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Medical Forum / General / Dentistry / January 2008

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The holy grail of dentistry?

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Robert - 26 Jan 2008 00:16 GMT
Is this real? And could we see its practical application anytime soon (e.g.,
this decade)?
http://www.cbc.ca/health/story/2006/06/28/teeth-grow.html
Steven Bornfeld - 26 Jan 2008 02:42 GMT
> Is this real? And could we see its practical application anytime soon (e.g.,
> this decade)?
> http://www.cbc.ca/health/story/2006/06/28/teeth-grow.html

    There's very little information there, but it's difficult to buy this.
 The enamel-forming cells are lost when the tooth erupts; the
dentin-forming cells are lost when the pulp dies.  That leaves cementum,
which is ordinarily pretty soft.  I'd need to hear a lot more about what
is going on here.

Steve
Robert - 26 Jan 2008 15:49 GMT
>> Is this real? And could we see its practical application anytime soon
>> (e.g.,
[quoted text clipped - 6 lines]
> ordinarily pretty soft.  I'd need to hear a lot more about what is going
> on here.

Is this the first you've heard of it?  I call it the "holy grail" because,
if real, it could restore teeth and practioners could make money from it.
(If you can't make money from it, who is going to spend time developing and
offering it?).  What could be sweeter? In any case, it still appears to be
alive since there is another article from last year:
http://www.ualberta.ca/~publicas/folio/44/09/02.html
Robert - 26 Jan 2008 15:51 GMT
>> Is this real? And could we see its practical application anytime soon
>> (e.g.,
>> this decade)?
>> http://www.cbc.ca/health/story/2006/06/28/teeth-grow.html

Gets even more interesting. Here is another article, based on stem cell
research rather than ultra-sound, that cites one of the same people in the
other article. From the MIT Technology Review:
http://www.technologyreview.com/Biotech/18216/
Mark & Steven Bornfeld - 26 Jan 2008 16:10 GMT
>>> Is this real? And could we see its practical application anytime soon
>>> (e.g.,
[quoted text clipped - 5 lines]
> other article. From the MIT Technology Review:
> http://www.technologyreview.com/Biotech/18216/

    I'll look at these.  I have heard of tooth induction using stem cells
as a potential project.  I commented at some point that it seemed to me
that generating new teeth would be pretty far down the list of
priorities for stem cell researchers looking for medical uses, but there
may well be something about the technical aspects of actually doing it
that might make it an easier project than some of the more obvious ones
that are talked about--eg: brain cells involved in Parkinson's disease.

Steve

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Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Robert - 26 Jan 2008 19:25 GMT
> I'll look at these.  I have heard of tooth induction using stem cells as a
> potential project.  I commented at some point that it seemed to me that
[quoted text clipped - 3 lines]
> it an easier project than some of the more obvious ones that are talked
> about--eg: brain cells involved in Parkinson's disease.

Very good points. If you tested stem cells on regrowing teeth you have
several built-in advantages:

- it is less intrusive and progress would be easier to monitor
- you could use as subjects people who are in otherwise good health
- failures, while not happy, would be less catastrophic
- finally, you could turn it into a business with revenues going to fund
other areas of stem cell research.
Steven Bornfeld - 26 Jan 2008 20:41 GMT
>> I'll look at these.  I have heard of tooth induction using stem cells as a
>> potential project.  I commented at some point that it seemed to me that
[quoted text clipped - 12 lines]
> - finally, you could turn it into a business with revenues going to fund
> other areas of stem cell research.

    I wasn't even thinking of human subjects yet.  You might risk it sooner
in a potentially fatal condition (also, the FDA "fast tracking"
mechanism for approval for human testing might apply).
    I'm sure it's easier to work with a relatively simple structure like a
tooth bud rather than the brain.

Steve
Matt - 27 Jan 2008 00:58 GMT
> If you tested stem cells on regrowing teeth you have
> several built-in advantages:

> - finally, you could turn it into a business with revenues going to fund
> other areas of stem cell research.

It's hard to think of a scenario for that.  More likely revenues would
go into research on regrowing teeth.  Maybe some general research
organization could patent tooth-regrowing technology and license it to
practitioners.  That sounds kind of crooked though.

When you compare the yearly numbers of extractions and root canals to
the numbers of major organ transplants, it isn't hard to see that there
will be a lot of money in regrowing teeth if it comes to be practical,
and I expect it will.  Of course any of this would tend to put the
implant guys out of business.
Robert - 27 Jan 2008 17:54 GMT
>> If you tested stem cells on regrowing teeth you have several built-in
>> advantages:
[quoted text clipped - 12 lines]
> expect it will.  Of course any of this would tend to put the implant guys
> out of business.

Unless the implant guys branched out into that business.
Matt - 27 Jan 2008 22:51 GMT
>>> If you tested stem cells on regrowing teeth you have several built-in
>>> advantages:
[quoted text clipped - 12 lines]
>
> Unless the implant guys branched out into that business.

yep

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