Living cell-based regenerative medicine technologies for periodontal soft tissue augmentation

J Periodontol. 2020 Feb;91(2):155-164. doi: 10.1002/JPER.19-0353. Epub 2019 Sep 24.

Abstract

The cultivation of human living cells into scaffolding matrices has progressively gained popularity in the field of periodontal wound healing and regeneration. Living cellular constructs based on fibroblasts, keratinocytes alone or in combination have been developed and used as alternatives to autogenous soft tissue grafts in keratinized tissue augmentation and in root coverage procedures. Their promising advantages include reduced patient morbidity, unlimited graft availability, and comparable esthetics. This manuscript reviews soft tissue augmentation and root coverage procedures using bioengineered living cellular therapy and highlights their expected clinical, esthetic, and patient-related outcomes.

Keywords: gingival recession; periodontal; regenerative medicine; soft tissue grafting; tissue engineering; tissue scaffolds.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Connective Tissue
  • Esthetics, Dental
  • Gingiva
  • Gingival Recession / surgery*
  • Gingivoplasty*
  • Humans
  • Periodontium
  • Regenerative Medicine