Review Article | Vol. 3, Issue 1 | Journal of Clinical Medical Research

Cementum: Composition, Formation and Regeneration

 

Michel Goldberg1*

1Department of Oral Biology, Faculty of Fundamental and Biomedical Sciences, INSERM UMR-S 1124 Paris Cite University, France

*Corresponding Author: Michel Goldberg, Department of Oral Biology, Faculty of Fundamental and Biomedical Sciences, INSERM UMR-S 1124 Paris Cite University, France; Email: [email protected]

Published Date: 24-02-2022

Copyright© 2022 by Goldberg M. All rights reserved. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Received
19 Jan, 2022
Accepted
17 Feb, 2022
Published
24 Feb, 2022

Abstract

Cementum is forming a thin layer over the root. Incremental lines of Salter reflect periodic deposition, separating mixed cementum into successive layers. Cementum plays a role in the anchorage of the teeth and adaptative, reparative and regenerative functions. Entrapped in cementum, cementoblasts become cementocytes located inside lacunae. Type I (90%) and III (5%) collagens constitute the major components of the matrix. In addition, non-collagenous proteins include proteoglycans, bone sialoprotein, osteopontin, fibronectin, osteonectin, a2-HS glycoprotein (also named fetuin-A), osterix and non-specific alkaline phosphatase (NSAP). It contains also cementum-specific proteins, a number of growth factors (IGF, FGF, PDGF, TGF b, BMPs and EGF), transcription factors, enamel-associated proteins and tuftelin, involved in the initial stages of enamel mineralization. These molecules contribute to cementum formation, structural and molecular repair and may be used for cementum regeneration.

Keywords

Acellular Afibrillar Cementum; Acellular Fibrillar Cementum; Cellular Cementum; Intermediate Cementum; Cementoblastes; Cementocytes; Lacunae; Non-Collagenous Proteins; Collagens; Non-Collagenous Matrix Proteins; Cementum Regeneration

 

acellular cementum

Figure 1: Lack of acellular cementum on Alpi-/- molar root surfaces.

cervical enamel-cementum

Figure 2: The cervical enamel-cementum junction in humans: acellular, cellular and mixed cementum.

mixed cellular cementum

Figure 3: Incremental lines of Salter in mixed cellular cementum.

Classification of cementum

Table 1: Classification of cementum.

Organic (natural or synthetic)

Inorganic (natural or synthetic)

 

Organic polymers‐allogenic / xenogenic collagen (absorbable collagen sponge), fibrin, poly‐a- hydroxyl acids, hyaluronan, methylmethacrylate.

 

Autogenous bone, Hydroxyapatite, calcium phosphates, calcium sulfates, β tricalcium phosphate, and bioglass technologies.

Table 2: Carrier systems for the delivery of BMPs.

Growth Factors

IGF-1:

proliferation, differentiation, matrix synthesis

FGF:

proliferation, differentiation, matrix synthesis, angiogenesis

PDGF:

proliferation, differentiation, matrix synthesis

TGF-β:

matrix synthesis, angiogenesis, chemotaxis

BMPs:

matrix synthesis, differentiation, bone formation

EGF:

proliferation, differentiation

CGF:

aproliferation, bdifferentiation

Matrix Components

Collagens

BSP

OPN

Fibronectin

Osteonectin

Cementum- attachment protein: (cell adhesion, differentiation; regulated proliferation, mineralization, survival and angiogenesis). A: Cementum- derived growth factor, isoform of IGF-1. B: Mineralized tissue- forming cells respond better than fibroblasts to these proteins.

Table 3: Molecules identified in cementum and their activity.