue homeostasis, and to minimize the age-depending DNA damage. Scientific research has demonstrated that aging induces several complex changes affecting even the mesenchymal stromal/stem cells (MSCs) ability to self-renew, differentiate, and immunomodulate the human tissues, causing further alterations in the local microenvironment. Cellular senescence can thus be considered as an overall response to several damages. Accordingly, aging seems to create the proper conditions to decrease the tissue’s metabolic performance, and the cell-to-cell communication, resulting in a progressive tissue destruction; on the other hand, the MSCs functions appear to be severely reduced. This concise review summarizes the main alterations affecting the MSCs during aging, and it also explains the role of inflammation as a key player in age-related syndromes.</p

    Cells: Are they (still) essential for dental regeneration?

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    : Tissue regeneration in dentistry has demonstrated impressive progress over during the last decades compared to other medical sciences [...]

    Influence of PRF in the healing of bone and gingival tissues. Clinical and histological evaluations

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    INTRODUCTION: The healing of bone tissues around dental implants is based primarily on a correct osseointegration. BACKGROUND: Typically, implants stability and peri-implant tissues health are anticipated to decrease during the early weeks of healing; this is followed by an increase in stability. AIM: The aim of the present study is to assess a predictable protocol in order to increase the peri-implant tissues maintenance around post-extractive dental implants, thanks to the use of Platelet-Rich Fibrin (PRF) membrane. MATERIALS AND METHODS: This is a retrospective observational study of 127 tapered dental implants placed in the immediate post-extraction sites of maxillary bone of 59 patients. Atraumatic dental extraction and flapless implant surgery was performed in all reported cases. The cortical bone position relative to the implant reference point was evaluated at implant placement and 10 to 24 months following implantology. The gap between bone tissue and the implant surface was measured up to a maximum of 3 mm. After placing implants we have filled the surgical site with a PRF gel, so as to fill the gap between bone tissue and the implant surface, and then we have covered the surgical site with a PRF membrane, so as to coat the gap between the alveolar crest and the implant. RESULTS: In all cases, we observed the complete covering of the dental implants, with newly formed soft tissue of variable thickness between 1 and 3 mm. Cortical bone adaptation from the time of implant placement up to 30 months following prosthetic restoration ranged from 0.4 mm to 1.7 mm. CONCLUSIONS: Our study showed a series of successful rehabilitations, with post-extraction implantology technique, in 99.8 percent of cases, despite the success rates in the medium and long-term post-extraction implantology reported in the literature range between 92.7 percent and 98.0 percent. Long-term maintenance of crestal bone and the rapid healing of soft tissue dimension with maintenance of peri-implant papilla were observed as outcomes after post-extractive implants insertion

    Stem Cells from Dental Sources: Translational Applications in Medicine and Novel Approaches

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    : Recently, regenerative medicine has been attracting interest from scientific groups working on translational applications of applied medical sciences [...]

    The regenerative dentistry:Current approaches and future insights

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    Regenerative medicine typically aims to promote and improve the healing of tissues and organs of the human body, to restore the physiological architecture and the main functions lost.The combination of several scientific fields, including tissue engineering and cell biology, has led to the development of novel regenerative therapies that claim to obtain a better repairing, regenerating and replacing of tissues and organs damaged by chronic and acute diseases, or by severe traumatic injuries. In this landscape, the mesenchymal stem cells (MSCs) have been widely reported to self-regenerate and differentiate towards different tissues, under specific conditions and stimuli. Nowadays, MSCs are routinely used in autologous transplantation: the use of specific molecular effectors and biomimetic scaffolds populated with such MSCs has shown promising results both in vitro and in vivo experiments aimed to achieve a time-effective tissue reconstruction and a functional regeneration of complex organs

    Regenerative Medicine: Role of Stem Cells and Innovative Biomaterials 2.0

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    : Regenerative medicine has constantly increased its field of influence over the last few years [...]

    The regenerative medicine in oral and maxillofacial surgery: The most important innovations in the clinical application of mesenchymal stem cells

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    Regenerative medicine is an emerging field of biotechnology that combines various aspects of medicine, cell and molecular biology, materials science and bioengineering in order to regenerate, repair or replace tissues.The oral surgery and maxillofacial surgery have a role in the treatment of traumatic or degenerative diseases that lead to a tissue loss: frequently, to rehabilitate these minuses, you should use techniques that have been improved over time. Since 1990, we started with the use of growth factors and platelet concentrates in oral and maxillofacial surgery; in the following period we start to use biomaterials, as well as several type of scaffolds and autologous tissues. The frontier of regenerative medicine nowadays is represented by the mesenchymal stem cells (MSCs): overcoming the ethical problems thanks to the use of mesenchymal stem cells from adult patient, and with the increasingly sophisticated technology to support their manipulation, MSCs are undoubtedly the future of medicine regenerative and they are showing perspectives unimaginable just a few years ago. Most recent studies are aimed to tissues regeneration using MSCs taken from sites that are even more accessible and rich in stem cells: the oral cavity turned out to be an important source of MSCs with the advantage to be easily accessible to the surgeon, thus avoiding to increase the morbidity of the patient.The future is the regeneration of whole organs or biological systems consisting of many different tissues, starting from an initial stem cell line, perhaps using innovative scaffolds together with the nano-engineering of biological tissues
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