Use of stem cells from deciduous teeth in bone regeneration for the treatment of cleft lip and palate: A review of in vivo studies
DOI:
https://doi.org/10.5335/rfo.v30i1.16372Palavras-chave:
Cleft Palate, Stem Cell Research, Bone Regeneration, Bone GraftResumo
Objective: This study aimed to review in vivo studies on the use of stem cells derived from exfoliated deciduous teeth (SHED) for bone regeneration, particularly in the treatment of cleft lip and/or palate (CL/P). Methodology: The review followed PRISMA guidelines and included studies from PubMed, Scopus, and Google Scholar databases, published in the last 10 years in English, Spanish, or Portuguese. Strict inclusion and exclusion criteria were applied, focusing on in vivo studies using SHED for CL/P treatment. Keywords such as “Bone Regeneration,” “Tissue Engineering,” and “SHED” were used for the search. After screening 1,045 records and excluding duplicates, 7 studies were selected for full review. Results: The review identified 7 relevant studies, 6 of which were in vivo animal studies, and 1 was a clinical case report. These studies demonstrated that SHEDs effectively promoted bone regeneration, presenting a less invasive and promising alternative to traditional bone grafting techniques. Conclusion: SHEDs show significant potential in bone regeneration, offering a less invasive treatment option with fewer complications compared to autogenous bone grafts. However, more research is needed to address long-term safety, tumorigenesis, and optimal clinical applications before widespread clinical adoption.
Downloads
Referências
Heydari MH, Sadeghian A, Khadivi G, Mustafa HJ, Javinani A, Nadjmi N, Khojasteh A. Prevalence, trend, and associated risk factors for cleft lip with/without cleft palate: a national study on live births from 2016 to 2021. BMC Oral Health. 2024;24(1):36. doi: 10.1186/s12903-023-03797-z.
Mitchell JC, Wood RJ. Manejo da fissura labiopalatina na atenção primária. J Pediatr Health Care. 2000;14(1):13-9. doi: 10.1016/S0891-5245(00)70039-3.
Balasubramaniyan S, Raghunathan V, Rajashekhar B, Sathiyasekaran BWC, Nagarajan R. Planning community-based intervention for speech for children with cleft lip and palate from rural South India: a needs assessment. Indian J Plast Surg. 2017;50(3):295-301. doi: 10.4103/ijps.IJPS_174_17.
Fu ML, Aldosari M, Chakraborty A, Ko J, Tahir P, Oberoi S. The effects of presurgical orthodontic treatment on the outcome of secondary bone graft for individuals with cleft lip and palate. J Craniofac Surg. 2024; Advance online publication. doi: 10.1097/SCS.0000000000010431.
Haj M, Hakkesteegt SN, Poldermans HG, de Gier HHW, Versnel SL, Wolvius EB. Speech outcomes after delayed hard palate closure and synchronous secondary alveolar bone grafting in patients with cleft lip, alveolus and palate. Arch Plast Surg. 2024;51(4):378-85. doi: 10.1055/s-0044-1787002.
Joshi KR, Das G, Shrestha A, Khanal LR, Guragain M. Management of cleft palate in middle schooler: a case report. J Nepal Prosthodont Soc. 2023;6(1):36-9.
Dhooghe N, Verhelst P, Vandenbosch K, Engelen B, Vanderhaeghe F, Nagy K, Vanenbosch K. Chirurgische behandeling lip-en verhemeltespleet. Tijdschr Geneeskd Gezondhzorg. 2023;6.
Ahmed O, Yasmeen S, Khan MI, Beg MSA. A novel technique for prevention of anterior fistula and facilitation of alveolar cleft repair: gingivoperiosteoplasty with palatoplasty. Pak J Med Sci. 2022;38(7):1816-20. doi: 10.12669/pjms.38.7.542.
Singh GP, Vohra G. A novel modification of nasoalveolar molding procedure to enhance ease of use. J Cleft Lip Palate Craniofac Anomal. 2023;10(1):40-4.
Lee JM, Kim HY, Park JS, Lee DJ, Zhang S, Green DW, Jung HS. Developing palatal bone using human mesenchymal stem cell and stem cells from exfoliated deciduous teeth cell sheets. J Tissue Eng Regen Med. 2019;13(2):319-27. doi: 10.1002/term.2811.
Tian Z, Yu T, Liu J, Wang T, Higuchi A. Introduction to stem cells. Prog Mol Biol Transl Sci. 2023;199:3-32. doi: 10.1016/bs.pmbts.2023.02.012.
Anggraeni R, Ana ID. Stem cells: basic understanding and its relevance to regenerative mechanism. 2024.
Zhu X, Xu X, Shen M, Wang Y, Zheng T, Li H, et al. Transcriptomic heterogeneity of human mesenchymal stem cells derived from bone marrow, dental pulp, adipose tissue, and umbilical cord. Cell Reprogram. 2023;25(4):162-70. doi: 10.1089/cell.2023.0019.
Mohd Nor NH, Mansor NI, Mohd Kashim MIA, Mokhtar MH, Mohd Hatta FA. From teeth to therapy: a review of therapeutic potential within the secretome of stem cells from human exfoliated deciduous teeth. Int J Mol Sci. 2023;24(14):11763. doi: 10.3390/ijms241411763.
Fracaro L, Hochuli AHD, Selenko AH, Capriglione LGA, Brofman PRS, Senegaglia AC. Mesenchymal stromal cells derived from exfoliated deciduous teeth express neuronal markers before differentiation induction. J Appl Oral Sci. 2023;31:e20220489. doi: 10.1590/1678-7757-2022-0489.
Souza MT, Silva MD, Carvalho R. Integrative review: what is it? How to do it? Einstein (Sao Paulo). 2010;8(1):102-6. doi: 10.1590/S1679-45082010RW1134.
Linkugel AD, Trivedi PB, Varagur K, Skolnick GB, Menezes MD, Dunsky KA, et al. Multidisciplinary optimal outcomes reporting and team clinic retention in isolated nonsyndromic cleft palate. Cleft Palate Craniofac J. 2023; Advance online publication. doi: 10.1177/10556656231205974.
Yohana N, Handoko H. Understanding of speech production in cleft lip/palate: a review. J Arbitrer. 2023;10(4):437-46.
Sischo L, Wilson-Genderson M, Broder HL. Quality-of-life in children with orofacial clefts and caregiver well-being. J Dent Res. 2017;96(13):1474-81. doi: 10.1177/0022034517725707.
Yusof MS, Mohd Ibrahim H. The impact of cleft lip and palate on the quality of life of young children: a scoping review. Med J Malaysia. 2023;78(2):250-8.
Park JJ, Rochlin DH, Parsaei Y, Shetye PR, Witek L, Leucht P, et al. Bone tissue engineering strategies for alveolar cleft: review of preclinical results and guidelines for future studies. Cleft Palate Craniofac J. 2023;60(11):1450-61. doi: 10.1177/10556656221104954.
Brudnicki A, Petrova T, Dubovska I, Kuijpers-Jagtman AM, Ren Y, Fudalej PS. Alveolar bone grafting in unilateral cleft lip and palate: impact of timing on palatal shape. J Clin Med. 2023;12(24):7519. doi: 10.3390/jcm12247519.
Nagatsuka T, Matsuura N, Ntege EH, Shimizu Y. Autologous rib cartilage reconstruction after silicone implant removal in a patient with bilateral cleft lip and palate: a case report. Cureus. 2024;16(4):e58452. doi: 10.7759/cureus.58452.
Tavelli L, Barootchi S, Stefanini M, Zucchelli G, Giannobile WV, Wang HL. Wound healing dynamics, morbidity, and complications of palatal soft-tissue harvesting. Periodontol 2000. 2023;92(1):90-119. doi: 10.1111/prd.12466.
Miranda BL, Júnior JLA, Paiva MAF, Lacerda RHW, Vieira AR. Management of oronasal fistulas in patients with cleft lip and palate. J Craniofac Surg. 2020;31(6):1526-8. doi: 10.1097/SCS.0000000000006213.
Parvini P, Obreja K, Sader R, Becker J, Schwarz F, Salti L. Surgical options in oroantral fistula management: a narrative review. Int J Implant Dent. 2018;4(1):40. doi: 10.1186/s40729-018-0152-4.
Scattarella A, Ballini A, Grassi FR, Carbonara A, Ciccolella F, Dituri A, et al. Treatment of oroantral fistula with autologous bone graft and application of a non-reabsorbable membrane. Int J Med Sci. 2010;7(5):267-71. doi: 10.7150/ijms.7.267.
Park WB, Bae MS, Park W, Lim HC, Han JY. A novel approach for the treatment of recurrent oroantral fistula occurring at an infected sinus augmentation site. Medicina (Kaunas). 2024;60(2):343. doi: 10.3390/medicina60020343.
Francisco I, Paula AB, Oliveiros B, Fernandes MH, Carrilho E, Marto CM, Vale F. Regenerative strategies in cleft palate: an umbrella review. Bioengineering (Basel). 2021;8(6):76. doi: 10.3390/bioengineering8060076.
Ahn G, Lee JS, Yun WS, Shim JH, Lee UL. Cleft alveolus reconstruction using a three-dimensional printed bioresorbable scaffold with human bone marrow cells. J Craniofac Surg. 2018;29(7):1880-3. doi: 10.1097/SCS.0000000000004747.
Xu H, Zhang Y, Zhang Y, Zhao Z, Xue T, Wang J, Ding Y. 3D bioprinting advanced biomaterials for craniofacial and dental tissue engineering–A review. Mater Des. 2024;112886.
Ali YH, El-Shazly M, Taha A, Ali T, Bakri S. Tissue engineering strategies in cleft palate. In: Surgical Atlas of Cleft Palate and Palatal Fistulae. Singapore: Springer Singapore; 2022. p. 1-10.
Taori T, Borle A, Maheshwari S, Reche A. An insight into the biomaterials used in craniofacial tissue engineering inclusive of regenerative dentistry. AIMS Bioeng. 2023;10(2).
Yang F, Garg A, Clark S, Dikyol C, Feinberg A, Ozdoganlar B, LeDuc PR. 3D freeform ice printing for fabricating biomimetic vascular networks in engineered tissue. Biophys J. 2024;123(3):436a.
Shahbazi A, Mueller AA, Mezey S, Gschwindt S, Kiss T, Baksa G, Kisnisci RS. Is the collateral circulation pattern in the hard palate affected by cleft deformity? Clin Oral Investig. 2024;28(5):277. doi: 10.1007/s00784-024-05627-0.
Mazzetti MPV, Alonso N, Brock RS, Ayoub A, Massumoto SM, Eça LP. Importance of stem cell transplantation in cleft lip and palate surgical treatment protocol. J Craniofac Surg. 2018;29(6):1445-51. doi: 10.1097/SCS.0000000000004766.
Kanwal L, Khawaja M, Idrees W, Sukhia RH, Fida M. The implication of stem cell therapy in cleft lip and palate and other craniofacial anomalies–a literature review. J Calif Dent Assoc. 2023;51(1):2246192.
Amiri MA, Lavaee F, Danesteh H. Use of stem cells in bone regeneration in cleft palate patients: review and recommendations. J Korean Assoc Oral Maxillofac Surg. 2022;48(2):71-8. doi: 10.5125/jkaoms.2022.48.2.71.
Prahasanti C, Subrata LH, Saskianti T, Suardita K, Ernawati DS. Combined hydroxyapatite scaffold and stem cell from human exfoliated deciduous teeth modulating alveolar bone regeneration via regulating receptor activator of nuclear factor-κB and osteoprotegerin system. Iran J Med Sci. 2019;44(5):415-21.
Zhang N, Xu L, Song H, Bu C, Kang J, Zhang C, et al. Tracking of stem cells from human exfoliated deciduous teeth labeled with Molday ION Rhodamine-B during periodontal bone regeneration in rats. Int J Stem Cells. 2023;16(1):93-107. doi: 10.15283/ijsc21204.
Behnia A, Haghighat A, Talebi A, Nourbakhsh N, Heidari F. Transplantation of stem cells from human exfoliated deciduous teeth for bone regeneration in the dog mandibular defect. World J Stem Cells. 2014;6(4):505-10. doi: 10.4252/wjsc.v6.i4.505.
Jahanbin A, Rashed R, Alamdari DH, Koohestanian N, Ezzati A, Kazemian M, et al. Success of maxillary alveolar defect repair in rats using osteoblast-differentiated human deciduous dental pulp stem cells. J Oral Maxillofac Surg. 2016;74(4):829.e1-829.e9. doi: 10.1016/j.joms.2015.11.033.
Nakajima K, Kunimatsu R, Ando K, Ando T, Hayashi Y, Kihara T, et al. Comparison of the bone regeneration ability between stem cells from human exfoliated deciduous teeth, human dental pulp stem cells and human bone marrow mesenchymal stem cells. Biochem Biophys Res Commun. 2018;497(3):876-82. doi: 10.1016/j.bbrc.2018.02.156.
Hiraki T, Kunimatsu R, Nakajima K, Abe T, Yamada S, Rikitake K, Tanimoto K. Stem cell-derived conditioned media from human exfoliated deciduous teeth promote bone regeneration. Oral Dis. 2020;26(2):381-90. doi: 10.1111/odi.13244.
Tanikawa DYS, Pinheiro CCG, Almeida MCA, Oliveira CRGCM, Coudry RA, Rocha DL, Bueno DF. Deciduous dental pulp stem cells for maxillary alveolar reconstruction in cleft lip and palate patients. Stem Cells Int. 2020;2020:6234167. doi: 10.1155/2020/6234167.
Alkaabi SAOA. Regenerative medicine for alveolar cleft treatment. 2023.
Kanwal L, Khawaja M, Idrees W, Sukhia RH, Fida M. The implication of stem cell therapy in cleft lip and palate and other craniofacial anomalies – a literature review. J Calif Dent Assoc. 2023;51(1):2246192.
Amiri MA, Lavaee F, Danesteh H. Use of stem cells in bone regeneration in cleft palate patients: review and recommendations. J Korean Assoc Oral Maxillofac Surg. 2022;48(2):71-78. doi: 10.5125/jkaoms.2022.48.2.71.
Downloads
Publicado
Edição
Seção
Licença

Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Este periódico bem como seus artigos estão licenciados com a licença Creative Commons Atribuição-NãoComercial-SemDerivações 4.0 Internacional.
