Specific tissue engineering for temporomandibular joint disc perforation

The temporomandibular joint (TMJ) disc is a critical fibrocartilaginous structure with limited regenerative capacity in the oral system. Perforation of the TMJ disc can lead to osteoarthritis and ankylosis of the TMJ because of the lack of disc protection. Clinical treatments for TMJ disc perforatio...

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Bibliographic Details
Published in:Cytotherapy (Oxford, England) England), 2024-03, Vol.26 (3), p.231-241
Main Authors: Min, Ziyang, Li, Yibo, Xiong, Yichen, Wang, Huayu, Jiang, Nan
Format: Article
Language:English
Subjects:
clinical translation
scaffolds
seed cells
tissue engineering
TMJ disc perforation
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Summary:The temporomandibular joint (TMJ) disc is a critical fibrocartilaginous structure with limited regenerative capacity in the oral system. Perforation of the TMJ disc can lead to osteoarthritis and ankylosis of the TMJ because of the lack of disc protection. Clinical treatments for TMJ disc perforation, such as discectomy, hyaluronic acid injection, endoscopic surgery and high position arthroplasty of TMJ, are questionable with regard to long-term outcomes, and only three fourths of TMJ disc perforations are repairable by surgery, even in the short-term. Tissue engineering offers the potential for cure of repairable TMJ disc perforations and regeneration of unrepairable ones. This review discusses the classification of TMJ disc perforation and defines typical TMJ disc perforation. Advancements in the engineering-based repair of TMJ disc perforation by stem cell therapy, construction of a disc-like scaffold and functionalization by offering bioactive stimuli are also summarized in the review, and the barriers developing engineering technologies need to overcome to be popularized are discussed.
ISSN:1465-3249
1477-2566
DOI:10.1016/j.jcyt.2023.11.005