Biofabrication Strategies for Oral Soft Tissue Regeneration

Author:

Rahimnejad Maedeh1ORCID,Makkar Hardik2ORCID,Dal‐Fabbro Renan1ORCID,Malda Jos345ORCID,Sriram Gopu267ORCID,Bottino Marco C.18ORCID

Affiliation:

1. Department of Cariology Restorative Sciences and Endodontics School of Dentistry University of Michigan Ann Arbor MI 48109 USA

2. Faculty of Dentistry National University of Singapore Singapore 119085 Singapore

3. Regenerative Medicine Center Utrecht Utrecht 3584 The Netherlands

4. Department of Clinical Sciences Faculty of Veterinary Medicine Utrecht University Utrecht 3584 The Netherlands

5. Department of Orthopedics University Medical Center Utrecht Utrecht 3584 The Netherlands

6. NUS Centre for Additive Manufacturing (AM.NUS) National University of Singapore Singapore 117597 Singapore

7. Department of Biomedical Engineering National University of Singapore Singapore 117583 Singapore

8. Department of Biomedical Engineering College of Engineering University of Michigan Ann Arbor MI 48109 USA

Abstract

AbstractGingival recession, a prevalent condition affecting the gum tissues, is characterized by the exposure of tooth root surfaces due to the displacement of the gingival margin. This review explores conventional treatments, highlighting their limitations and the quest for innovative alternatives. Importantly, it emphasizes the critical considerations in gingival tissue engineering leveraging on cells, biomaterials, and signaling factors. Successful tissue‐engineered gingival constructs hinge on strategic choices such as cell sources, scaffold design, mechanical properties, and growth factor delivery. Unveiling advancements in recent biofabrication technologies like 3D bioprinting, electrospinning, and microfluidic organ‐on‐chip systems, this review elucidates their precise control over cell arrangement, biomaterials, and signaling cues. These technologies empower the recapitulation of microphysiological features, enabling the development of gingival constructs that closely emulate the anatomical, physiological, and functional characteristics of native gingival tissues. The review explores diverse engineering strategies aiming at the biofabrication of realistic tissue‐engineered gingival grafts. Further, the parallels between the skin and gingival tissues are highlighted, exploring the potential transfer of biofabrication approaches from skin tissue regeneration to gingival tissue engineering. To conclude, the exploration of innovative biofabrication technologies for gingival tissues and inspiration drawn from skin tissue engineering look forward to a transformative era in regenerative dentistry with improved clinical outcomes.

Funder

National Institute of General Medical Sciences

National Institute of Dental and Craniofacial Research

Publisher

Wiley

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