Dental follicles are the sacs of loose connective tissue surrounding a tooth that has not yet erupted from the gums. This tissue plays a number of different important roles. For example, it is necessary for a tooth to break through the gums and it regulates the osteogenesis and osteoclastogenesis necessary for tooth eruption.
When a tooth begins piercing the gingiva, the dental follicle differentiates into the periodontal ligament that anchors the tooth in the socket, securing it to the alveolar bone that surrounds it. In addition, it has been hypothesized that a number of dental follicles differentiate into the tooth’s cementoblasts and some of the alveolar bone’s osteoblasts. Even though some research indicates that some cementoblasts may come from the epithelial root sheath and from the dental follicles, other research suggests all cementoblasts come from dental follicles.
Through the differentiation of stem cells in the dental follicles into cell types other than the periodontal ligament’s fibroblasts, then the stem cells within the dental follicles are creating the additional cell types. It is a well-known fact that adult stem cells are derived from a number of different sources and have the ability to differentiate into other cell types.
It has been proven that adult stem cells are present in the dental follicles of human wisdom teeth, as well as in the dental follicles of mice. In regards to the mice, researchers cloned three dental follicle cell lines with one likely to be the fibroblastic dental follicle cells that form the periodontal ligament, one that was undifferentiated and one that displayed mineralization behavior.
By injecting bovine dental follicle cells into mice with deficient immune systems, cementum formed, which was detected by the anti-cementum attachment protein. Recently, a line of cementoblast progenitor cells from bovine dental follicles was isolated and immortalized.
There were three different objectives to this research. First of all, to determine if the cells are in the rat dental follicles, as seems to be the case with humans, cows and mice. Second, whether the differentiation of stem cells of this type is possible. For instance, the objective is to determine if these stem cells are only able to differentiate into cells that come from mesoderm, or if it is possible for them to differentiate into cell types from other germ layers. Finally, the research should define the properties of the stem cells so that they can be isolated in a manner that is both effective as well as cost efficient.
For studies in the future, especially those that involve the engineering of tissue, stem cells from dental follicles will have to be isolated. The findings appear to get rid of non-stem cells from the population, which may be a way of inexpensively and effectively isolating side-population stem cells, as long as the cells retain the pluripotent phenotype.


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