Background: Periodontal wound healing and regeneration are influenced by a
multitude of factors. While many in vitro investigations have compared the
proliferation of periodontal ligament (PDL) cells and gingival fibroblasts
(GF), there are no reports directly comparing the abilities of these 2 cell
types to fill a wound site. As such, the goals of this research were: 1) t
o develop an in vitro model of wound healing which would allow for the inve
stigation of the biologic basis of periodontal wound healing and regenerati
on:and 2) to compare the rates of PDL cells and GF to fill an in vitro woun
d site.
Methods: Using both human PDL cells and GF confluent cultures, in vitro wou
nds were mechanically created, removing a 3 mm wide band of the cell layer.
Wounded cultures were then incubated for time periods up to 12 days in med
ia containing fetal bovine serum (FBS) concentrations (0, 0.1, 1, 5, 10, an
d 20%) as appropriate for each experiment. Slides were fixed, stained, and
cells quantified within the wound boundaries by computer-assisted histomorp
hometry. The effect of wounding a cell layer was determined by comparing wo
unded cells as described above with a cell layer margin created without phy
sically disrupting the cell layer.
Results: The in vitro model for periodontal wound healing established in th
is study showed that GF fill in the wound site at a significantly (P <0.002
5) faster rate than PDL cells over 12 days of healing. In addition, PDL cel
ls and GF were found to have unique concentration-dependent responses to FB
S (P <0.0025). It was also shown that wounding resulted in a significant de
lay (P <0.01) in the initial healing response of an in vitro wound.
Conclusion: This in vitro model demonstrated that the characteristics of wo
und healing are dependent on cell type, disruption (wounding) of the cell l
ayer, and serum concentration. In addition, this model has incorporated bot
h proliferation and migration to provide the first direct evidence demonstr
ating GF has a significantly greater ability to fill a wound site than PDL
cells. This in vitro model may be utilized in future investigations of the
biologic basis of periodontal wound healing.