Discipline of Endodontic, Department of Restorative Dentistry, School of Dentistry, University of São Paulo, São Paulo, SP, Brazil.
Discipline of Endodontic, Department of Restorative Dentistry, School of Dentistry, University of São Paulo, São Paulo, SP, Brazil.
Dent Mater. 2021 Jul;37(7):e414-e425. doi: 10.1016/j.dental.2021.03.016. Epub 2021 Apr 16.
An ideal scaffold for endodontic regeneration should allow the predictableness of the new tissue organization and limit the negative impact of residual bacteria. Therefore, composition and functionalization of the scaffold play an important role in tissue bioengineering. The objective of this study was to assess the morphological, physicochemical, biological and antimicrobial properties of a new solid chitosan-based scaffold associated with gelatin, microparticulate dentin and genipin.
Scaffolds based on chitosan (Ch); chitosan associated with gelatin and genipin (ChGG); and chitosan associated with gelatin, microparticulate dentin and genipin (ChGDG) were prepared by using the freeze-drying method. The morphology of the scaffolds was analyzed by scanning electron microscopy (SEM). The physicochemical properties were assessed for biodegradation, swelling and total released proteins. The biological aspects of the scaffolds were assessed using human cells from the apical papilla (hCAPs). Cell morphology and adhesion to the scaffolds were evaluated by SEM, cytotoxicity and cell proliferation by MTT reduction-assay. Cell differentiation in scaffolds was assessed by using alizarin red assay. The antimicrobial effect of the scaffolds was evaluated by using the bacterial culture method, and bacterial adhesion to the scaffolds was observed by SEM.
All the scaffolds presented porous structures. The ChCDG had more protein release, adhesion, proliferation and differentiation of hCAPs, and bacteriostatic effect on Enterococcus faecalis than Ch and ChGG (p < 0.05).
The chitosan associated with gelatin, microparticulate dentin and genipin has morphological, physicochemical, biological and antibacterial characteristics suitable for their potential use as scaffold in regenerative endodontics.
理想的牙髓再生支架应允许预测新组织的形成,并限制残留细菌的负面影响。因此,支架的组成和功能化在组织工程学中起着重要作用。本研究的目的是评估一种新型固体壳聚糖基支架与明胶、微粒牙本质和京尼平结合的形态、物理化学、生物学和抗菌性能。
通过冷冻干燥法制备壳聚糖(Ch);壳聚糖与明胶和京尼平结合(ChGG);壳聚糖与明胶、微粒牙本质和京尼平结合(ChGDG)。通过扫描电子显微镜(SEM)分析支架的形态。评估支架的物理化学性能,包括生物降解、溶胀和总释放蛋白。采用人根尖乳头细胞(hCAPs)评估支架的生物学特性。通过 SEM 观察细胞形态和黏附支架,通过 MTT 还原法评估细胞毒性和细胞增殖。通过茜素红染色法评估细胞在支架中的分化。采用细菌培养法评价支架的抗菌效果,通过 SEM 观察细菌在支架上的黏附。
所有支架均呈多孔结构。ChCDG 组具有更高的蛋白释放、黏附、增殖和 hCAPs 分化能力,以及对粪肠球菌的抑菌效果,均优于 Ch 和 ChGG 组(p<0.05)。
壳聚糖与明胶、微粒牙本质和京尼平结合具有形态、物理化学、生物学和抗菌特性,适合作为再生牙髓学的支架。