An Insight of Proanthocyanidin and Polyamidoamine-Calcium Phosphate Nanoparticles as Biomaterial Candidate for Dentin regeneration in Dental Pulp Capping: A Narrative Review

Alexander Patera Nugraha, Nastiti Faradilla Ramadhani, Deny Saputra, Rifqah Ananda Mappananrang, Alqomariyah Eka Purnamasari, Amelia Aisyiah Anwar, Rini Devijanti Ridwan, Viol Dhea Kharisma, Albertus Putera Nugraha, Tengku Natasha Eleena Tengku Ahmad Noor, Nawira, Ira Widjiastuti, Tamara Yuanita

Research output: Contribution to journalArticlepeer-review

Abstract

Dental caries is the world's biggest dental problem with an incidence of 95%, causing tooth demineralization and complications including pulp perforation and premature tooth loss. A non-toxic biomaterial is required for increasing dentine regeneration in reversible dental caries. Proanthocyanidin (PA) is grape seed-derived flavonoid as antibacterial, anti-inflammatory, and antioxidant. However, PA provides low bioavailability so that it can be combined with polyamidoamine-calcium phosphate (PAMAM-CP) nanoparticles as drug delivery system. The investigation of PA and PAMAM-CP nanoparticles paste-based as innovation biomaterial for dental pulp capping may potential to induce dentine regeneration. The aim of this narrative review is to describe the combination of PA and PAMAM-CP nanoparticles as dental pulp capping biomaterial for dentin regeneration in dental caries. PA is able to express runt related transcription factor (Runx2), bone morphogenic protein-2 (BMP2), osteocalcin (OCN), and dentine sialophospoprotein (DSPP) which increase biomineralization and odontogenic differentiation. PAMAM is a macromolecule that provides attachment to dentine and induces remineralization. CP nanoparticles are calcium phosphate-based drug carriers that facilitate dentinal tubules penetration. PA loaded PAMAM-CP nanoparticles would be encapsulated releasing PA. PA suppresses Nuclear Factor-kB signaling pathway activation and decrease tumor necrosis factor-α so that inhibit dentinal matrix degradation. PA increases Runx2 and DSPP expression that manifest in dental pulp stem cells differentiation into odontoblasts. Combination of PA and PAMAM-CP nanoparticles may potential and beneficial as pulp capping biomaterial for dentin regeneration in dental caries.

Original languageEnglish
Pages (from-to)2888-2894
Number of pages7
JournalResearch Journal of Pharmacy and Technology
Volume15
Issue number7
DOIs
Publication statusPublished - Jul 2022

Keywords

  • calcium phosphate
  • good health and well-being
  • medicine
  • polyamidoamin
  • Proanthocyanidin
  • pulp capping

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