Advanced Scaffolds for Dental Pulp and Periodontal Regeneration

Dent Clin North Am. 2017 Oct;61(4):689-711. doi: 10.1016/j.cden.2017.06.009.

Abstract

No current therapy promotes root canal disinfection and regeneration of the pulp-dentin complex in cases of pulp necrosis. Antibiotic pastes used to eradicate canal infection negatively affect stem cell survival. Three-dimensional easy-to-fit antibiotic-eluting nanofibers, combined with injectable scaffolds, enriched or not with stem cells and/or growth factors, may increase the likelihood of achieving predictable dental pulp regeneration. Periodontitis is an aggressive disease that impairs the integrity of tooth-supporting structures and may lead to tooth loss. The latest advances in membrane biomodification to endow needed functionalities and technologies to engineer patient-specific membranes/constructs to amplify periodontal regeneration are presented.

Keywords: 3D printing; Biomaterials; Dental pulp; Guided tissue regeneration; Periodontitis; Pulpitis; Regenerative endodontics; Scaffolds.

Publication types

  • Review
  • Research Support, N.I.H., Extramural

MeSH terms

  • Dental Pulp / physiology*
  • Dentin / cytology
  • Guided Tissue Regeneration / methods*
  • Guided Tissue Regeneration, Periodontal / methods*
  • Humans
  • Mesenchymal Stem Cell Transplantation
  • Root Canal Therapy / methods
  • Tissue Scaffolds*