Innovative biomaterials for the treatment of periodontal disease

Periodontitis is a multifactorial disease that involves the destruction of hard and soft tissues surrounding the tooth. Routine periodontal treatment includes mechanical debridement (surgical and non-surgical) and the systemic administration of antibiotics. In contrast, severe and chronic periodonti...

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Main Authors: Yi Zhu, Chen Tao, Cynthia Goh, Annie Shrestha
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-05-01
Series:Frontiers in Dental Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fdmed.2023.1163562/full
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author Yi Zhu
Chen Tao
Cynthia Goh
Cynthia Goh
Annie Shrestha
Annie Shrestha
Annie Shrestha
author_facet Yi Zhu
Chen Tao
Cynthia Goh
Cynthia Goh
Annie Shrestha
Annie Shrestha
Annie Shrestha
author_sort Yi Zhu
collection DOAJ
description Periodontitis is a multifactorial disease that involves the destruction of hard and soft tissues surrounding the tooth. Routine periodontal treatment includes mechanical debridement (surgical and non-surgical) and the systemic administration of antibiotics. In contrast, severe and chronic periodontitis involves aggressive tissue destruction and bone resorption, and the damage is usually irreversible. In these severe cases, bone grafts, the delivery of growth hormones, and guided tissue regeneration can all be used to stimulate periodontal regeneration. However, these approaches do not result in consistent and predictable treatment outcomes. As a result, advanced biomaterials have evolved as an adjunctive approach to improve clinical performance. These novel biomaterials are designed to either prolong the release of antibacterial agents or osteogenic molecules, or to act as immunomodulators to promote healing. The first half of this review briefly summarizes the key immune cells and their underlying cellular pathways implicated in periodontitis. Advanced biomaterials designed to promote periodontal regeneration will be highlighted in the second half. Finally, the limitations of the current experimental design and the challenges of translational science will be discussed.
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spelling doaj.art-ac396fb1aea34455abf1b28867cdef692023-06-01T10:04:54ZengFrontiers Media S.A.Frontiers in Dental Medicine2673-49152023-05-01410.3389/fdmed.2023.11635621163562Innovative biomaterials for the treatment of periodontal diseaseYi Zhu0Chen Tao1Cynthia Goh2Cynthia Goh3Annie Shrestha4Annie Shrestha5Annie Shrestha6Faculty of Dentistry, University of Toronto, Toronto, ON, CanadaStomatological Hospital of Chongqing, Key Laboratory of Oral Diseases and Biomaterial Sciences, Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, ChinaDepartment of Chemistry, University of Toronto, Toronto, ON, CanadaDepartment of Materials Science and Engineering, University of Toronto, Toronto, ON, CanadaFaculty of Dentistry, University of Toronto, Toronto, ON, CanadaDepartment of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, ON, CanadaDepartment of Dentistry, Mt. Sinai Hospital, Toronto, ON, CanadaPeriodontitis is a multifactorial disease that involves the destruction of hard and soft tissues surrounding the tooth. Routine periodontal treatment includes mechanical debridement (surgical and non-surgical) and the systemic administration of antibiotics. In contrast, severe and chronic periodontitis involves aggressive tissue destruction and bone resorption, and the damage is usually irreversible. In these severe cases, bone grafts, the delivery of growth hormones, and guided tissue regeneration can all be used to stimulate periodontal regeneration. However, these approaches do not result in consistent and predictable treatment outcomes. As a result, advanced biomaterials have evolved as an adjunctive approach to improve clinical performance. These novel biomaterials are designed to either prolong the release of antibacterial agents or osteogenic molecules, or to act as immunomodulators to promote healing. The first half of this review briefly summarizes the key immune cells and their underlying cellular pathways implicated in periodontitis. Advanced biomaterials designed to promote periodontal regeneration will be highlighted in the second half. Finally, the limitations of the current experimental design and the challenges of translational science will be discussed.https://www.frontiersin.org/articles/10.3389/fdmed.2023.1163562/fullperiodontitisinjectable hydrogelbiomaterialsimmune modulationbone regeneration
spellingShingle Yi Zhu
Chen Tao
Cynthia Goh
Cynthia Goh
Annie Shrestha
Annie Shrestha
Annie Shrestha
Innovative biomaterials for the treatment of periodontal disease
Frontiers in Dental Medicine
periodontitis
injectable hydrogel
biomaterials
immune modulation
bone regeneration
title Innovative biomaterials for the treatment of periodontal disease
title_full Innovative biomaterials for the treatment of periodontal disease
title_fullStr Innovative biomaterials for the treatment of periodontal disease
title_full_unstemmed Innovative biomaterials for the treatment of periodontal disease
title_short Innovative biomaterials for the treatment of periodontal disease
title_sort innovative biomaterials for the treatment of periodontal disease
topic periodontitis
injectable hydrogel
biomaterials
immune modulation
bone regeneration
url https://www.frontiersin.org/articles/10.3389/fdmed.2023.1163562/full
work_keys_str_mv AT yizhu innovativebiomaterialsforthetreatmentofperiodontaldisease
AT chentao innovativebiomaterialsforthetreatmentofperiodontaldisease
AT cynthiagoh innovativebiomaterialsforthetreatmentofperiodontaldisease
AT cynthiagoh innovativebiomaterialsforthetreatmentofperiodontaldisease
AT annieshrestha innovativebiomaterialsforthetreatmentofperiodontaldisease
AT annieshrestha innovativebiomaterialsforthetreatmentofperiodontaldisease
AT annieshrestha innovativebiomaterialsforthetreatmentofperiodontaldisease