Abstract

Advances in treatment of tooth injury have shown that tooth regeneration from the pulp was a viable alternative of root canal therapy. In this study, we demonstrated that Gutta-percha, nanocomposites primarily used for obturation of the canal, are not cytotoxic and can induce differentiation of dental pulp stem cells (DPSC) in the absence of soluble mediators. Flat scaffolds were obtained by spin coating Si wafers with three Gutta-percha compounds: GuttaCore™, ProTaper™, and Lexicon™. The images of annealed surfaces showed that the nanoparticles were encapsulated, forming surfaces with root mean square (RMS) roughness of 136–211 nm. Then, by culturing DPSC on these substrates we found that after some initial difficulty in adhesion, confluent tissues were formed after 21 days. Imaging of the polyisoprene (PI) surfaces showed that biomineral deposition only occurred when dexamethasone was present in the media. Spectra obtained from the minerals was consistent with that of hydroxyapatite (HA). In contrast, HA deposition was observed on all Gutta-percha scaffolds regardless of the presence or absence of dexamethasone, implying that surface roughness may be an enabling factor in the differentiation process. These results indicate that Gutta-percha nanocomposites may be good candidates for pulp regeneration therapy.

Highlights

  • Root canal therapy is the most common endodontic procedure for preserving teeth without invasive surgery or dental implants [1,2]

  • We have demonstrated that the Zinc Oxide (ZnO) nanoparticles in the scaffolds obtained from

  • Gutta-percha nanocomposites were encapsulated within the polymer matrix

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Summary

Introduction

Root canal therapy is the most common endodontic procedure for preserving teeth without invasive surgery or dental implants [1,2]. Root canal treatment does not restore the biological function of the dental pulp tissue after significant damage [4,5] It would be of great clinical benefit to develop a biologically based treatment to repair and regenerate the traumatized teeth, in order to both avoid surgical procedures and preserve the natural tooth. Obturation only maintains tooth structure, while the regeneration treatment aims to allow root elongation and thickening and thereby to restore full tooth function [9] In this case, bleeding of the pulp is induced to promote angiogenesis and pulpal regeneration with various cells including fibroblasts and odontoblast progenitors or stem cells. As undifferentiated mesenchymal stem cells, DPSC may be good candidates to study stem cell regenerative therapies

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