Zhang Weibo, Kohn Joachim, Yelick Pamela C
Department of Orthodontics, Division of Craniofacial and Molecular Genetics, Tufts University School of Dental Medicine, Boston, MA 02111, USA.
New Jersey Center for Biomaterials, Rutgers University, Piscataway, NJ 08854, USA.
Bioengineering (Basel). 2023 Nov 2;10(11):1277. doi: 10.3390/bioengineering10111277.
Currently used methods to repair craniomaxillofacial (CMF) bone and tooth defects require a multi-staged surgical approach for bone repair followed by dental implant placement. Our previously published results demonstrated significant bioengineered bone formation using human dental pulp stem cell (hDPSC)-seeded tyrosine-derived polycarbonate scaffolds (E1001(1K)-bTCP). Here, we improved upon this approach using a modified TyroFill (E1001(1K)/dicalcium phosphate dihydrate (DCPD)) scaffold-supported titanium dental implant model for simultaneous bone-dental implant repair. TyroFill scaffolds containing an embedded titanium implant, with ( = 3 each time point) or without ( = 2 each time point) seeded hDPCs and Human Umbilical Vein Endothelial Cells (HUVECs), were cultured in vitro. Each implant was then implanted into a 10 mm full-thickness critical-sized defect prepared on a rabbit mandibulee. After 1 and 3 months, replicate constructs were harvested and analyzed using Micro-CT histological and IHC analyses. Our results showed significant new bone formation surrounding the titanium implants in cell-seeded TyroFill constructs. This study indicates the potential utility of hDPSC/HUVEC-seeded TyroFill scaffolds for coordinated CMF bone-dental implant repair.
目前用于修复颅颌面(CMF)骨和牙齿缺损的方法需要采用多阶段手术方法,先进行骨修复,然后植入牙种植体。我们之前发表的结果表明,使用接种人牙髓干细胞(hDPSC)的酪氨酸衍生聚碳酸酯支架(E1001(1K)-bTCP)可显著形成生物工程骨。在此,我们改进了这种方法,使用改良的TyroFill(E1001(1K)/二水磷酸二钙(DCPD))支架支撑的钛牙种植体模型进行骨-牙种植体同步修复。将含有嵌入式钛种植体的TyroFill支架,接种(每个时间点 = 3)或未接种(每个时间点 = 2)hDPC和人脐静脉内皮细胞(HUVEC),进行体外培养。然后将每个种植体植入在兔下颌骨制备的10毫米全层临界尺寸缺损处。1个月和3个月后,收集重复构建体并使用微型计算机断层扫描、组织学和免疫组织化学分析进行分析。我们的结果显示,在接种细胞的TyroFill构建体中,钛种植体周围有显著的新骨形成。本研究表明,接种hDPSC/HUVEC的TyroFill支架在协同CMF骨-牙种植体修复方面具有潜在应用价值。