Advances in neoteric modular tissue engineering strategies for regenerative dentistry

Regenerative and translational dentistry marks a shift in the paradigm of endodontic and periodontic therapy from simple pulp capping and root planning to dental tissue reconstruction. The construction of complex soft and hard tissue-based dental structures and whole bioengineered tooth aims to repa...

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Main Authors: Kaushita Banerjee, Janani Radhakrishnan, Niraikulam Ayyadurai, Ponesakki Ganesan, Numbi Ramudu Kamini
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Journal of Science: Advanced Materials and Devices
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2468217922000752
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author Kaushita Banerjee
Janani Radhakrishnan
Niraikulam Ayyadurai
Ponesakki Ganesan
Numbi Ramudu Kamini
author_facet Kaushita Banerjee
Janani Radhakrishnan
Niraikulam Ayyadurai
Ponesakki Ganesan
Numbi Ramudu Kamini
author_sort Kaushita Banerjee
collection DOAJ
description Regenerative and translational dentistry marks a shift in the paradigm of endodontic and periodontic therapy from simple pulp capping and root planning to dental tissue reconstruction. The construction of complex soft and hard tissue-based dental structures and whole bioengineered tooth aims to repair and refurbish tissues partly or wholly. Anatomic complexity of tooth challenges to engineering native tissue-mimetic microenvironment with the reinstallation of angio/vasculogenesis and innervation. Dental biomaterials and regenerative engineering have exponentially advanced diverse therapeutic strategies, categorized into scaffold-based and scaffold-free. Scaffold-based stratagems use cells, signals, biodegradable and mechanically stable polymeric scaffolds to address specific clinical requirements and achieve cell retention with high survival. Restricted scientific ambiguity, scalability, costs, lack of federal approval, and technology transfer from ‘lab bench to dental chair’ necessitates alternates complying with the regulatory framework and reproducible clinical outcomes. Dental stem cells/cells intrinsically secrete cytokines and matrix molecules, balance local inflammation, and form exclusive tissue analogous constructs devoid of exogenous biomaterials as scaffold-free strategies. Scaffold-free tissue engineering explores prefabricated multicellular building blocks: cell sheets, spheroids, exosomes, hypoxic- and heat shock protein-based and, more lately, tissue strands as the newest addition. The modular bottom-up strategy mimics the tissue microenvironment through the self-assembly of monodispersed cells into three-dimensional (3D) tissue with cell–cell/matrix communications. This review compiles the neoteric scaffold-less strategies exploited for endodontic and periodontic regeneration, emphasizing clinical translation and commercialization of some scaffold-less cell-based systems. Additionally, the synergy between the endo-perio continuum in deferred oral healing and the cutting-edge 3D bio fabrication strategy of scaffold-free systems has been highlighted.
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spelling doaj.art-68b389817b894ecaa95e54042f4532bf2022-12-22T04:36:03ZengElsevierJournal of Science: Advanced Materials and Devices2468-21792022-12-0174100491Advances in neoteric modular tissue engineering strategies for regenerative dentistryKaushita Banerjee0Janani Radhakrishnan1Niraikulam Ayyadurai2Ponesakki Ganesan3Numbi Ramudu Kamini4Department of Biochemistry and Biotechnology, CSIR – Central Leather Research Institute, Chennai, Tamil Nadu, 600020, IndiaDepartment of Biochemistry and Biotechnology, CSIR – Central Leather Research Institute, Chennai, Tamil Nadu, 600020, IndiaDepartment of Biochemistry and Biotechnology, CSIR – Central Leather Research Institute, Chennai, Tamil Nadu, 600020, IndiaDepartment of Biochemistry and Biotechnology, CSIR – Central Leather Research Institute, Chennai, Tamil Nadu, 600020, IndiaCorresponding author. Fax: +91 044 2491 1589.; Department of Biochemistry and Biotechnology, CSIR – Central Leather Research Institute, Chennai, Tamil Nadu, 600020, IndiaRegenerative and translational dentistry marks a shift in the paradigm of endodontic and periodontic therapy from simple pulp capping and root planning to dental tissue reconstruction. The construction of complex soft and hard tissue-based dental structures and whole bioengineered tooth aims to repair and refurbish tissues partly or wholly. Anatomic complexity of tooth challenges to engineering native tissue-mimetic microenvironment with the reinstallation of angio/vasculogenesis and innervation. Dental biomaterials and regenerative engineering have exponentially advanced diverse therapeutic strategies, categorized into scaffold-based and scaffold-free. Scaffold-based stratagems use cells, signals, biodegradable and mechanically stable polymeric scaffolds to address specific clinical requirements and achieve cell retention with high survival. Restricted scientific ambiguity, scalability, costs, lack of federal approval, and technology transfer from ‘lab bench to dental chair’ necessitates alternates complying with the regulatory framework and reproducible clinical outcomes. Dental stem cells/cells intrinsically secrete cytokines and matrix molecules, balance local inflammation, and form exclusive tissue analogous constructs devoid of exogenous biomaterials as scaffold-free strategies. Scaffold-free tissue engineering explores prefabricated multicellular building blocks: cell sheets, spheroids, exosomes, hypoxic- and heat shock protein-based and, more lately, tissue strands as the newest addition. The modular bottom-up strategy mimics the tissue microenvironment through the self-assembly of monodispersed cells into three-dimensional (3D) tissue with cell–cell/matrix communications. This review compiles the neoteric scaffold-less strategies exploited for endodontic and periodontic regeneration, emphasizing clinical translation and commercialization of some scaffold-less cell-based systems. Additionally, the synergy between the endo-perio continuum in deferred oral healing and the cutting-edge 3D bio fabrication strategy of scaffold-free systems has been highlighted.http://www.sciencedirect.com/science/article/pii/S2468217922000752Regenerative dentistryScaffold-free strategiesDental pulpPeriodontium3D bio-fabrication
spellingShingle Kaushita Banerjee
Janani Radhakrishnan
Niraikulam Ayyadurai
Ponesakki Ganesan
Numbi Ramudu Kamini
Advances in neoteric modular tissue engineering strategies for regenerative dentistry
Journal of Science: Advanced Materials and Devices
Regenerative dentistry
Scaffold-free strategies
Dental pulp
Periodontium
3D bio-fabrication
title Advances in neoteric modular tissue engineering strategies for regenerative dentistry
title_full Advances in neoteric modular tissue engineering strategies for regenerative dentistry
title_fullStr Advances in neoteric modular tissue engineering strategies for regenerative dentistry
title_full_unstemmed Advances in neoteric modular tissue engineering strategies for regenerative dentistry
title_short Advances in neoteric modular tissue engineering strategies for regenerative dentistry
title_sort advances in neoteric modular tissue engineering strategies for regenerative dentistry
topic Regenerative dentistry
Scaffold-free strategies
Dental pulp
Periodontium
3D bio-fabrication
url http://www.sciencedirect.com/science/article/pii/S2468217922000752
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AT niraikulamayyadurai advancesinneotericmodulartissueengineeringstrategiesforregenerativedentistry
AT ponesakkiganesan advancesinneotericmodulartissueengineeringstrategiesforregenerativedentistry
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