Rosa Vinicius, Cavalcanti Bruno Neves, Nör Jacques E, Tezvergil-Mutluay Arzu, Silikas Nikolaos, Bottino Marco C, Kishen Anil, Soares Diana Gabriela, Franca Cristiane M, Cooper Paul Roy, Duncan Henry F, Ferracane Jack L, Watts David C
Faculty of Dentistry, National University of Singapore, Singapore; ORCHIDS: Oral Care Health Innovations and Designs Singapore, National University of Singapore, Singapore.
Department of Cariology, Restorative Sciences, and Endodontics, Division of Endodontics, School of Dentistry, University of Michigan, Ann Arbor, United States.
Dent Mater. 2025 Mar;41(3):248-264. doi: 10.1016/j.dental.2024.12.003. Epub 2024 Dec 13.
Dental pulp regeneration is a complex and advancing field that requires biomaterials capable of supporting the pulp's diverse functions, including immune defense, sensory perception, vascularization, and reparative dentinogenesis. Regeneration involves orchestrating the formation of soft connective tissues, neurons, blood vessels, and mineralized structures, necessitating materials with tailored biological and mechanical properties. Numerous biomaterials have entered clinical practice, while others are being developed for tissue engineering applications. The composition and a broad range of material properties, such as surface characteristics, degradation rate, and mechanical strength, significantly influence cellular behavior and tissue outcomes. This underscores the importance of employing robust evaluation methods and ensuring precise and comprehensive reporting of findings to advance research and clinical translation.
This article aims to present the biological foundations of dental pulp tissue engineering alongside potential testing methodologies and their advantages and limitations. It provides guidance for developing research protocols to evaluate the properties of biomaterials and their influences on cell and tissue behavior, supporting progress toward effective dental pulp regeneration strategies.
牙髓再生是一个复杂且不断发展的领域,需要能够支持牙髓多种功能的生物材料,这些功能包括免疫防御、感觉知觉、血管形成和修复性牙本质生成。再生涉及协调软结缔组织、神经元、血管和矿化结构的形成,这就需要具有定制生物和机械性能的材料。许多生物材料已进入临床实践,而其他一些材料正在为组织工程应用而研发。材料的组成以及广泛的材料特性,如表面特征、降解速率和机械强度,会显著影响细胞行为和组织结果。这凸显了采用可靠评估方法以及确保对研究结果进行准确全面报告以推动研究和临床转化的重要性。
本文旨在介绍牙髓组织工程的生物学基础以及潜在的测试方法及其优缺点。它为制定研究方案以评估生物材料的性能及其对细胞和组织行为的影响提供指导,支持朝着有效的牙髓再生策略取得进展。