Table 2.
Tissue | Scaffold Material | Study Model | Results | Ref. |
---|---|---|---|---|
Enamel | 8DSS: Oligopeptide of eight repetitive sequences of aspartate-serine-serine | In vivo model using Sprague-Dawley rats with induced caries. | Increased remineralization by 8DSS due to inhibited enamel demineralization and promoted remineralization. | [131] |
Elastin-like polypeptide functionalized with glutamic acid residues | In vitro remineralization of bovine enamel specimens by pH cycling after immersion in biomaterial solution. | Formation of a dense layer of highly orientated apatite nanorods with mechanical properties close to natural enamel and high chemical stability against acidic impacts. | [132] | |
PAMAM-dendrimers with varying terminal groups: -NH2, -COOH, -OH | In vitro remineralization of bovine enamel specimens by pH cycling. | Remineralization is affected by electrostatic interactions between scaffold and enamel surface. PAMAM-NH2 shows the best results, followed by PAMAM-COOH. | [133] | |
ACP-loaded PAMAM dendrimers functionalized with SN15 peptide sequence. | In vitro enamel remineralization by cycling immersion in artificial saliva and demineralization solution. | Evaluated biomaterial achieves 90% higher remineralization compared to control. | [134] | |
Dentin | Nanobioactive glass cements with or without Sr | In vitro evaluation of biocompatibility and differentiation of DPSCs. In vivo evaluation using an ectopic odontogenesis model and a tooth defect model in rats. | Fast release of bioactive Ca-, Sr- and Si-ions. Promotion of the odontogenic differentiation of DPSCs in vitro. More new dentin formation by Sr-containing biomaterial in vivo. |
[138] |
The organic matrix of cellulose acetate, oxidized pullulan and gelatin loaded with boron-modified bioactive glass nanoparticles. | In vitro evaluation of biomineralization, biocompatibility, proliferation, and differentiation with hDPSCs. | Boron-modified bioactive glass nanoparticles exhibit promotive effects on the deposition of a CaP as well as on adhesion, migration, and differentiation of hDPSCs. | [139] | |
Biphasic collagen matrix: Inner section of lower stiffness loaded with VEGF covered by an outer section of higher stiffness loaded with BMP2. | In vitro evaluation using hDPSCs regarding biocompatibility, proliferation, and differentiation. | The direction of DPSCs differentiation is regulated by material stiffness and amplified by the respective growth factor. | [140] | |
Cementum | retroMTA + tricalcium phosphate | In vivo test using dehiscence periodontal defects in dogs. | Significantly increased the new bone and cementum formation. The biodegradability of retroMTA is enhanced by adding TCP. | [143] |
Calcium phosphate loaded with BMP2 | In vivo periodontitis model using critical-sized supra-alveolar defects in dogs. | Significant increase in regeneration of mineralized tissues. Loading with BMP2 leads to a further 2–3-fold increase. | [144] | |
Bilayered material: FGF2-propyleneglycol alginate gel covered by BMP2-PLGA/CaP cement. | In vivo test using three wall periodontal defects in non-human primates. | Significantly enhanced regeneration of cementum and periodontal ligament. Newly formed PDL is highly vascularized. | [145] | |
PCL-based bilayered material: a flexible porous membrane delivers cell sheets and is covered by a fibrous and porous 3D compartment. | In vivo test using dehiscence periodontal defects in sheep to evaluate the potential of different cell types forming the cell sheets: Gingival cells (GCs), PDLCs, and hBM-MSCs. | Scaffolds containing BM-MSCs and PDLCs show superior new bone and cementum formation compared to scaffolds containing gingival cells. | [147] |