LPCGF and EDTA conditioning of the root surface promotes the adhesion, growth, migration and differentiation of periodontal ligament cells

Abstract

Background

Liquid‐phase concentrated growth factor (LPCGF), a new‐generation platelet concentrate, may potently stimulate human periodontal ligament (PDL) cells. This study assessed the effectiveness of ethylenediaminetetraacetic acid (EDTA) and/or LPCGF on periodontally diseased root surfaces through their effects on PDL cells.

Methods

Dentin blocks prepared from periodontal teeth were divided into four groups and treated as follows: group I, scaling and root planing (SRP); group II, SRP+EDTA; group III, SRP+LPCGF; and group IV, SRP+EDTA+LPCGF. PDL cells were cultured on dentin blocks, and LPCGF‐induced biological effects were evaluated by migration and cell adhesion/proliferation assays. Furthermore, PDL cell differentiation was assessed by real‐time polymerase chain reaction (PCR).

Results

Significantly more adherent cells were observed in the EDTA, LPCGF and combination treatment groups than in the control group. Root conditioning with EDTA and/or LPCGF enhanced cell proliferation and migration more than SRP did. Compared to the control group, the combined treatment group exhibited significant upregulation of cell differentiation‐related genes. Electron microscopy of the tooth surface revealed removal of the smear layer and exposed dentin holes in the EDTA‐treated group but not in the control group.

Conclusion

EDTA and LPCGF application to periodontitis‐affected root surfaces forms a surface suitable for cell attachment, growth, migration and differentiation. Thus, LPCGF is promising in clinical periodontics applications. Further studies to support these results are necessary.

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https://aap.onlinelibrary.wiley.com/doi/abs/10.1002/JPER.20-0103?af=R