Background
In recent decades, tooth derivatives such as dentin (D) and enamel (E) have
been considered as potential graft biomaterials to treat bone defects. This
study aimed to investigate the effects of demineralization on the
physical-chemical and biological behavior of D and E.
Methods
Human D and E were minced into particles (Ø<1 mm), demineralized and
sterilized. Thorough physical-chemical and biochemical characterizations of
native and demineralized materials were performed by SEM and EDS analysis
and ELISA kits to determine mineral, collagen type I and BMP-2 contents. In
addition, MG63 and SAOS-2 cells were seeded on tooth-derived materials and
Bio-Oss®, and a comparison of cell responses in terms of adhesion and
proliferation was carried out.
Results
The sterilization process, as a combination of chemical and thermal
treatments, was found to be effective for all materials. On the other hand,
D demineralization allowed preserving the collagen content, while increasing
BMP-2 bioavailability. D and demineralized D (dD) displayed excellent
biocompatibility, even greater than Bio-Oss®. Conversely, the high mineral
content displayed by E, as confirmed by EDS analysis, inhibited cell
proliferation. Of note, even though the demineralization process was somehow
less effective in E than in D, demineralized E (dE) displayed increased
BMP-2 bioavailability and improved performance in vitro compared with native
E.
Conclusions
Our results substantiate the idea that the demineralization process lead to
an increase of BMP-2 bioavailability, thus paving the way toward development
of more effective, osteoinductive tooth-derived materials for bone
regeneration and replacement.