Perspectives for Cell-homing Approaches to Engineer Dental Pulp

J Endod. 2017 Sep;43(9S):S40-S45. doi: 10.1016/j.joen.2017.06.008. Epub 2017 Aug 1.

Abstract

Sufficient proof is available today to demonstrate that dental pulp tissue engineering is possible. The body of evidence was generated mainly on cell transplantation; however, because of several severe problems afflicted with this approach, it might not be feasible for a clinical setting in the near future. More recently, cell homing has been proposed as a viable alternative. We suggest a modification of the tissue engineering paradigm, where resident cells are attracted by endogenous, dentin-derived growth factors that further induce cell proliferation and differentiation and a bioactive scaffold material laden with these growth factors that serves as a template for tissue formation. This article highlights the latest developments regarding scaffold materials, stem cells, and dentin-derived growth factors specifically for a cell-homing approach to engineer dental pulp and summarizes new ideas.

Keywords: Cell-homing; dental pulp; dental pulp stem cells; dentin matrix proteins; scaffold; tissue engineering.

MeSH terms

  • Cell Adhesion
  • Cell Differentiation
  • Cell Movement
  • Cell Proliferation
  • Dental Pulp*
  • Humans
  • Stem Cells
  • Tissue Engineering / methods*
  • Tissue Scaffolds