Table 1.
Material | Advantages | Limitations | References |
---|---|---|---|
Natural and Natural-Derived Polymeric Scaffolds | |||
Polysaccharides | Derived from renewable sources | Batch-to-batch variation | [14,15] |
Biocompatibility | Poor mechanical properties | ||
Low cost | |||
Alginate | Biocompatibility | Low mechanical strength | [16,17] |
Low immunogenicity | Uncontrolled biodegradation rate | ||
Degradation by enzymolysis | |||
Large diversity | |||
Chitosan | Biocompatibility | Allergies | [18,19] |
Biodegradable | |||
Antimicrobial potential | |||
Regenerative properties | |||
Ability to bind GF, glycosaminoglycans and DNA | |||
Different forms | |||
Cellulose | Biocompatibility | Biodegradation in humans (limited or absent) | [20,21] |
Non-toxic | Poor mechanical properties | ||
High tensile strength | |||
Pliable | |||
Extracelullar Matrix Derived | Dynamic environment | Batch-to-batch variation | [16] |
Composition can be adjusted | Processing and sterilizing difficulties | ||
Capacity to incorporate and release growth factors | |||
Hyaluronic acid | Biocompatibility | High degradation rate | [17,22] |
Low immunogenicity | Poor mechanical properties | ||
Collagen | Biocompatibility | Poor mechanical properties upon hydration | [23,24] |
Low immunogenicity | Difficult to customize | ||
Osteoblastic differentiation stimulant | |||
Easy placement of cells and GF | |||
Natural replacement after degradation | |||
Gelatin | Biocompatibility | Sensitive to temperature alterations | [20,25] |
Low antigenicity | Degradation over time | ||
Wide availability | |||
Low cost | |||
Access to several functional groups for biochemical modification | |||
Proteins and Peptides | Dynamic environment | Processing and sterilizing difficulties | [26,27] |
Biocompatibility | |||
Biodegradation | |||
Provide chemical signals to guide cell behavior | |||
Possible refinement of their structures with molecular manipulation | |||
Fibrin | Injectable and molded to acquire desirable 3D forms Reproducible |
Poor mechanical properties—low mechanical stiffness | [19,28,29,30,31] |
Low cost | Rapid degradation | ||
Autologous source—no immunologic risk | |||
Silk | Biocompatibility | Irritant sericin coating | [17,32,33] |
Biodegradable | |||
Non immunogenic | |||
Low cost | |||
Available | |||
Remarkable mechanical properties | |||
Different forms | |||
Self-assembling peptides | Biocompatibility | High cost | [34,35] |
Biodegradable | Complex design parameters | ||
Non immunogenic | |||
Easy to use (injectable) | |||
Nanometric | |||
More natural 3D microenvironment | |||
Host-derived scaffolds | Autologous source—no immunologic risk | Specific equipment and reagents are mandatory. | [36] |
Platelet-Rich Plasma (PRP) | Favorable for tissue growth | ||
Platelet-Rich Fibrin (PRF) | Controlled growth factor release | ||
Decellularized extracelullar matrix (ECM) | Adaptable into specific shapes | ||
Treated dentin matrix (TDM) | Low costs | ||
Synthetic-Engineered Polymeric and Ceramic Scaffolds | |||
Synthetic Polymers | Biocompatibility | Lack physiological and chemical information | [37,38] |
Polylactic acid (PLA) | Mild inflammation | ||
Polyglycolic acid (PGA) | Low cost | ||
Polylactide-co-glycolide (PLGA) | Reproducible | ||
Tailorable mechanical properties | |||
Biodegradable—degradation products are natural metabolites | |||
Bioactive Ceramics | Brittleness | [37,39,40] | |
Calcium Phosphates | Biocompatibility | High density | |
Hydroxyapatite (HA) | Low immunogenicity | Low resilience | |
Tricalcium Phosphate (TCP) | Osteoconductivity | Poor mechanical properties | |
Good resistance | |||
Bioactive Glasses | Surface apatite layer formation | Poor mechanical properties | [41] |
Stimulates osteoblastic activity | Brittleness | ||
Density | |||
Low degradation rate |