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Home/Biologics/Stem Cells Enable Jaw Regeneration
Biologics

Stem Cells Enable Jaw Regeneration

November 24, 2014 1 min read Premium comments

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Stem Cells Enable Jaw Regeneration
Source: Wikimedia Commons and Hohum
Secondary

Researchers at the University of Michigan School of Dentistry have found a new way to regenerate a patient’s jawbone through the use of stem cells. Speaking of this effort, Anthony Atla, M.D., editor-in-chief of Stem Cells Translational Medicine, said, “As the first report to describe a cell therapy for craniofacial trauma reconstruction, this research serves as the foundation for expanded studies using this approach.”

The patient was a woman who, as a result of a blow to the face five years previously, lost seven front teeth along with 75% of the bone that had once supported them.

As Donna Domino, features writer for Dr.Bicuspid.com explained, the researchers used a mixed population of bone marrow-derived autologous stem and progenitor cells that they seeded onto β-tricalcium phosphate. When they placed this into the defective area of the patient’s mouth it served as a scaffold to deliver cells directly to the defect.

Four months after cell therapy the researchers found that 80% of the patient’s missing jawbone had regenerated. This allowed surgeons to place oral implants in her jaw that supported a dental prosthesis. The patient ended up with a complete set of teeth again.

Sharon Aronovich, DMD, clinical assistant professor of dentistry in the department of oral and maxillofacial surgery at UM School of Dentistry, said to Domino, “I am very grateful to all the patients and researchers that participated in this study. Thanks to everyone’s efforts, we are one step closer to providing patients with a minimally invasive option for implant-based tooth replacement.”

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Discussion

14
DS
Dr. Sarah MitchellOrthopedic Surgeon · Mayo Clinic

This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?

8
JT
James Thornton, MDSpine Fellow · HSS

Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.

5
RP
R. PatelSports Medicine · Stanford

We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.

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