3D Bioprinting and Artificial Intelligence-Assisted Biofabrication of Personalized Oral Soft Tissue Constructs.

Journal: Advanced healthcare materials
Published Date:

Abstract

Regeneration of oral soft tissue defects, including mucogingival defects associated with the recession or loss of gingival and/or mucosal tissues around teeth and implants, is crucial for restoring oral tissue form, function, and health. This study presents a novel approach using three-dimensional (3D) bioprinting to fabricate individualized grafts with precise size, shape, and layer-by-layer cellular organization. A multicomponent polysaccharide/fibrinogen-based bioink is developed, and bioprinting parameters are optimized to create shape-controlled oral soft tissue (gingival) constructs. Rheological, printability, and shape-fidelity assays, demonstrated the influence of thickener concentration and print parameters on print resolution and shape fidelity. Artificial intelligence (AI)-derived tool enabled streamline the iterative bioprinting parameter optimization and analysis of the interaction between the bioprinting parameters. The cell-laden polysaccharide/fibrinogen-based bioinks exhibited excellent cellular viability and shape fidelity of shape-controlled, full-thickness gingival tissue constructs over the 18-day culture period. While variations in thickener concentrations within the bioink minimally impact the cellular organization and morphogenesis (gingival epithelial, connective tissue, and basement membrane markers), they influence the shape fidelity of the bioprinted constructs. This study represents a significant step toward the biofabrication of personalized soft tissue grafts, offering potential applications in the repair and regeneration of mucogingival defects associated with periodontal disease and dental implants.

Authors

  • Yichen Dai
    Faculty of Dentistry, National University of Singapore, Singapore, 119085, Singapore.
  • Peter Wang
  • Apurva Mishra
    Faculty of Dentistry, National University of Singapore, Singapore, 119085, Singapore.
  • Kui You
    Department of Biomedical Engineering, College of Design and Engineering, National University of Singapore, Singapore, 117583, Singapore.
  • Yuheng Zong
    Faculty of Dentistry, National University of Singapore, Singapore, 119085, Singapore.
  • Wen Feng Lu
    Department of Mechanical Engineering, National University of Singapore, Singapore, 117602, Singapore.
  • Edward Kai-Hua Chow
    Cancer Science Institute, Yong Loo Lin School of Medicine, National University of Singapore, 117599, Singapore; The N.1 Institute of Health (N.1), National University of Singapore, 117456, Singapore; Department of Bioengineering, National University of Singapore, 117583, Singapore; Department of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, 117597, Singapore; The Institute for Digital Medicine (WisDM), Yong Loo Lin School of Medicine, National University of Singapore, 117456, Singapore. Electronic address: phcekc@nus.edu.sg.
  • Philip M Preshaw
    Faculty of Dentistry, National University of Singapore, Singapore, 119085, Singapore.
  • Dejian Huang
    Department of Food, Science and Technology, National University of Singapore, Singapore, 117542, Singapore.
  • Jacob Ren Jie Chew
    Faculty of Dentistry, National University of Singapore, Singapore, 119085, Singapore.
  • Dean Ho
    The N.1 Institute for Health (N.1), National University of Singapore, 28 Medical Drive, Singapore 117456, Singapore.
  • Gopu Sriram
    Faculty of Dentistry, National University of Singapore, Singapore, 119085, Singapore.