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. 2019 Jul 24;12(15):2347. doi: 10.3390/ma12152347

Table 1.

Main instructive polymer scaffolds for different levels of endodontic regeneration.

Scaffold Method Associated Tissue Engineering Strategy Regeneration Level * Findings Reference
Peptide-amphiphile (PA) hydrogel self-assembling In vitro - DPSCs & SHEDs human 1
  • Easy for endodontic insertion

  • Stem cell proliferation

Galler et al., 2008 [41].
Peptide hydrogel In vivo VEGF, TGF-β1 & FGF-1 DPSCs human 1 2 3
  • Release of VEGF, TGF-β1 and FGF-1

  • Odontoblast- like cell differentiation

  • Pulp-like tissue formation

Galler et al., 2011 [42].
Peptide hydrogel multidomain peptides (MDP) self-assembling In vitro FGF, TGF-β1 &VEGF DPSCs human 1 3
  • Pulp-like tissue formation

Galler et al., 2012 [43].
PCL In vivo Neural growth factor mouse 5
  • Promotion of Innervation in a model of bioengineered tooth

Eap et al., 2014 [56].
Polydioxanone II (PDS II) In vitro MET or CIP hDPSCs
Human
1
  • Release MET or CIP

  • Antimicribial activity against Ef and Pj

Bottino et al., 2013 [57].
Collagen In vivo BMP-2 and 4 & TGF-β1 Dog 1 2
  • BMP-2 and 4 induce osteodentin formation if combined with collagen matrix

Nakashima, 1994 [58].
In vivo CP & DMP-1 DPSCs
human
1
  • New pulp-like tissue formation and organization human

Prescott et al., 2008 [59].
In vivo SDF-1 Dog pulp CD 105+, CD31 SP cells 1
  • Complete pulp-like tissue regeneration

Nakashima & lohara 2011 [60].
In vivo SDF-1 Dog pulp CD105+ cells 1 3 4
  • Complete pulp-like tissue regeneration

  • Vascularization and innervation

Iohara et al., 2011 [61].
In vivo SDF-1 Dog pulp, BM, Adipose CD31 SP cells 1 3 4
  • Complete pulp-like tissue regeneration

  • Vascularization and innervation

Ishizaka et al., 2012 [62].
In vivo G-CSF hDPSCs
human
1 2
  • Pulp-like tissue formation

  • Differentiation of hDPSCs

Murakami et al., 2013 [63].
In vivo G-CSF Dog mobilized DPSCs 1 2
  • Complete pulp-like tissue regeneration

  • Coronal dentin formation in root canal

Iohara et al., 2013 [64].
In vivo G-CSF Dog mobilized DPSCs 1
  • Differentiation of DPSCs

  • Less volume of regenerated pulp-like tissue in aged dogs compared with that in young dog

Iohara et al., 2014 [65].
In vitro - hDPCs 1 2
  • Beneficial effects on proliferation and differentiation of hDPCs

Kwon et al., 2017 [66].
Gelatin hydrogel In vitro FGF-2 Rat dental pulp 1 3
  • Release of FGF-2

  • Induces the invasion of dental pulp cells and vessels

Ishimatsu et al., 2009 [67].
Methacryloyl GelMA hydrogel In vitro OD21
ECFCs mouse
1 3
  • Cell viability, spreading and proliferation

  • Simple and effective strategy for engineering of pre-vascularized dental pulp constructs

Athirasala et al., 2017 [68].
Fibrin gel In vivo PEG DPSCs, SHEDs, PDLSCs BMSSCs human 1
  • All types of dental stem cells proliferated

  • Easy for endodontic insertion

Galler et al., 2011 [69].
Platelet-rich fibrin (PRF) In vitro GFs DPSC dog 1 3
  • Serve as a potential therapy in regenerative endodontics

Chen et al., 2015 [70].
In vitro GFs hDPCs 2
  • Released the maximum quantity of growth factors

He et al., 2016 [71].
In vitro MTA hDPCs 2
  • With MTA has a synergistic effects on odontoblastic differentiation of hDPCs

Woo et al., 2016 [72].
PRF or Platelet—rich plasma (PRP) Clinical - human 1 3
  • PRP was better than PRF in peripheral wound healing when used in regenerative procedures

Shivashankar et al., 2017 [73].
Alginate hydrogel In vitro TGF-β1 human 1 2
  • Release of TGF-β1

  • Odontoblast-like cell differentiation

Dobie et al., 2002 [74].
Alginate hydrogel In vitro - SCAPs 1
  • SCAPs proliferation

Lambricht et al., 2014 [75].
Alginate In vitro - DPSCs human 1 2
  • Dental pulp mineralization

  • Differentiation od DPSCs

Sancilio et al., 2018 [76].
Chitosan In vitro β-tricalcium phosphate HPLCs
human
2 3
  • Upregulated expressions of ALP and OPN

Liao et al., 2010 [77].
Chitosan In vitro 1α,25-dihydroxyvitamin D3 (1α,25VD) Calcium-aluminate DPCs human 1 2
  • Increased odontoblastic phenotype expression

  • Cell migration

Bordini et al., 2019 [78].
Chitosan In vitro Silver
Bioactive glass
DPCs 1 2
  • Decrease of inflammation

  • Odontogenic differentiation of DPCs

  • Inhibition of Streptococcus mutans and Lactobacillus casei growth

Zhu et al., 2019 [79].
Poly-L-lysine In vitro α-MSH Rat-human 1
  • Poly-L-lysine (Dendrigraft) is favorable for colonization of pulp fibroblasts and to the delivery of anti-inflammatory hormone

Fioretti et al., 2010 [80].
Fioretti et al., 2011 [81].
Poly(L-lactic acid) PLLA In vitro
In vivo
- DPSCs human 1
  • Attachment, proliferation and differentiation of DPSCs

Wang et al., 2011 [82].
PLGA In vitro - DPCs human 1 2
  • Odontoblastic differentiation and proliferation

Zou et al., 2016 [83].
PLGA In vitro - DPSCs 1
  • Differentiation of DPSCs

Gangolli et al., 2019 [84].

* Regeneration Levels; 1: Pulp Connective-tissue Formation, 2: Dentin Formation, 3: Revascularization, 4: Reinnervation, 5: Radicular Edification. Abbreviations: α-MSH: α-Melanocyte Stimulating Hormone, ALP: alkaline phosphatase, BM: bone marrow, BMP: bone morphogenetic protein, CIP: Ciprofloxacin, CP: ceramic powder, DMP-1: dentin matrix protein 1, DPSCs: dental pulp stem cells, ECFCs: endothelial colony forming cells, Ef: enterococcus faecalis, FGF-2: fibroblast growth factor 2, G-CSF: granulocyte colony-stimulating factor, GF: growth factor, hDPCs: human dental pulp cells, hDPSCs: human dental pulp stem cells, HPLCs: human periodontal ligament cells, MET: metronidazole, MTA: mineral trioxide aggregate, OD21: odontoblast-like cells, OPN: osteopontin, Pj: porphyromonas gingivalis, SDF-1: stromal-cell-derived factor-1, SHEDs: stem cells from human exfoliated deciduous teeth, SP: side-population, TGF-β1: transforming growth factor β 1, VEGF: vascular endothelial growth factor.