Open Access Article
Zhenni Liu
a,
Dan Lia,
Xiujun Shia,
Dongqin Xiaoa,
Feng Shib,
Xuwei Luoa,
Gang Fenga,
Yonglin Xie*a and
Chengdong Zhang*a
aResearch Institute of Tissue Engineering and Stem Cells, Department of Stomatology, The Second Clinical College of North Sichuan Medical College, Nanchong, Sichuan 637000, China. E-mail: zhangchengdong@nsmc.edu.cn
bCollaboration Innovation Center for Tissue Repair Material Engineering Technology, China West Normal University, Nanchong, Sichuan 637002, China
First published on 22nd April 2026
The development of nanomaterials capable of effectively occluding dentinal tubules and inducing biomimetic mineralization is critical for treating dentin hypersensitivity and early-stage caries. Owing to its high reactivity, amorphous calcium phosphate (ACP) serves as an ideal mineralization precursor. Although organic molecules are known to modulate and stabilize ACP, how small organic molecules (SOM) with distinct functional groups influence its remineralization efficacy remains incompletely understood. In this work, phytic acid (IP6) and cyclohexanehexacarboxylic acid (H6L), two structurally analogous yet functionally distinct molecules, were used as regulators to synthesize organic/ACP nanocomposites, denoted as IP6/CaP and H6L/CaP, respectively. A control sample prepared without organic additives was denoted as CaP. These composites were systematically evaluated for their ability to occlude dentinal tubules, promote remineralization, and resist acid challenge, using commercial 45S5 bioactive glass (BG) as a positive control. Material characterization revealed that the CaP comprised hydroxyapatite with an average particle size of 548.75 ± 2.32 nm. In contrast, both IP6 and H6L facilitated the formation of uniformly distributed microscale round-shaped aggregates, yielding IP6/CaP and H6L/CaP with average diameters of 87.64 ± 2.37 nm and 99.56 ± 1.67 nm, respectively. In vitro mineralization assays showed that IP6/CaP induced a uniform, dense nanomineral layer on both the dentin surface and type I collagen, achieving optimal integration within the collagen matrix. H6L/CaP led to the formation of uniformly distributed microscale round-shaped aggregates, whereas CaP produced disordered, loosely packed large crystals, indicative of poor mineralization quality. Dentinal tubule occlusion tests demonstrated that IP6/CaP and H6L/CaP afforded significantly superior sealing and acid resistance compared to both CaP and BG. Cytotoxicity assays confirmed the good biocompatibility of all materials. In summary, both IP6 and H6L effectively stabilized ACP and inhibited its phase transformation to hydroxyapatite. Notably, IP6/CaP outperformed both CaP and H6L/CaP in dentin remineralization and tubule occlusion, providing valuable guidance for the rational design of next-generation materials for dental desensitization and hard tissue regeneration.
The essence of regeneration is biomimetic mineralization-a process that replicates the natural, orderly deposition of apatite regulated by an organic matrix. Compared to crystalline hydroxyapatite (HA), amorphous calcium phosphate (ACP) exhibits higher solubility and ionic activity, allowing it to infiltrate more effectively into the nanoscopic pores of demineralized tissue.6,7 As a key kinetic precursor, ACP can guide the orderly deposition of minerals within collagen fibrils, making it an ideal foundation for achieving high-quality biomimetic mineralization.8 However, pure ACP is highly unstable in solution and transforms rapidly into highly crystalline HA in a disordered manner. The resulting random crystals are unable to penetrate deeply into the nanoscopic pores of demineralized lesions and dentinal tubules.9 This limitation substantially hinders the clinical effectiveness of ACP-based materials.
To address the stability of ACP, small organic molecules (SOM) have been used as potential modulators due to their ability to effectively regulate the crystallinity and morphology of calcium phosphate (CaP).10 Compared to traditional resin-based materials, ACP-based nanomaterials exhibit enhanced biomimetic affinity and ion-releasing capabilities, making them highly effective for dentinal tubule occlusion.11,12 These modulators, particularly with high negative charge density and low molecular weight, have been demonstrated to stabilize ACP nanoclusters and promote their penetration into the collagenous matrix. This mechanism, which aligns with the groundbreaking work by Zheng et al. demonstrating that specific charged SOM can directly mediate intrafibrillar mineralization through electrostatic matching,13 is further exemplified in other effective systems, such as the gelatin-stabilized ACP coating developed by Feng et al.14
Indeed, the charged functional groups of organic molecules are central to their regulatory function. Negatively charged groups, such as carboxylate (COO−) and phosphate (PO43−), can bind to calcium ions (Ca2+) through electrostatic attraction.15–17 This interaction not only inhibits the excessive aggregation and disordered transformation of ACP precursors but also directs their orderly nucleation and growth on organic matrices such as collagen fibrils.18 Recent studies have further demonstrated that polymers containing different negatively charged groups (e.g., polyacrylic acid) can effectively stabilize ACP and enhance its remineralization and antibacterial properties.19–21 However, a systematic comparative analysis of how the specific properties of different functional groups influence their interaction mechanisms with ACP, the microstructure of the resulting mineralized products, and their ultimate reparative efficacy is still lacking. Meanwhile, in dentistry, although ACP-based nanomaterials exhibit greater potential than traditional resin materials for sealing dentinal tubules,22 the long-term stability and precise intra-tubular orientation of the formed minerals remain significant challenges.23,24
To investigate the effects of SOM with different chemical groups on CaP formation and dentin remineralization, this study employed phytic acid (IP6) and cyclohexanehexacarboxylic acid (H6L) as morphology modulators in CaP synthesis. The selection of these two molecules is strategically based on their structural symmetry yet distinct chemical functionalities, providing a controlled model to compare the influence of phosphate versus carboxyl groups. Both molecules possess a symmetric cyclohexanehexasubstituted backbone, but differ fundamentally in the chemical nature of their functional groups, as illustrated in Fig. 1. IP6, a naturally occurring organic phosphate ester in plants, carries six fully deprotonated PO43− at physiological pH, conferring high negative charge and strong Ca2+-chelating ability. In contrast, H6L contains six carboxyl groups, with a deprotonation degree that is pH-dependent.25 The highly electronegative phosphate groups can effectively attract free Ca2+ in solution, facilitating the formation of necessary intermediates for precipitation and thus promoting CaP deposition.26 Meanwhile, carboxyl-containing organic molecules, such as γ-carboxyglutamic acid in osteocalcin, have been shown to stabilize and promote the growth of nanoscale CaP ion clusters through direct interaction.27 These studies indicate that both phosphate and carboxyl groups can enhance CaP formation and growth via distinct molecular pathways, and composites incorporating these functional groups generally demonstrate favorable cytocompatibility.28,29
Beyond their roles as crystal modulators, both molecules exhibit significant potential in tissue regeneration. Recent studies have further revealed that IP6 possesses intrinsic osteogenic bioactivity; for instance, it has been shown to improve the osteogenesis of bone marrow mesenchymal stem cells (BMSCs) by activating the ERK signaling pathway and exhibits potent antioxidant properties that support a pro-regenerative microenvironment.30,31 Meanwhile, Xiao et al. successfully prepared CaP materials with different microstructures using H6L as a morphology regulator. In vitro cell assays demonstrated that when co-cultured with BMSCs, these materials exhibited good biocompatibility.32 Therefore, the integration of IP6 and H6L not only regulates material synthesis but also aims to synergistically enhance the biological performance of the resulting composites for tissue repair.
This study aims to combine IP6 and H6L with ACP nanoclusters, respectively, to fabricate two nanocomposite materials: H6L/CaP and IP6/CaP. Through systematic physicochemical characterization and in vitro mineralization assays, their effects on dentin remineralization and repair will be comparatively analyzed at the micro- and nanoscale.
To observe the morphology of the samples, CaP, IP6/CaP, and H6L/CaP were separately dispersed in anhydrous ethanol (purity ≥ 99.5%), ultrasonicated for 5 minutes, and then dropped onto carbon-coated copper grids. The morphology and structure were analyzed using transmission electron microscopy (TEM, Tecnai G2 F30, FEI, Holland) and selected area electron diffraction (SAED). Phase composition analysis of the samples was performed using an X-ray diffractometer (D8 ADVANCE, Bruker AXS, Germany) under the following scanning conditions: 2θ range of 10°–60°, step size of 0.02°, and scanning speed of 2° min−1. Fourier transform infrared (FTIR) spectra were obtained using an FTIR spectrometer (Vertex 70, Bruker, Germany) in attenuated total reflection (ATR) mode. For dynamic light scattering (DLS) and zeta potential measurements, each dried powder was added to anhydrous ethanol at a concentration of 0.5 mg mL−1, and the zeta potential was measured using a laser particle size analyzer (Malvern Instruments, UK) at a voltage of 50 V and a temperature of 25 °C.
| Exposed dentin tubule area (%) = (exposed dentin tubule area/total area) × 100% |
Human skin fibroblasts (HSF) were digested, centrifuged, counted, and diluted to a concentration of 8 × 103 cells per mL. The cell suspension was seeded into 96-well plates at 100 µL per well. After 24 h of attachment, the culture medium was replaced with the corresponding extract solutions. The extracts were refreshed every 48 h. At 24 h, 48 h, and 72 h, 110 µL of CCK-8 reagent was added to each well and incubated in the dark for 1 h. Then, 100 µL of the CCK-8 solution from each well was transferred to a new plate, and the absorbance was measured at 450 nm using a microplate reader. High-density polyethylene and 0.64% phenol in medium were used as the negative and positive controls, respectively.
The biocompatibility of the materials was graded according to the National Standard (GB/T 16886.5-2017) based on the relative growth rate (RGR) of cells: RGR > 100% (Grade 0); RGR > 80% (Grade 1); RGR > 50% (Grade 2); RGR > 30% (Grade 3); RGR > 0% (Grade 4). The same procedure was performed to evaluate biocompatibility at extract concentrations of 500 µg mL−1 and 1000 µg mL−1. Additionally, cell viability was visualized using a Calcein-AM/PI double-staining kit (Invitrogen, USA).
Based on the XRD patterns (Fig. 3A), distinct differences in crystallinity were observed among the three groups. The CaP sample exhibited weak peaks at 25.8° and 32.2°, corresponding to the (002) and (112) lattice planes of HA (JCPDS 09-0432), respectively, indicating its poor crystallinity. In contrast, both IP6/CaP and H6L/CaP samples showed only a broad hump in the 20°–35° range, characteristic of ACP, which is consistent with the TEM results and indicates that the introduced organic ligands (IP6 and H6L) effectively inhibited the crystallization of CaP, transforming it from crystalline HA into amorphous phosphate. XPS survey spectra (Fig. 3B) indicated that all samples exhibited characteristic peaks for Ca 2p, P 2p, O 1s, and C 1s. Compared with pure CaP, the H6L/CaP and IP6/CaP groups showed significantly enhanced C 1s signals, which was consistent with the EDS mapping results and further confirmed the successful integration of the organic molecules with CaP.
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| Fig. 3 Physicochemical characterization of the samples. (A) XRD, (B) XPS, (C) FTIR, (D) hydrodynamic size, (E) zeta potential, (F) TGA. | ||
The FTIR spectra of all products (Fig. 3C) displayed a broad absorption band at 3422 cm−1 and a narrow bending vibration peak near 1639 cm−1, which are attributed to adsorbed water molecules typically retained on the powder surface during synthesis.34 The CaP group exhibited characteristic HA peaks. Specifically, the bands at 564 cm−1 and 603 cm−1 were attributed to the bending vibrations of PO43−, while the bands at 960 cm−1, 1033 cm−1, and approximately 1116 cm−1 corresponded to the stretching vibrations of PO43−. Additionally, weak peaks observed at 877 cm−1 and 1462 cm−1 were attributed to the substitution of CO32− for PO43−, indicating the formation of B-type carbonated hydroxyapatite, which is commonly observed in biological apatites.34,35 For the IP6/CaP group, a broad peak was observed at 1116 cm−1, which is attributed to the overlapping absorption of PO43− from phytic acid and ACP.36–38 The band located at 992 cm−1 corresponds to the characteristic absorption peak of ACP, while the absorption band observed near 540 cm−1 is assigned to the ν4 bending vibration mode of PO43− in ACP.37 In the H6L/CaP group, the FTIR spectrum exhibited characteristic absorption peaks attributed to COO− at 1560 cm−1 and 1414 cm−1.35 In the phosphate vibration region, the broad peak at 1058 cm−1 was assigned to the vibration of PO43− in ACP, while the band at 992 cm−1 corresponded to the characteristic absorption peak of ACP.37 Additionally, the absorption band observed near 553 cm−1 was attributed to the ν4 bending vibration mode of PO43− in ACP.35,37 Collectively, these results confirm that IP6 and H6L were successfully incorporated into CaP.
DLS measurements (Fig. 3D) showed that the average hydrodynamic diameters of IP6/CaP and H6L/CaP were 87.64 ± 2.37 nm and 99.56 ± 1.67 nm, respectively, substantially smaller than that of pure CaP (548.75 ± 2.32 nm), indicating effective size regulation by the organic modifiers. Moreover, the surface negativity of the composites increased markedly, with zeta potentials (Fig. 3E) of −22.2 mV for IP6/CaP and −17.8 mV for H6L/CaP, compared to −2.77 mV for pure CaP. This enhanced negative charge favors the electrostatic attraction and enrichment of positively charged mineral precursors (e.g., Ca2+) in solution, thereby promoting heterogeneous nucleation on target surfaces such as collagen fibers and providing a basis for the remineralization capability of the materials.39–41
TGA results (Fig. 3F) showed that CaP exhibited the first stage of weight loss between 30–130 °C, primarily attributed to the removal of adsorbed water, with a content of approximately 1.9%. The second stage of weight loss occurred between 130–380 °C, mainly corresponding to the removal of crystalline water, with a content of approximately 3.8%, after which the sample mass stabilized. For IP6/CaP, the weight loss between 30–230 °C corresponded to the removal of adsorbed and crystalline water, with a total water content of approximately 12.4%. The decomposition of the IP6 occurred between 230–480 °C, with a content of approximately 7.1%, after which the sample stabilized. For H6L/CaP, the weight loss between 30–400 °C was attributed to adsorbed and crystalline water, with a content of approximately 14.1%. The decomposition of the H6L occurred between 220–680 °C, with a content of approximately 14.8%. These results indicated that the successful incorporation of IP6 and H6L significantly influenced the hydration behavior and thermal decomposition characteristics of CaP.
SEM results (Fig. 4A) showed that after 12 h of immersion, all three groups presented relatively dense surfaces. Corresponding FTIR spectra (Fig. 4B) showed no significant changes compared to those before mineralization (Fig. 3C), indicating that the material surfaces were likely in an early nucleation stage of mineralization induction, without obvious crystal formation. The CaP group exhibited characteristic HA peaks (1116, 1033, 960, 603, 564 cm−1). Both the IP6/CaP and H6L/CaP groups displayed typical ACP absorption features, including a characteristic peak at 992 cm−1 and the ν4 bending vibration of PO43− around 540–560 cm−1. In addition, the IP6/CaP group showed a broad peak at 1116 cm−1, attributed to the overlap of PO43− absorption from phytic acid and ACP, while the H6L/CaP group retained the characteristic COO− peaks (1560 and 1414 cm−1). After 7 days of immersion, distinct differences in surface morphology were observed among the groups. The CaP group exhibited disordered sheet- and needle-like structures with evident cracks and bulky aggregates, which may result from random heterogeneous nucleation and crystal overgrowth in artificial saliva. In contrast, the organically modified IP6/CaP and H6L/CaP groups displayed regular surface morphologies, consisting of densely packed, uniformly sized round-shaped nanoparticles with clear boundaries and overall smooth surfaces, reflecting a more ordered and controllable mineralization process. FTIR analysis further confirmed the changes in the chemical composition of the mineralization products. After 7 days of mineralization, the characteristic absorption peaks originally attributed to IP6 and H6L in the IP6/CaP and H6L/CaP samples disappeared, and the characteristic peaks of ACP also vanished. All three groups exhibited characteristic PO43− absorption bands around 1089, 983, and 560 cm−1. This indicates that after 7 days of mineralization, the ACP in both the IP6/CaP and H6L/CaP groups had transformed into HA. The organic molecules primarily functioned as regulators during the ordered mineralization process and were not retained in the final mineral phase.
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| Fig. 5 (A) SEM images of the electrospun collagen membranes; (B) SEM images and EDS mapping of the C, C + CaP, C + IP6/CaP, and C + H6L/CaP after mineralization for 3 and 7 days. | ||
Quantitative analysis (Fig. 7D) revealed that the percentage of fluorescent area followed the order: F + IP6/CaP@C > F + H6L/CaP@C > F + CaP@C > F + BG@C. Subsequently, the treated dentin samples were immersed in artificial saliva for 12 h to reassess particle retention (Fig. 7C). Although both the fluorescence area and intensity decreased noticeably in the F + IP6/CaP@C and F + H6L/CaP@C groups, distinct green particles remained on the dentin surface. In contrast, almost no fluorescent particles were detected in the F + BG@C and F + CaP@C groups. Quantitative results (Fig. 7E) confirmed that the fluorescent area percentage was highest for F + IP6/CaP@C, followed by F + H6L/CaP@C, while the F + BG@C and F + CaP@C groups showed the lowest values.
After acid treatment, the exposed tubule area increased in all groups (Fig. 8D), but the values for the F + IP6/CaP and F + H6L/CaP groups remained markedly lower than those of the F + CaP and F + BG groups. This demonstrates the effective tubule occlusion and acid-resistant stability of the F + IP6/CaP and F + H6L/CaP groups in vitro. The strong adhesion of IP6 and H6L particles to the dentin surface, along with their good stability in artificial saliva, promoted the accumulation and penetration of these particles into dentinal tubules. In contrast, CaP and BG particles exhibited poor adhesion to dentin, making them susceptible to being washed away under mechanical brushing forces and acid attack, leading to re-exposure of the tubules.
To further verify biocompatibility, live/dead staining was performed. After incubation with 100 µg per mL extracts (Fig. 9B), HSF cells in all groups exhibited high-density green fluorescence (live cells) with minimal red fluorescence (dead cells), consistent with the CCK-8 results. This confirms that at the tested concentrations, none of the four material extracts induced obvious cytotoxicity, further supporting their good biocompatibility.
Traditional dentin remineralization therapies, such as those involving fluoride and bioactive glass, often focused on enhancing the acid resistance of the tooth surface or providing calcium and phosphate ions to create a localized supersaturated microenvironment for rapid mineralization.42–44 Although these methods achieved notable success in caries prevention, their mode of action primarily relied on surface mineral accumulation, which often failed to achieve deep occlusion of dentinal tubules and ordered intrafibrillar mineralization of collagen.45,46 Therefore, transitioning from “surface mineral accumulation” to “biomimetic structural repair” emerged as a key research focus in the field of dental materials. In recent years, CaP, as the primary inorganic constituent of dentin, garnered significant attention in dentin repair research due to its excellent biocompatibility and ion-releasing capability.47 However, pure-phase CaP was highly unstable in physiological environments and prone to rapid disordered phase transformation, leading to the formation of large HA crystals that could hardly penetrate the nanoscale collagen pores of demineralized dentin. To address this bottleneck, researchers gradually turned their attention to ACP. As a natural precursor to HA formation, ACP possessed higher solubility and ionic activity, enabling effective penetration into the deep layers of demineralized tissue, and was thus regarded as an ideal “seed” for achieving intrafibrillar mineralization.48,49 However, ACP was highly unstable and readily transformed into HA, posing a significant challenge for its practical application.
Currently, multiple strategies have been employed to stabilize ACP, such as utilizing carboxylate-rich polymers (e.g., poly (acrylic acid)) to chelate calcium ions and inhibit the rapid phase transformation of ACP, or employing biomacromolecules (e.g., casein phosphopeptides, gelatin) to stabilize ACP through steric hindrance and electrostatic interactions.50,51 However, these approaches are often limited by proteolytic degradation, high cost, or suboptimal kinetic control. In contrast, SOM enriched with negatively charged groups (e.g., IP6, H6L) offered the potential to overcome these limitations due to their high charge density and suitable molecular size. In this study, IP6 and H6L were selected to regulate the growth of CaP, leading to the successful synthesis of ACP nanoparticles. In the absence of SOM in the solution, the resulting CaP phase was HA. This indicated that both IP6 and H6L effectively stabilized ACP and inhibited its transformation into HA. This stabilization was likely attributed to the six phosphate groups of IP6, which exhibited a strong chelation affinity for Ca2+, enabling rapid adsorption onto the surface of nascent CaP clusters, thereby reducing local supersaturation and sterically blocking crystal growth sites52,53 Similarly, H6L, with its six symmetric carboxylate groups, functioned through an analogous dual mechanism involving chelation-mediated supersaturation reduction and surface adsorption-induced steric hindrance.54 This synergistic action significantly elevated the activation energy barrier required for the dissolution–recrystallization pathway, thereby prolonging the stability of the amorphous precursor.55 Compared to the un-stabilized control group, this stabilizing effect was particularly pronounced: in the absence of IP6 or H6L, CaP clusters rapidly and spontaneously rearranged into thermodynamically stable crystalline HA;10,56, whereas the presence of IP6 and H6L maintained their amorphous structure, preserved high reactivity, and resulted in the formation of smaller, more stable ACP nanoparticles with slower transformation kinetics.57,58
The binding affinity between the restorative material and the dentin surface was one of the critical factors affecting dentin repair. In the complex and dynamic oral environment, an ideal restorative material was not only required to possess pro-mineralization capability but also needed to firmly adhere to the dentin surface to withstand mechanical challenges such as toothbrushing, salivary flow, and masticatory stress, thereby providing a foundation for the sustained deposition of subsequent minerals. Typically, inactive ingredients or physically deposited particles in conventional toothpaste only loosely covered the tooth surface and were easily rinsed away during mouth rinsing or toothbrushing. In this study, ACP was incorporated into toothpaste to investigate its adhesion on the dentin surface. As a well-established material in clinical dentistry, BG functions as a commercial reference and a potent ionic reservoir, facilitating the continuous release of mineral precursors to drive the remineralization process.59 Based on SEM images and quantitative analysis of calcein-labeled materials after toothpaste treatment (Fig. 7), the F + H6L/CaP@C and F + IP6/CaP@C groups exhibited significantly stronger binding to the dentin surface compared to the F + BG@C and F + CaP@C groups. This enhanced binding was likely attributable to the smaller nanoscale size of IP6/CaP and H6L/CaP, as well as the strong affinity of the abundant phosphate and carboxyl groups on the nanoparticle surfaces for calcium ions in dentin. In contrast, the F + BG@C and F + CaP@C groups, possibly due to the lack of effective chemical bonding, were more prone to detachment under mechanical challenges.
Furthermore, intrafibrillar mineralization, characterized by the infiltration of minerals into the collagen fibrils to form a hybrid structure analogous to natural dentin, was considered a hallmark of ideal dentin repair.60 As shown in Fig. 5, the IP6/CaP treatment resulted in well-integrated mineral-fibril structures with seamless interfaces. Concurrently, the effective occlusion of dental tubules represented another crucial prerequisite for alleviating dentin hypersensitivity, preventing bacterial invasion, and ensuring the long-term stability of the restoration. As illustrated in Fig. 8, following treatment with IP6/CaP and H6L/CaP nanocomposites, a continuous, uniform, and dense mineralized layer was formed on the demineralized dentin surface. The reparative efficacy of both groups was significantly superior to that of the pure CaP group and the bioactive glass group. This remarkable performance was likely attributed to a synergistic mechanism combining physical penetration and chemical remineralization.
According to previous reports, particle size and binding affinity were identified as the primary factors determining tubule occlusion efficiency.61,62 The TEM (Fig. 2C) and DLS (Fig. 3D) results from this study confirmed that the IP6/CaP and H6L/CaP nanoparticles, stabilized by SOM, possessed particle sizes below 100 nm and exhibited excellent dispersibility, which facilitated their deep penetration into the tubules under mechanical brushing action. Once localized within the tubules, these amorphous nanoparticles, characterized by high solubility and ionic activity, functioned as sacrificial “ion reservoirs”. Subsequently, the dissolution of these ACP clusters elevated the local concentrations of Ca2+ and PO43− ions, creating a supersaturated microenvironment that drove the re-precipitation and growth of stable HA crystals onto the tubule walls and collagen matrix. This transition from initial “particle filling” to active “mineral growth” ensured the formation of a dense and acid-resistant occlusive layer. The particularly outstanding performance of the IP6/CaP group was likely associated with the stronger Ca2+ chelation capacity and steric hindrance effect conferred by its six phosphate groups, which more effectively prolonged the stability period of ACP and guaranteed the ordered growth of minerals.
Compared with previously reported biomimetic systems utilizing high molecular weight polymers (e.g., polyacrylic acid, PAA), biomimetic peptides, or other biological macromolecules, the IP6/CaP system proposed in this study exhibited multiple advantages. Benefiting from their suitable size and biomimetic affinity, the IP6/CaP and H6L/CaP nanocomposites were able to readily penetrate into the nanopores and tubule interiors of demineralized dentin. Once internalized, these stable ACP precursors, acting as high-energy metastable phases, gradually released Ca2+ and PO43−.63,64 This localized ionic supersaturation triggered the in situ reprecipitation of HA-like minerals within the tubules. Consequently, the CaP synthesized under the regulation of IP6 or H6L in this study demonstrated unique dual advantages: on one hand, the phosphate or carboxyl groups effectively inhibited the rapid aggregation and disordered transformation of ACP by chelating Ca2+ ions; on the other hand, the low steric hindrance characteristic of the SOM facilitated the penetration of the stabilized ACP nanoclusters into demineralized dentin tubules and collagen fibrils, thereby promoting dentin repair.65
While the aforementioned advantages are significant, it must be objectively acknowledged that the current system has certain limitations. First, the in vitro static mineralization model could not fully replicate the complex dynamic microenvironment of the oral cavity, including masticatory stresses, salivary flow, and bacterial colonization. Second, although IP6/CaP demonstrated excellent dentinal tubule occlusion efficacy in vitro, the current formulation remained a simplified binary composite. Compared to sophisticated “multifunctional integrated” restorative materials, it lacked inherent antibacterial properties, which are crucial for achieving long-term clinical success in a caries-prone environment. Furthermore, although the acid resistance of the coating was evaluated, the mechanical durability of the mineralized layer under repetitive shear stresses from mastication remained to be quantified. Future directions for improvement should explore the incorporation of synergistic ions (e.g., F−, Zn2+) or integration with adhesive resins, as well as validation through in vivo animal studies, to provide a more substantial basis for the clinical translation of this material.
In summary, owing to its unique molecular structure and strong chelating ability, IP6 can serve as an effective stabilizer for ACP, facilitating the formation of a structurally dense and stable biomimetic mineralized layer. This study not only confirms the significant potential of SOM in regulating biomineralization, but also presents a promising strategy for developing next-generation dentin repair materials.
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