Division of Molecular and Regenerative Prosthodontics, Tohoku University Graduate School of Dentistry, Sendai, Miyagi 980-8575, Japan.
Institute of Biomaterials and Bioengineering, Tokyo Medical and Dental University, Chiyoda-ku, Tokyo 101-0062, Japan.
ACS Appl Mater Interfaces. 2022 Jun 22;14(24):27703-27719. doi: 10.1021/acsami.2c06679. Epub 2022 Jun 13.
The periodontium supports the teeth by dentoalveolar fibrous joints that serve unique oral functions. Endogenous regeneration of the periodontium around artificial teeth (dental implants) provides a cost-effective solution for the extension of healthy life expectancy but remains a challenge in regenerative medicine. Biomimetics can create smart biomaterials that tune endogenous cells at a tissue-material interface. Here, we created a smart titanium nanosurface mimicking the surface nanotopography and micromechanical properties of the tooth root cementum (TRC), which is essential for the induction of dentoalveolar fibrous joints to regenerate the periodontium. After transplantation into the rat renal capsule, only the titanium artificial tooth with the TRC-mimetic nanosurface formed a complex dentoalveolar fibrous joint structure, with bone tissue, periodontal ligament (PDL), and TRC, in the decellularized jawbone matrix. TRC-mimetic titanium implants induce the formation of functional periodontium, even in a jawbone implantation model, which generally causes osseointegration (ankyloses). In human PDL cells, TRC analogousness in the surface mechanical microenvironment regulates matrix mineralization through bone sialoprotein expression and phosphorus metabolism, which are critical for cementogenesis. Therefore, the titanium nanosurfaces with nanotopographical and mechanical microenvironments mimicking the TRC surface induce dentoalveolar fibrous joints for periodontal regeneration by interfacial tuning of endogenous cells.
牙周组织通过牙牙槽纤维关节为牙齿提供支持,这些关节具有独特的口腔功能。在人工牙齿(种植牙)周围的牙周组织内进行内源性再生为延长健康预期寿命提供了具有成本效益的解决方案,但在再生医学领域仍是一个挑战。仿生学可以创造出智能生物材料,从而在组织-材料界面上调节内源性细胞。在这里,我们创建了一种智能钛纳米表面,模拟了牙根牙骨质(TRC)的表面纳米形貌和微机械特性,这对于诱导牙牙槽纤维关节再生牙周组织至关重要。在移植到大鼠肾囊后,只有具有 TRC 模拟纳米表面的钛人工牙齿形成了复杂的牙牙槽纤维关节结构,在脱细胞化的颌骨基质中有骨组织、牙周韧带(PDL)和 TRC。TRC 模拟钛种植体诱导功能性牙周组织的形成,即使在颌骨植入模型中也是如此,通常会导致骨整合(骨粘连)。在人牙周膜细胞中,表面力学微环境中的 TRC 类似物通过骨涎蛋白表达和磷代谢调节基质矿化,这对牙骨质形成至关重要。因此,具有模仿 TRC 表面的纳米形貌和力学微环境的钛纳米表面通过调节内源性细胞的界面来诱导牙牙槽纤维关节,从而实现牙周组织再生。