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Article Type

Original Article

Section/Category

Oral Biology

Abstract

Objectives: This study was conducted to prepare and characterize root-shaped treated dentin matrix (TDM) scaffolds, and to evaluate their efficacy together with seeded dental pulp stem cells (DPSCs) as potential bio-roots in extraction sockets of rat models.

Materials and Methods: Root-shaped TDM specimens were prepared and characterized. Following extraction of maxillary incisors, the alveolar sockets were implanted with TDM segments measuring 8 mm in length, either alone (TDM group) or seeded with dental pulp stem cells (TDM/DPSCs group). Animals were euthanized at two and six weeks post-implantation, specimens were processed for histological, histochemical and immunohistochemical analyses.

Results: TDM group at 2 weeks showed poor regeneration on the inner and outer surfaces of the implanted scaffolds, while at 6 weeks early connective tissue formation and collagen fiber deposition were observed. TDM/DPSCs group at 2 weeks demonstrated predentin-like tissue formation and preliminary PDL-like tissues, and by 6 weeks exhibited pronounced regenerative outcomes, including dentin-like tissue formation, odontoblast-like cells lining the TDM surface, organized pulp-like tissue, and well-arranged PDL-like collagen fibers at outer surface. Statistical analysis of Masson’s trichrome and Dentin sialophosphoprotienn immunohistochemical staining revealed a statistically significant difference between both groups, with the TDM/DPSCs group showing superior collagen organization and higher odontogenic marker expression in comparison with the TDM group.

Conclusion: The TDM/DPSCs construct effectively promotes dentin and periodontal tissue regeneration in rat incisor extraction sockets. This strategy represents a feasible and promising tissue engineering approach for tooth root regeneration and may have potential clinical applications in the treatment of tooth loss.

Keywords

Extraction socket, Bioactive scaffolds, Extra-cellular matrix, Dental mesenchymal stem cells, Dentin sialophosphoprotien

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