Advanced reconstructive technologies for periodontal tissue repair

Periodontol 2000. 2012 Jun;59(1):185-202. doi: 10.1111/j.1600-0757.2011.00432.x.

Abstract

Reconstructive therapies to promote the regeneration of lost periodontal support have been investigated through both preclinical and clinical studies. Advanced regenerative technologies using new barrier-membrane techniques, cell-growth-stimulating proteins or gene-delivery applications have entered the clinical arena. Wound-healing approaches using growth factors to target the restoration of tooth-supporting bone, periodontal ligament and cementum are shown to significantly advance the field of periodontal-regenerative medicine. Topical delivery of growth factors, such as platelet-derived growth factor, fibroblast growth factor or bone morphogenetic proteins, to periodontal wounds has demonstrated promising results. Future directions in the delivery of growth factors or other signaling models involve the development of innovative scaffolding matrices, cell therapy and gene transfer, and these issues are discussed in this paper.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Biocompatible Materials / therapeutic use
  • Genetic Therapy
  • Guided Tissue Regeneration, Periodontal / methods*
  • Humans
  • Intercellular Signaling Peptides and Proteins / therapeutic use
  • Periodontal Diseases / surgery*
  • Reconstructive Surgical Procedures / methods*
  • Tissue Engineering
  • Tissue Scaffolds

Substances

  • Biocompatible Materials
  • Intercellular Signaling Peptides and Proteins