Bioactive Molecule Delivery Systems for Dentin-pulp Tissue Engineering

J Endod. 2017 May;43(5):733-744. doi: 10.1016/j.joen.2016.12.020. Epub 2017 Mar 17.

Abstract

Introduction: Regenerative endodontic procedures use bioactive molecules (BMs), which are active signaling molecules that initiate and maintain cell responses and interactions. When applied in a bolus form, they may undergo rapid diffusion and denaturation resulting in failure to induce the desired effects on target cells.

Methods: The controlled release of BMs from a biomaterial carrier is expected to enhance and accelerate functional tissue engineering during regenerative endodontic procedures. This narrative review presents a comprehensive review of different polymeric BM release strategies with relevance to dentin-pulp engineering.

Results: Carrier systems designed to allow the preprogrammed release of BMs in a spatial- and temporal-controlled manner would aid in mimicking the natural wound healing process while overcoming some of the challenges faced in clinical translation of regenerative endodontic procedures.

Conclusions: Spatial- and temporal-controlled BM release systems have become an exciting option in dentin-pulp tissue engineering; nonetheless, further validation of this concept and knowledge is required for their potential clinical translation.

Keywords: Bioactive molecule carriers; bioactive molecules; dentin-pulp engineering; odontogenic differentiation; stem cells; temporal-controlled release.

Publication types

  • Review

MeSH terms

  • Animals
  • Collagen / administration & dosage
  • Collagen / therapeutic use
  • Dental Pulp / physiology*
  • Dentin / physiology*
  • Drug Delivery Systems / methods*
  • Growth Substances / administration & dosage
  • Growth Substances / therapeutic use
  • Humans
  • Mice
  • Rats
  • Regeneration / drug effects
  • Tissue Engineering / methods*

Substances

  • Growth Substances
  • Collagen