Review ArticleInternational Journal of Community Medicine and Public Health

Publication:
Bioactive and self-healing smart materials in pulp therapy

Int J Community Med Public Health. 2025;12(11):5313-5318.DOI10.18203/2394-6040.ijcmph20253720

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Abstract

The efficiency of pulp therapy has been greatly impacted by the development of materials used in endodontic and restorative dentistry. Biologically based regenerative pulp treatment has entered a new era, specifically with the advent of smart materials, which are characterized by their capacity to react actively to environmental stimuli. Along with sealing and protecting the pulp, these materials' bioactivity and, in certain situations, self-healing properties enable them to aid in tissue repair, lower inflammation, and promote the regeneration of the dentin-pulp complex. Calcium silicate-based sealers, Mineral Trioxide Aggregate (MTA), and bioactive materials like biodentine encourage biomineralization and the formation of reparative dentin, while self-healing systems like microcapsule-based composites can independently restore structural integrity after microcracks. The third frontier in smart dental materials is represented by stimuli-responsive formulations, which release therapeutic agents under controlled conditions in response to variations in pH, moisture content, or bacterial activity. Through an analysis of their mechanisms of action, clinical results, advancements in material science, and potential applications, this review seeks to investigate the role of bioactive and self-healing smart materials in pulp therapy. To educate researchers and clinicians about the new technologies that are changing pulp preservation and regeneration techniques in minimally invasive dentistry, the objective is to present an up-to-date summary of available data.

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Affiliations

  1. North Jeddah Specialist Dental Center, King Abdullah Medical Complex, Jeddah, Saudi Arabia
  2. College of Dentistry, King Faisal University, Hofuf, Saudi Arabia
  3. Department of Dentistry, Private Center, Arar, Saudi
  4. College of Dentistry, King Faisal University, Al Ahsa, Saudi Arabia
  5. Department Of Dentistry, Private Dental Clinic, Medina, Saudi Arabia
  6. Department of Dentistry, King Khalid University, Abha, Saudi Arabia
  7. Department of Dentistry, Alrawabi Primary Healthcare Center, Ministry of Health, Qassim province, Unaizah, Saudi Arabia
  8. Department of Dentistry, Al-Safraa Primary Health Care, King Fahd Specialist Hospital in Buraydah, Saudi Arabia
  9. College of Dentistry, Vision College, Jeddah, Saudi Arabia
  10. Department of Dentistry, Samaia Private Clinic, Abha, Saudi Arabia

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