Abstract

The major problem in bone tissue engineering is the development of scaffolds which can simultaneously meet the requirements of porous structure, as well as have the ability to guide the regeneration of damaged tissue by biological fixation. Composites containing biodegradable matrix and bioactive filler are the new hope in this research field. Herein we employed a simple and facile solvent casting particulate-leaching method for producing polylactide acid/hydroxyapatite (PLA/HA) composites at room temperature. FT-IR analysis confirmed the existence of necessary functional groups associated with the PLA/HA composite, whereas energy-dispersive X-ray (EDX) spectra indicated the uniform distribution of hydroxyapatite particles in the polymer matrix. The beehive-like surface morphology of the composites revealed the presence of macropores, ranged from 300 to 400 μm, whereas the thickness of the pores was noticed to be 1–2 μm. The total porosity of the scaffolds, calculated by hydrostatic weighing, was found to be 79%. The water contact angle of pure PLA was decreased from 83.6 ± 1.91° to 62.4 ± 4.17° due to the addition of hydroxyapatite in the polymer matrix. Thus, the wettability of the polymeric biomaterial could be increased by preparing their composites with hydroxyapatite. The adhesion of multipotent mesenchymal stromal cells over the surface of PLA/HA scaffolds was 3.2 times (p = 0.03) higher than the pure PLA sample. Subcutaneous implantation in mice demonstrated a good tolerance of all tested porous scaffolds and widespread ingrowth of tissue into the implant pores. HA-containing scaffolds showed a less pronounced inflammatory response after two weeks of implantation compared to pure PLA. These observations suggest that PLA/HA composites have enormous potential for hard tissue engineering and restoring maxillofacial defects.

Highlights

  • Large scale bone imperfections in the craniomaxillofacial area occur during sports activities, traffic accidents, aging, and cancer, while progressive resorption of the alveolar bone after a dental loss can cause impairment of their structures, contributing to detectable dysfunction, as well as disfiguration [1]

  • The current work reports the fabrication of porous polylactide acid/hydroxyapatite (PLA/HA) composite for bone reconstruction applications

  • The incorporation of hydroxyapatite in the polylactic acid (PLA) matrix enhanced the hydrophilicity of the composites, and created a microrelief on the surface of the polylactide samples

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Summary

Introduction

Large scale bone imperfections in the craniomaxillofacial area occur during sports activities, traffic accidents, aging, and cancer, while progressive resorption of the alveolar bone after a dental loss can cause impairment of their structures, contributing to detectable dysfunction, as well as disfiguration [1]. The growth of bacteria at the periodontal ligaments damages the underlying jawbone leading to periodontal bone loss, whereas periapical pathology is associated with the occurrence of defects surrounding the tip of the root of a tooth. These traumatic defects of the facial area have several adverse consequences that complicate the life of the affected person [3]. An allograft is obtained either from living donors or cadavers, and can have a demineralized bone matrix (unhealthy donors), or donor mismatch with the recipient, while xenografts face pathogenic transmission issues and immune rejection by the patient body [4,5] These drawbacks restrict their applications in therapy

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