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Pulp Cell Differentiation and Future Directions of LIPUS

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Abstract

Dental pulp tissue engineering has gone a long ways from proof of principle to clinical trials. However, the current clinical trials are limited to the utilization of the same patient’s own dental pulp from another tooth to be removed and to be used to tissue engineer other teeth dental pulp. Dental pulp cell differentiation into different cell linages has been extensively investigated, although the potential use of LIPUS to enhance dental pulp cell differentiation still needs to be explored. This chapter will shed the light on the potential use of LIPUS in tissue engineering dental pulp regardless of the origin of stem cells used in tissue engineered dental pulp. According to the current literature, there is strong evidence that low-intensity pulsed ultrasound (LIPUS) can enhance the body regeneration process after trauma to most tissues. This accelerating regeneration process includes but not limited to many of the dentofacial tissues that have been tested so far except dental enamel. In orthodontics, LIPUS can minimize orthodontically induced teeth root resorption when it is applied during orthodontic treatment by stimulating new cementum and dentin formation that works as a protective layer against root resorption. Also, there is an adequate evidence that LIPUS can also enhance tooth movement at the same time. In addition, LIPUS can stimulate mandibular growth in growing animals and patients. Moreover, the stimulatory effect of LIPUS in enhancing the production of dental and other craniofacial tissue matrices plays an important role in regenerative dentistry, including but not limited to endodontics, dental traumatology, and jaw growth modification and maybe beyond these applications. This chapter also sheds light on these possible future applications as well.

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References

  1. Huang GT, Gronthos S, Shi S. Mesenchymal stem cells derived from dental tissues vs. those from other sources: their biology and role in regenerative medicine. J Dent Res. 2009;88(9):792–806.

    Article  Google Scholar 

  2. Sloan AJ, Smith AJ. Stem cells and the dental pulp: potential roles in dentine regeneration and repair. Oral Dis. 2007;13(2):151–7.

    Article  Google Scholar 

  3. Souron JB, Petiet A, Decup F, Tran XV, Lesieur J, Poliard A, Le Guludec D, Letourneur D, Chaussain C, Rouzet F, Opsahl Vital S. Pulp cell tracking by radionuclide imaging for dental tissue engineering. Tissue Eng Part C Methods. 2014;20(3):188–97.

    Article  Google Scholar 

  4. Duailibi MT, Duailibi SE, Duailibi Neto EF, Negreiros RM, Jorge WA, Ferreira LM, Vacanti JP, Yelick PC. Tooth tissue engineering: optimal dental stem cell harvest based on tooth development. Artif Organs. 2011;35(7):E129–35.

    Article  Google Scholar 

  5. Zheng Y, Wang XY, Wang YM, Liu XY, Zhang CM, Hou BX, Wang SL. Dentin regeneration using deciduous pulp stem/progenitor cells. J Dent Res. 2012;91(7):676–82.

    Article  Google Scholar 

  6. Zou T, Dissanayaka WL, Jiang S, Wang S, Heng BC, Huang X, Zhang C. Semaphorin 4D enhances angiogenic potential and suppresses osteo-/odontogenic differentiation of human dental pulp stem cells. J Endod. 2017;43(2):297–305.

    Article  Google Scholar 

  7. Bhoj M, Zhang C, Green DW. A first step in De Novo synthesis of a living pulp tissue replacement using dental pulp MSCs and tissue growth factors encapsulated within a bioinspired alginate hydrogel. J Endod. 2015;41(7):1100–7.

    Article  Google Scholar 

  8. Dissanayaka WL, Hargreaves KM, Jin L, Samaranayake LP, Zhang C. The interplay of dental pulp stem cells and endothelial cells in an injectable peptide hydrogel on angiogenesis and pulp regeneration in vivo. Tissue Eng Part A. 2015;21(3-4):550–63.

    Article  Google Scholar 

  9. Heng BC, Lim LW, Wu W, Zhang C. An overview of protocols for the neural induction of dental and oral stem cells in vitro. Tissue Eng Part B Rev. 2016;22(3):220–50.

    Article  Google Scholar 

  10. La Noce M, Mele L, Tirino V, Paino F, De Rosa A, Naddeo P, Papagerakis P, Papaccio G, Desiderio V. Neural crest stem cell population in craniomaxillofacial development and tissue repair. Eur Cell Mater. 2014;28(28):348–57.

    Article  Google Scholar 

  11. Tanaka E, Kuroda S, Horiuchi S, Tabata A, El-Bialy T. Low-intensity pulsed ultrasound in dentofacial tissue engineering. Ann Biomed Eng. 2015;43(4):871–86.

    Article  Google Scholar 

  12. Nakamura T, Fujihara S, Katsura T, Yamamoto K, Inubushi T, Tanimoto K, Tanaka E. Low-intensity pulsed ultrasound reduces the inflammatory activity of synovitis. Ann Biomed Eng. 2011;39:2964–71.

    Article  Google Scholar 

  13. Al-Daghreer S, Doschak M, Sloane A, Major P, Heo G, Scurtescu Y, Tsui Y, El-Bialy T. Effect of LIPUS on orthodontically induced root resorption in Beagle dogs. Ultrasound Med Biol. 2014;40:1187–96.

    Article  Google Scholar 

  14. Dyson M, Pond J, Joseph J, Warwick R. The stimulation of tissue regeneration by means of ultrasound. Clin Sci. 1968;35:273–85.

    Google Scholar 

  15. Young SR, Dyson M. Effect of therapeutic ultrasound on the healing of full-thickness excised skin lesions. Ultrasonics. 1990;28(3):175–80.

    Article  Google Scholar 

  16. Angle S, Sena K, Sumner D, Virdi A. Osteogenic differentiation of rat bone marrow stromal cells by various intensities of low-intensity pulsed ultrasound. Ultrasonics. 2011;51:281–8.

    Article  Google Scholar 

  17. Azuma Y, Ito M, Harada Y, Takagi H, Ohta T, Jingushi S. Low-intensity pulsed ultrasound accelerates rat femoral fracture healing by acting on the various cellular reactions in the fracture callus. J Bone Miner Res. 2001;16:671–80.

    Article  Google Scholar 

  18. El-Bialy T, Alhadlaq A, Wong B, Kucharski C. Ultrasound effect on neural differentiation of gingival stem/progenitor cells. Ann Biomed Eng. 2014;42(7):1406–12.

    Article  Google Scholar 

  19. Ghorayeb SR, Patel US, Walmsley AD, Scheven BA. Biophysical characterization of low-frequency ultrasound interaction with dental pulp stem cells. J Ther Ultrasound. 2013;1(1):12.

    Article  Google Scholar 

  20. Al-Daghreer S, Doschak M, Sloan A, Major P, Heo G, Scurtescu Y, Tsui Y, El-Bialy T. Long term effect of low intensity pulsed ultrasound on a human tooth slice organ culture. Arch Oral Biol. 2012;57:760–8.

    Article  Google Scholar 

  21. Al-Daghreer S, Doschak M, Sloan A, Major P, Heo G, Scurtescu Y, Tsui Y, El-Bialy T. Short-term effect of low-intensity pulsed ultrasound on an ex vivo 3-d tooth culture. Ultrasound Med Biol. 2013;39:1066–74.

    Article  Google Scholar 

  22. El-Bialy TH, Lam B, Al-Daghreer SM, Sloan AJ. The effect of low intensity pulsed ultrasound in a 3D ex-vivo orthodontic model. J Dent. 2011;39:693–9.

    Article  Google Scholar 

  23. Scheven BA, Shelton RM, Cooper PR, Walmsley AD, Smith AJ. Therapeutic ultrasound for dental tissue repair. Med Hypotheses. 2009;73(4):591–3.

    Article  Google Scholar 

  24. Law AG, Sadeghi H, Sloan A, El-Bialy T. Effect of low intensity pulsed ultrasound on dentoalveolar fracture in mandible slice organ culture; 2011 Mar; IADR, San Diego. Poster # 2907.

    Google Scholar 

  25. Alzaheri N, Nour M, Tamimi F, El-Bialy T. Low-intensity pulsed ultrasound increases teeth root volume in amelogenin knockout mice. Oral presentation. 2016 AADR/CADR Annual Meeting; 2016 Mar 18; Los Angeles, CA. ID#: 2399910.

    Google Scholar 

  26. Wright JT, Li Y, Suggs C, Kuehl MA, Kulkarni AB, Gibson CW. The role of amelogenin during enamel-crystallite growth and organization in vivo. Eur J Oral Sci. 2011;119(Suppl 1):65–9.

    Article  Google Scholar 

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Correspondence to Tarek El-Bialy .

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El-Bialy, T. (2018). Pulp Cell Differentiation and Future Directions of LIPUS. In: El-Bialy, T., Tanaka, E., Aizenbud, D. (eds) Therapeutic Ultrasound in Dentistry. Springer, Cham. https://doi.org/10.1007/978-3-319-66323-4_11

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  • DOI: https://doi.org/10.1007/978-3-319-66323-4_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-66322-7

  • Online ISBN: 978-3-319-66323-4

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