Skip to main content Skip to main navigation menu Skip to site footer
Review
Published: 31-03-2023

Dental stem cells and tissue regeneration in odontology: a brief systematic review

UNORTE - University Center of Northern São Paulo, Dentistry department, São José do Rio Preto, São Paulo, Brazil
UNORTE - University Center of Northern São Paulo, Dentistry department, São José do Rio Preto, São Paulo, Brazil
UNORTE - University Center of Northern São Paulo, Dentistry department, São José do Rio Preto, São Paulo, Brazil
UNORTE - University Center of Northern São Paulo, Dentistry department, São José do Rio Preto, São Paulo, Brazil / UNIPOS - Post graduate and continuing education, Dentistry department, São José do Rio Preto, São Paulo, Brazil
Dental pulp stem cells Stem cells in deciduous teeth Tissue regeneration Dental application

Abstract

Introduction: New ideas for tooth and tissue regeneration began to appear with rapid developments in tissue engineering theories and technologies. Numerous types of stem cells have been isolated from dental tissue, such as dental pulp stem cells (DPSC), human pulp stem cells isolated from exfoliated primary teeth (SHED), periodontal ligament stem cells (PDLSC), apical papillary stem (SCAP) and dental follicular cells (DFC). All these cells can regenerate tooth tissue. Objective: It was to present the main considerations of bioengineering techniques and report the results obtained in experiments with dental stem cells, as well as their real trends in application in dentistry. Methods: The systematic review rules of the PRISMA Platform were followed. The search was carried out from October to December 2022 in the Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases, using articles from 2001 to 2022. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed accordingly, according to the Cochrane instrument. Results and Conclusion: A total of 118 articles were found, 27 articles were evaluated and 16 were included and developed in this systematic review study. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 29 studies with a high risk of bias and 42 studies that did not meet GRADE. It is concluded that the collection of mesenchymal stem cells from deciduous teeth should be widely disseminated, as it is of great importance and wide applicability, allowing the repair of the most diverse cell types. In addition, it has several advantages, such as a non-invasive technique, respecting the period of dentition change, there are more than 20 collection possibilities, it presents high compatibility with the donor and family members and storage for an indefinite period. The studies showed that implantation of stem cells from deciduous teeth led to the regeneration of three-dimensional pulp tissue equipped with blood vessels and sensory nerves up to 12 months after treatment, as well as increased root length and reduced apical foramen width, not showing adverse events over 24 months of follow-up.

Metrics

Metrics Loading ...

References

  1. Zhai Q, Dong Z, Wang W, Li B, Jin Y. Dental stem cell and dental tissue regeneration. Front Med. 2019 Apr;13(2):152-159. doi: 10.1007/s11684-018-0628-x.
  2. Fuloria S, Jain A, Singh S, Hazarika I, Salile S, Fuloria NK. Regenerative Potential of Stem Cells Derived from Human Exfoliated Deciduous (SHED) Teeth during Engineering of Human Body Tissues. Curr Stem Cell Res Ther. 2021;16(5):507-517. doi: 10.2174/1574888X16999201231213206.
  3. Bhandary M, Rao S, Shetty AV, Kumar BM, Hegde AM, Chhabra R. Comparison of stem cells from human exfoliated deciduous posterior teeth with varying levels of root resorption. Stem Cell Investig. 2021 Aug 16;8:15. doi: 10.21037/sci-2020-039.
  4. Aziz NS, Azlina A, Yusop N. Angiogenic and Migratory Gene Expression Analysis of Stem Cells From Exfoliated Deciduous Teeth for Wound Repair Application. Curr Stem Cell Res Ther. 2022;17(5):466-479. doi: 10.2174/1574888X17666220221142524.
  5. Gao X, Shen Z, Guan M, Huang Q, Chen L, Qin W, Ge X, Chen H, Xiao Y, Lin Z. Immunomodulatory Role of Stem Cells from Human Exfoliated Deciduous Teeth on Periodontal Regeneration. Tissue Eng Part A. 2018 Sep;24(17-18):1341-1353. doi: 10.1089/ten.TEA.2018.0016.
  6. Kang CM, Shin MK, Jeon M, Lee YH, Song JS, Lee JH. Distinctive cytokine profiles of stem cells from human exfoliated deciduous teeth and dental pulp stem cells. J Dent Sci. 2022 Jan;17(1):276-283. doi: 10.1016/j.jds.2021.03.019.
  7. Sui B, Chen C, Kou X, Li B, Xuan K, Shi S, Jin Y. Pulp Stem Cell-Mediated Functional Pulp Regeneration. J Dent Res. 2019 Jan;98(1):27-35. doi: 10.1177/0022034518808754.
  8. Masuda K, Han X, Kato H, Sato H, Zhang Y, Sun X, Hirofuji Y, Yamaza H, Yamada A, Fukumoto S. Dental Pulp-Derived Mesenchymal Stem Cells for Modeling Genetic Disorders. Int J Mol Sci. 2021 Feb 25;22(5):2269. doi: 10.3390/ijms22052269.
  9. Zhou LL, Liu W, Wu YM, Sun WL, Dörfer CE, Fawzy El-Sayed KM. Oral Mesenchymal Stem/Progenitor Cells: The Immunomodulatory Masters. Stem Cells Int. 2020 Feb 25;2020:1327405. doi: 10.1155/2020/1327405.
  10. Guo H, Li B, Wu M, Zhao W, He X, Sui B, Dong Z, Wang L, Shi S, Huang X, Liu X, Li Z, Guo X, Xuan K, Jin Y. Odontogenesis-related developmental microenvironment facilitates deciduous dental pulp stem cell aggregates to revitalize an avulsed tooth. Biomaterials. 2021 Dec;279:121223. doi: 10.1016/j.biomaterials.2021.121223.
  11. Cui D, Li H, Wan M, Peng Y, Xu X, Zhou X, Zheng L. The Origin and Identification of Mesenchymal Stem Cells in Teeth: from Odontogenic to Non-odontogenic. Curr Stem Cell Res Ther. 2018;13(1):39-45. doi: 10.2174/1574888X12666170913150403.
  12. Sugiaman VK, Djuanda R, Pranata N, Naliani S, Demolsky WL, Jeffrey. Tissue Engineering with Stem Cell from Human Exfoliated Deciduous Teeth (SHED) and Collagen Matrix, Regulated by Growth Factor in Regenerating the Dental Pulp. Polymers (Basel). 2022 Sep 6;14(18):3712. doi: 10.3390/polym14183712.
  13. Cobourne MT, Hardcastle Z, Sharpe PT. Sonic hedgehog regulates epithelial proliferation and cell survival in the developing tooth germ. J Dent Res, Alexandria, 2001, v. 80, no. 11, p. 1974-1979.
  14. Mai Z, Chen H, Ye Y, Hu Z, Sun W, Cui L, Zhao X. Translational and Clinical Applications of Dental Stem Cell-Derived Exosomes. Front Genet. 2021 Oct 26;12:750990. doi: 10.3389/fgene.2021.750990.
  15. Liu P, Zhang Q, Mi J, Wang S, Xu Q, Zhuang D, Chen W, Liu C, Zhang L, Guo J, Wu X. Exosomes derived from stem cells of human deciduous exfoliated teeth inhibit angiogenesis in vivo and in vitro via the transfer of miR-100-5p and miR-1246. Stem Cell Res Ther. 2022 Mar 3;13(1):89. doi: 10.1186/s13287-022-02764-9.
  16. Xuan K, Li B, Guo H, Sun W, Kou X, He X, Zhang Y, Sun J, Liu A, Liao L, Liu S, Liu W, Hu C, Shi S, Jin Y. Deciduous autologous tooth stem cells regenerate dental pulp after implantation into injured teeth. Sci Transl Med. 2018 Aug 22;10(455):eaaf3227. doi: 10.1126/scitranslmed.aaf3227.

How to Cite

Pereira, E. S., Silva, G. P. da, Oliveira, A. C. F. de, & Castro, F. P. L. de. (2023). Dental stem cells and tissue regeneration in odontology: a brief systematic review. MedNEXT Journal of Medical and Health Sciences, 4(2). https://doi.org/10.54448/mdnt23208