Scaffolds and coatings for bone regeneration

Bone tissue has an astonishing self-healing capacity yet only for non-critical size defects (

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Veröffentlicht in:Journal of materials science. Materials in medicine 2020-03, Vol.31 (3), p.27-27, Article 27
Hauptverfasser: Pereira, Helena Filipa, Cengiz, Ibrahim Fatih, Silva, Filipe Samuel, Reis, Rui Luís, Oliveira, Joaquim Miguel
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container_title Journal of materials science. Materials in medicine
container_volume 31
creator Pereira, Helena Filipa
Cengiz, Ibrahim Fatih
Silva, Filipe Samuel
Reis, Rui Luís
Oliveira, Joaquim Miguel
description Bone tissue has an astonishing self-healing capacity yet only for non-critical size defects (
doi_str_mv 10.1007/s10856-020-06364-y
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Autografts are, still, being used as preferred to treat large bone defects. Mostly, due to the presence of living differentiated and progenitor cells, its osteogenic, osteoinductive and osteoconductive properties that allow osteogenesis, vascularization, and provide structural support. Bone tissue engineering strategies have been proposed to overcome the limited supply of grafts. Complete and successful bone regeneration can be influenced by several factors namely: the age of the patient, health, gender and is expected that the ideal scaffold for bone regeneration combines factors such as bioactivity and osteoinductivity. The commercially available products have as their main function the replacement of bone. Moreover, scaffolds still present limitations including poor osteointegration and limited vascularization. The introduction of pores in scaffolds are being used to promote the osteointegration as it allows cell and vessel infiltration. Moreover, combinations with growth factors or coatings have been explored as they can improve the osteoconductive and osteoinductive properties of the scaffold. This review focuses on the bone defects treatments and on the research of scaffolds for bone regeneration. Moreover, it summarizes the latest progress in the development of coatings used in bone tissue engineering. Despite the interesting advances which include the development of hybrid scaffolds, there are still important challenges that need to be addressed in order to fasten translation of scaffolds into the clinical scenario. Finally, we must reflect on the main challenges for bone tissue regeneration. 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Materials in medicine</title><addtitle>J Mater Sci: Mater Med</addtitle><addtitle>J Mater Sci Mater Med</addtitle><description>Bone tissue has an astonishing self-healing capacity yet only for non-critical size defects (&lt;6 mm) and clinical intervention is needed for critical-size defects and beyond that along with non-union bone fractures and bone defects larger than critical size represent a major healthcare problem. Autografts are, still, being used as preferred to treat large bone defects. Mostly, due to the presence of living differentiated and progenitor cells, its osteogenic, osteoinductive and osteoconductive properties that allow osteogenesis, vascularization, and provide structural support. Bone tissue engineering strategies have been proposed to overcome the limited supply of grafts. Complete and successful bone regeneration can be influenced by several factors namely: the age of the patient, health, gender and is expected that the ideal scaffold for bone regeneration combines factors such as bioactivity and osteoinductivity. The commercially available products have as their main function the replacement of bone. Moreover, scaffolds still present limitations including poor osteointegration and limited vascularization. The introduction of pores in scaffolds are being used to promote the osteointegration as it allows cell and vessel infiltration. Moreover, combinations with growth factors or coatings have been explored as they can improve the osteoconductive and osteoinductive properties of the scaffold. This review focuses on the bone defects treatments and on the research of scaffolds for bone regeneration. Moreover, it summarizes the latest progress in the development of coatings used in bone tissue engineering. Despite the interesting advances which include the development of hybrid scaffolds, there are still important challenges that need to be addressed in order to fasten translation of scaffolds into the clinical scenario. Finally, we must reflect on the main challenges for bone tissue regeneration. There is a need to achieve a proper mechanical properties to bear the load of movements; have a scaffolds with a structure that fit the bone anatomy.</description><subject>Alginates - chemistry</subject><subject>Animals</subject><subject>Autografts</subject><subject>Biocompatible Materials - chemistry</subject><subject>Biological activity</subject><subject>Biomaterials</subject><subject>Biomechanical Phenomena</subject><subject>Biomedical Engineering and Bioengineering</subject><subject>Biomedical materials</subject><subject>Blood vessels</subject><subject>Bone Development</subject><subject>Bone grafts</subject><subject>Bone growth</subject><subject>Bone healing</subject><subject>Bone Regeneration</subject><subject>Bones</subject><subject>Cell Differentiation</subject><subject>Cell Proliferation</subject><subject>Cells (biology)</subject><subject>Ceramics</subject><subject>Chemistry and Materials Science</subject><subject>Chondrocytes - cytology</subject><subject>Coatings</subject><subject>Composites</subject><subject>Defects</subject><subject>Elasticity</subject><subject>Female</subject><subject>Fractures</subject><subject>Glass</subject><subject>Growth factors</subject><subject>Humans</subject><subject>Materials Science</subject><subject>Mechanical properties</subject><subject>Mesenchymal Stem Cells - cytology</subject><subject>Mice</subject><subject>Middle Aged</subject><subject>Natural Materials</subject><subject>Nonunion</subject><subject>Osseointegration</subject><subject>Osteoblasts - cytology</subject><subject>Osteoconduction</subject><subject>Osteogenesis</subject><subject>Osteoprogenitor cells</subject><subject>Polymer Sciences</subject><subject>Polymers - chemistry</subject><subject>Porosity</subject><subject>Pressure</subject><subject>Progenitor cells</subject><subject>Rabbits</subject><subject>Regeneration</subject><subject>Regeneration (physiology)</subject><subject>Regenerative Medicine/Tissue Engineering</subject><subject>Scaffolds</subject><subject>Sheep</subject><subject>Solvents</subject><subject>Surfaces and Interfaces</subject><subject>Thin Films</subject><subject>Tissue engineering</subject><subject>Tissue Engineering - instrumentation</subject><subject>Tissue Engineering - methods</subject><subject>Tissue Engineering Constructs and Cell Substrates</subject><subject>Tissue 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subjects Alginates - chemistry
Animals
Autografts
Biocompatible Materials - chemistry
Biological activity
Biomaterials
Biomechanical Phenomena
Biomedical Engineering and Bioengineering
Biomedical materials
Blood vessels
Bone Development
Bone grafts
Bone growth
Bone healing
Bone Regeneration
Bones
Cell Differentiation
Cell Proliferation
Cells (biology)
Ceramics
Chemistry and Materials Science
Chondrocytes - cytology
Coatings
Composites
Defects
Elasticity
Female
Fractures
Glass
Growth factors
Humans
Materials Science
Mechanical properties
Mesenchymal Stem Cells - cytology
Mice
Middle Aged
Natural Materials
Nonunion
Osseointegration
Osteoblasts - cytology
Osteoconduction
Osteogenesis
Osteoprogenitor cells
Polymer Sciences
Polymers - chemistry
Porosity
Pressure
Progenitor cells
Rabbits
Regeneration
Regeneration (physiology)
Regenerative Medicine/Tissue Engineering
Scaffolds
Sheep
Solvents
Surfaces and Interfaces
Thin Films
Tissue engineering
Tissue Engineering - instrumentation
Tissue Engineering - methods
Tissue Engineering Constructs and Cell Substrates
Tissue Scaffolds
Vascularization
title Scaffolds and coatings for bone regeneration
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