Abstract

The design and development of ceramic structures based on 3D scaffolding as dental bone substitutes has become a topic of great interest in the regenerative dentistry research area. In this regard, the present study focuses on the development of two scaffold-type structures obtained from different commercial dental ceramics by employing the foam replication method. At the same time, the study underlines the physicochemical features and the biological profiles of the newly developed scaffolds, compared to two traditional Cerabone® materials used for bone augmentation, by employing both the in vitro Alamar blue proliferation test at 24, 48 and 96 h poststimulation and the in ovo chick chorioallantoic membrane (CAM) assay. The data reveal that the newly developed scaffolds express comparable results with the traditional Cerabone® augmentation masses. In terms of network porosity, the scaffolds show higher pore interconnectivity compared to Cerabone® granules, whereas regarding the biosafety profile, all ceramic samples manifest good biocompatibility on primary human gingival fibroblasts (HGFs); however only the Cerabone® samples induced proliferation of HGF cells following exposure to concentrations of 5 and 10 µg/mL. Additionally, none of the test samples induce irritative activity on the vascular developing plexus. Thus, based on the current results, the preliminary biosecurity profile of ceramic scaffolds supports the usefulness for further testing of high relevance for their possible clinical dental applications.

Highlights

  • Ceramics as a major class of dental biomaterials employed for tooth reconstruction are derived from the Greek word keramos, which translates to burnt stuff [1].Over the years, the application of ceramics in dentistry has developed widely in response to several market innovations that patients are becoming more and more interested in

  • Since one of the most essential features of a ceramic material used for bone augmentation is related to its network porosity, the morphological analysis of the samples was a mandatory analysis of the present study

  • The surface topography and the ultrastructure details together with the chemical species of the dental ceramic samples were determined through scanning electron microscopy (SEM)–EDAX analysis

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Summary

Introduction

Ceramics as a major class of dental biomaterials employed for tooth reconstruction are derived from the Greek word keramos, which translates to burnt stuff [1].Over the years, the application of ceramics in dentistry has developed widely in response to several market innovations that patients are becoming more and more interested in. In 2013, the European market for dental bone grafting materials was worth around USD 200 million, and it is expected that by 2024 the global market for bone substitutes will exceed the value of USD 900 million [2]. It is thought that the rapid development of market value is mainly caused by two types of structures: (i) ceramic materials—considered valuable biomaterials in the field of dental bone substitutes as, unlike metals or polymers, ceramic structures do not present a limited integration with the surrounding tissue [3]. Scaffold-type structure ceramics provide a good pattern for cell migration, supporting the osteoconduction phenomenon [4]; (ii) bovine derivatives—frequently used as bone grafting materials [5]

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