Editorial

Grafts in Nature, Medicine & Dentistry

Editorial for March 2023 Volume 6, Issue 3 We all heal well with a little bit of help. Assistance or support at the right time can do wonders for us....

Dr. Nupur Shrirao

Dr. Nupur Shrirao

Head & Owner

6 min read153,197 views
  • tissue regeneration
  • Implant Dentistry
  • professional education
  • bone grafts
  • dentistry
  • skin grafts
  • grafting
  • implantology
  • dental grafts
  • Editorial

Editorial for March 2023 Volume 6, Issue 3

We all heal well with a little bit of help.

Assistance or support at the right time can do wonders for us. Unsurprisingly, nature works the same way. Everything in nature is interdependent in a way that the cycle of life and sustainability keeps going. Sometimes, Man’s intervention has helped diseased plants to be cured and injured trees to live longer, simply by use of ‘grafts’. As everything in nature, Man applied the same principles in healthcare, and ‘grafts’ have been used in medical and dental sciences to help in faster healing and better health. Let us see how!

Grafts in Nature

In horticulture, grafts are used for joining together plant parts by means of tissue regeneration. Grafting is the act of placing a portion of one plant (bud or scion) into or on a stem, root, or branch of another (stock) in such a way that a union will be formed and the partners will continue to grow. (1)

The part of the combination that provides the root is called the stock; the added piece is called the scion. When more than two parts are involved, the middle piece is called the interstock. When the scion consists of a single bud, the process is called budding.

In plants, grafting and budding are the most widely used vegetative propagation methods. Simply put, grafting in nature is the act of joining two plants together.

Plant grafting is used for a variety of purposes (1)

  • to repair injured trees
  • to produce dwarf trees and shrubs
  • to strengthen plants’ resistance to certain diseases
  • to retain varietal characteristics
  • to adapt varieties to adverse soil or climatic conditions
  • to ensure pollination
  • to produce multifruited or multiflowered plants
  • to propagate certain species (such as hybrid roses) that can be propagated in no other way.
Some methods of grafting: (1) simple splice graft, showing cut surfaces of stock and scion and the cut surfaces joined and bound, (2) tongued graft, (3) whip graft, (4) cleft graft, (5) side cleft graft.

Grafts in Medicine

In medicine, grafting is obtaining healthy skin, bone, or other tissue from one part of the body and using it to replace diseased or injured tissue from another part of the body. Surgeons insert a new piece of tissue in the place where the same type of tissue needs to heal or join.(2)

Types of grafts in medicine:

  • Skin Grafts - When skin damage is too big to treat with stitches, grafts can help. The injured skin is removed and replaced with a healthy patch, usually from somewhere else on the body, like an arm or leg. Over days or weeks, it heals together with the surrounding skin. (2) Skin grafting is done in skin damaged due to -
  1. Burns
  2. Injuries/accidents/trauma
  3. Surgery.
  • Ligament Grafts - Ligaments are tough bands of tissue that hold bones or cartilage together. But when they tear, they may not heal. Doctors routinely treat ligament tears like torn ACLs (anterior cruciate ligament) in the knee, by grafting on a healthy tendon to replace it.
  • Vascular Grafts (like coronary bypass) - If one of the arteries in the heart is blocked or dangerously narrowed, treatment advised is a coronary artery bypass graft. It can be done via two types of grafting:
  1. Surgeons remove a vein (often from the leg) and attaches it to the artery on either side of the problem area. This is a bypass.
  2. Surgeons reconnect one end of an artery (usually from the chest) directly to the heart.

Doctors can use similar strategies with blocked or narrowed arteries in other areas of the body

  • Bone Grafts - Doctors can treat damaged bone with a graft of healthy bone, usually taken from the pelvic bone. More recently, they use injections of bone marrow instead. Once it’s in place, the bone grows and heals. Bone grafts generally are used in:

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References

  1. [1]FDI World Dental Federation. Vision 2030: Delivering Optimal Oral Health for All FDI World Dental Federation. 2021. Available at: source
  2. [2]World Health Organization. Global Strategy and Action Plan on Oral Health 2023–2030 World Health Organization. 2024. Available at: source

Written by

Dr. Nupur Shrirao

Dr. Nupur Shrirao

Head & Owner

Dr. Nupur Shrirao is a highly experienced dentist specializing in prosthodontics, with a successful career spanning multiple roles since 2013. Key positions include Consultant Prosthodontist at Mata Kaulan Charitable Hospital and Sreeda Dental Hub, Head of the Dental Department at Babadeep Singh Hospital, and Consultant Dentist at Prabh Aasra, where Nupur was a founding member of the dental wing. Currently, Nupur operates as a Prosthodontist and Owner at Dr. Surjit Singh Eye and Dental Clinic in Chandigarh Tricity, serves as Editor In Chief at DentalReach, and holds the position of Specialist Editor at Cactus Communications. Nupur's foundational education includes a BDS from YMT Dental College, Mumbai and an MDS in Prosthodontics & Implantology from VSPMs Dental College, complemented by a Fellowship in Advanced Aesthetic Dentistry from Universität Greifswald, Germany. Additionally, Nupur has a background in communication as a former Radio Jockey at All India Radio.

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