Abstract
Background
Hydroxyapatite (HAp) derived from chicken eggshells has recently gained significant interest in tissue engineering and regenerative medicine. This paper aims to review the synthesis, properties and applications of eggshell-derived hydroxyapatite (E-HAp) in dentistry.
Methods
A comprehensive literature search was conducted in PubMed and Scopus databases, along with a grey literature search. The references of selected studies were also manually reviewed to identify additional relevant articles. No restrictions were applied for language or publication year. Two independent reviewers carried out the study selection and data extraction processes.
Results
Seventeen studies met the inclusion criteria and were included in the qualitative analysis. Most studies were in vitro investigations focused on applications such as dentinal tubule sealing (n = 4) and remineralization of initial enamel caries lesions (n = 4). E-HAp was also studied for tissue engineering applications, including alveolar ridge preservation as a bone graft material (n = 5) and periodontal regeneration (n = 2). Additional applications included regenerative endodontics (n = 3) and use as a pulp capping agent (n = 2).
Conclusion
E-HAp shows a wide range of applications in dentistry, particularly in tissue engineering and regenerative dentistry, marking it as a promising biomaterial in dentistry.
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References
Ramesh S, Tan CY, Aw KL, Yeo WH, Hamdi M, Sopyan I, et al. Sintering behaviour of hydroxyapatite bioceramics. Med J Malays. 2008;63:89–90.
Ofudje EA, Rajendran A, Adeogun AI, Idowu MA, Kareem SO, Pattanayak DK. Synthesis of organic derived hydroxyapatite scaffold from pig bone waste for tissue engineering applications. Adv Powder Technol. 2018;29:1–8.
Ioku K. Tailored bioceramics of calcium phosphates for regenerative medicine. J Ceram Soc Jpn. 2010;118:775–83.
Agbeboh NI, Oladele IO, Daramola OO, Adediran AA, Olasukanmi OO, Tanimola MO. Environmentally sustainable processes for the synthesis of hydroxyapatite. Heliyon. 2020;6:e03765.
Basle MF, Rebel A, Grizon F, Daculsi G, Passuti N, Filmon R. Cellular response to calcium phosphate ceramics implanted in rabbit bone. J Mat Sci Mat Med. 1993;4:273–80.
Woodard JR, Hilldore AJ, Lan SK, Park CJ, Morgan AW, Eurell JA, et al. The mechanical properties and osteoconductivity of hydroxyapatite bone scaffolds with multi-scale porosity. Biomaterials. 2007;28:45–54. https://doi.org/10.1016/j.biomaterials.2006.08.021.
Sugimoto K, Zhou Y, Galindo TGP, Kimura R, Tagaya M. Investigation of surface layers on biological and synthetic hydroxyapatites based on bone mineralization process. Biomimetics. 2023;8:184. https://doi.org/10.3390/biomimetics8020184.
Dorozhkin SV. Nanosized and nanocrystalline calcium orthophosphates. Acta Biomater. 2010;6:715–34. https://doi.org/10.1016/j.actbio.2009.10.031.
Pajor K, Pajchel L, Kolmas J. Hydroxyapatite and Fluorapatite in Conservative Dentistry and Oral Implantology-A Review. Materials. 2019;12:2683. https://doi.org/10.3390/ma1217268.
Arantes TM, Coimbra LMM, Cristovan FH, Arantes TM, Rosa GM, Lião LM. Synthesis and optimization of colloidal hydroxyapatite nanoparticles by hydrothermal processes. J Braz Chem Soc. 2018;29:1894–903.
Ghiasi B, Sefidbakht Y, Mozaffari-Jovin S, Gharehcheloo B, Mehrarya M, Khodadadi A, et al. Hydroxyapatite as a biomaterial - a gift that keeps on giving. Drug Dev Ind Pharm. 2020;46:1035–62. https://doi.org/10.1080/03639045.2020.1776321.
Saravana Karthikeyan B, Mahalaxmi S. Biomimetic dentin remineralization using eggshell derived nanohydroxyapatite with and without carboxymethyl chitosan - an in vitro study. Int J Biol Macromol. 2024;270:132359. https://doi.org/10.1016/j.ijbiomac.2024.132359.
Aksoy M, Karadaş Bakirhan N, Yücel Ç, Atak D, Topsakal KG, Bal C. Assessment of the biointeractivity of a novel vital pulp therapy agent derived from eggshell biowaste: an in vitro study. Aust Endod J. 2024;50:78–88. https://doi.org/10.1111/aej.12809.
Reddy SP, Prasad MG, Radhakrishna AN, Sandeep RV, Divya DV, Santosh Kumar KV. Clinical comparison of eggshell derived calcium hydroxyapatite with dycal® as indirect pulp capping agents in primary molars. Pesqui Brasileira em Odontopediatria e Clínica Integrada. 2020;20:e0041.
Kunam D, Manimaran S, Sampath V, Sekar M. Evaluation of dentinal tubule occlusion and depth of penetration of nano-hydroxyapatite derived from chicken eggshell powder with and without addition of sodium fluoride: an in vitro study. J Conserv Dent. 2016;19:239–44. https://doi.org/10.4103/0972-0707.181940.
Onwubu SC, Mhlungu S, Mdluli PS. In vitro evaluation of nanohydroxyapatite synthesized from eggshell waste in occluding dentin tubules. J Appl Biomater Funct Mater. 2019;17:2280800019851764. https://doi.org/10.1177/2280800019851764.
Huamán-Mujica K, Castañeda-Vía J, García VB, Dominguez J, Landauro C, Quispe-Marcatoma J, et al. Dentinal tubules obliteration using a toothpaste with nano-hyDroxyapatite obtaineD from chicken eggshell. J Stomatol. 2022;75:147–54.
Mkhize SC, Onwubu SC, Mokhothu TH, Mdluli PS, Mishra AK. Comparative assessment of the remineralization characteristics of nano-hydroxyapatite extracted from fish scales and eggshells. J Appl Biomater Funct Mater. 2023;21:22808000231180390. https://doi.org/10.1177/22808000231180390.
Aruna Rani SV, Rajkumar K, Saravana Karthikeyan B, Mahalaxmi S, Rajkumar G, Dhivya V. Micro-Raman spectroscopy analysis of dentin remineralization using eggshell derived nanohydroxyapatite combined with phytosphingosine. J Mech Behav Biomed Mater. 2023;141:105748. https://doi.org/10.1016/j.jmbbm.2023.105748.
Kunam D, Sampath V, Manimaran S, Sekar M. Effect of indigenously developed nano-hydroxyapatite crystals from chicken egg shell on the surface hardness of bleached human enamel: an in vitro study. Contemp Clin Dent. 2019;10:489–93. https://doi.org/10.4103/ccd.ccd_810_18.
Satou R, Iwasaki M, Kamijo H, Sugihara N. Improved enamel acid resistance using biocompatible nano-hydroxyapatite coating method. Materials. 2022;15:7171. https://doi.org/10.3390/ma15207171.
Baskar K, Saravana Karthikeyan B, Gurucharan I, Mahalaxmi S, Rajkumar G, Dhivya V, et al. Eggshell derived nano-hydroxyapatite incorporated carboxymethyl chitosan scaffold for dentine regeneration: a laboratory investigation. Int Endod J. 2022;55:89–102. https://doi.org/10.1111/iej.13644.
Elline E, Ismiyatin K, Indah Budhy T, Bhardwaj A. The potential of eggshell hydroxyapatite, collagen, and EGCG (HAp-Col-EGCG) scaffold as a pulp regeneration material. Saudi Dent J. 2022;34:715–22. https://doi.org/10.1016/j.sdentj.2022.10.004.
Saravana Karthikeyan B, Madhubala MM, Rajkumar G, Dhivya V, Kishen A, Srinivasan N, et al. Physico-chemical and biological characterization of synthetic and eggshell derived nanohydroxyapatite/carboxymethyl chitosan composites for pulp-dentin tissue engineering. Int J Biol Macromol. 2024;271:132620. https://doi.org/10.1016/j.ijbiomac.2024.132620.
Kattimani V, Lingamaneni KP, Chakravarthi PS, Kumar TS, Siddharthan A. Eggshell-derived hydroxyapatite: a new era in bone regeneration. J Craniofac Surg. 2016;27:112–7. https://doi.org/10.1097/SCS.0000000000002288.
Kattimani V, Lingamaneni KP, Yalamanchili S, Mupparapu M. Use of eggshell-derived nano-hydroxyapatite as novel bone graft substitute-A randomized controlled clinical study. J Biomater Appl. 2019;34:597–614. https://doi.org/10.1177/0885328219863311.
Kattimani VS, Lingamaneni KP, Kreedapathi GE, Kattappagari KK. Socket preservation using eggshell-derived nanohydroxyapatite with platelet-rich fibrin as a barrier membrane: a new technique. J Korean Assoc Oral Maxillofac Surg. 2019;45:332–42. https://doi.org/10.5125/jkaoms.2019.45.6.332.
Gutiérrez-Prieto SJ, Fonseca LF, Sequeda-Castañeda LG, Díaz KJ, Castañeda LY, Leyva-Rojas JA, et al. Elaboration and biocompatibility of an eggshell-derived hydroxyapatite material modified with Si/PLGA for bone regeneration in dentistry. Int J Dent. 2019;2019:5949232. https://doi.org/10.1155/2019/5949232.
Chuysinuan P, Nooeaid P, Thanyacharoen T, Techasakul S, Pavasant P, Kanjanamekanant K. Injectable eggshell-derived hydroxyapatite-incorporated fibroin-alginate composite hydrogel for bone tissue engineering. Int J Biol Macromol. 2021;193:799–808. https://doi.org/10.1016/j.ijbiomac.2021.10.132.
Vani TMS, Paramashivaiah R, Prabhuji MLV, Peeran SW, Fageeh H, Tasleem R, et al. Regeneration of intrabony defects with nano hydroxyapatite graft, derived from eggshell along with periosteum as barrier membrane under magnification—an interventional study. Appl Sci. 2023;13:1693. https://doi.org/10.3390/app13031693.
Espitia-Quiroz LC, Fernández-Orjuela AL, Anaya-Sampayo LM, Acosta-Gómez AP, Sequeda-Castañeda LG, Gutiérrez-Prieto SJ, et al. Viability and adhesion of periodontal ligament fibroblasts on a hydroxyapatite scaffold combined with collagen, polylactic acid-polyglycolic acid copolymer and platelet-rich fibrin: a preclinical pilot study. Dent J. 2022;10:167. https://doi.org/10.3390/dj10090167.
Pereira JC, Segala AD, Gillam DG. Effect of desensitizing agents on the hydraulic conductance of human dentin subjected to different surface pre-treatments-an in vitro study. Dent Mater. 2005;21:129–38. https://doi.org/10.1016/j.dental.2004.02.007.
Arnold WH, Prange M, Naumova EA. Effectiveness of various toothpastes on dentine tubule occlusion. J Dent. 2015;43:440–9. https://doi.org/10.1016/j.jdent.2015.01.014.
Besinis A, van Noort R, Martin N. Remineralization potential of fully demineralized dentin infiltrated with silica and hydroxyapatite nanoparticles. Dent Mater. 2014;30:249–62. https://doi.org/10.1016/j.dental.2013.11.014.
Lenzi TL, Guglielmi Cde A, Arana-Chavez VE, Raggio DP. Tubule density and diameter in coronal dentin from primary and permanent human teeth. Microsc Microanal. 2013;19:1445–9. https://doi.org/10.1017/S1431927613012725.
Enax J, Fabritius H-O, Fabritius-Vilpoux K, Amaechi BT, Meyer F. Modes of action and clinical efficacy of particulate hydroxyapatite in preventive oral health care − state of the art. Open Dent J. 2019;13:274–87.
Li L, Pan H, Tao J, Xu X, Mao C, Gu X, et al. Repair of enamel by using hydroxyapatite nanoparticles as the building blocks. J Mater Chem. 2008;18:4079–84.
Huang S, Gao S, Cheng L, Yu H. Remineralization potential of nano-hydroxyapatite on initial enamel lesions: an in vitro study. Caries Res. 2011;45:460–8. https://doi.org/10.1159/000331207.
Kimoto K, Okudera T, Okudera H, Nordquist WD, Krutchkoff DJ. Part I: crystalline fluorapatite-coated hydroxyapatite, physical properties. J Oral Implantol. 2011;37:27–33. https://doi.org/10.1563/AAID-JOI-D-09-00118.1.
Roveri N, Battistella E, Bianchi CL, Foltran I, Foresti E, Iafisco M, et al. Surface enamel remineralization: biomimetic apatite nanocrystals and fluoride ions different effects. J Nanomater. 2009;2009:746383.
Hannig M, Hannig C. Nanomaterials in preventive dentistry. Nat Nanotechnol. 2010;5:565–9.
Song M, Yu B, Kim S, Hayashi M, Smith C, Sohn S, et al. Clinical and molecular perspectives of reparative dentin formation: lessons learned from pulp-capping materials and the emerging roles of calcium. Dent Clin North Am. 2017;61:93–110. https://doi.org/10.1016/j.cden.2016.08.008.
Nabil Sulyiman S, El-Rashidy AA, El Moshy S, Abbas MMS, Waly G. Nano eggshell-based slurry as a direct pulp-capping material: in vitro characterization and histopathological assessment in an experimental animal model. Int Endod J. 2023;56:1129–46. https://doi.org/10.1111/iej.13949.
Lluch AV, Fernández AC, Ferrer GG, Pradas MM. Bioactive scaffolds mimicking natural dentin structure. J Biomed Mater Res B Appl Biomater. 2009;90:182–94. https://doi.org/10.1002/jbm.b.31272.
Swarup SJ, Rao A, Boaz K, Srikant N, Shenoy R. Pulpal response to nano hydroxyapatite, mineral trioxide aggregate and calcium hydroxide when used as a direct pulp capping agent: an in vivo study. J Clin Pediatr Dent. 2014;38:201–6. https://doi.org/10.17796/jcpd.38.3.83121661121g6773.
Zhu L, Luo D, Liu Y. Effect of the nano/microscale structure of biomaterial scaffolds on bone regeneration. Int J Oral Sci. 2020;12:1–15.
Milazzo M, Fitzpatrick V, Owens CE, Carraretto IM, McKinley GH, Kaplan DL, et al. 3D printability of silk/hydroxyapatite composites for microprosthetic applications. ACS Biomater Sci Eng. 2023;9:1285–95. https://doi.org/10.1021/acsbiomaterials.2c01357.
Greenwald AS, Boden SD, Goldberg VM, Khan Y, Laurencin CT, Rosier RN, et al. Bone-graft substitutes: facts, fictions, and applications. J Bone Joint Surg Am. 2001;83:98–103. https://doi.org/10.2106/00004623-200100022-00007.
Dupoirieux L, Pourquier D, Souyris F. Powdered eggshell: a pilot study on a new bone substitute for use in maxillofacial surgery. J Craniomaxillofac Surg. 1995;23:187–94. https://doi.org/10.1016/s1010-5182(05)80009-5.
Li X, Zhang S, Zhang X, Xie S, Zhao G, Zhang L. Biocompatibility and physicochemical characteristics ofPoly(ε-Caprolactone)/poly(lactide-Co-Glycolide)/nano-Hy-droxyapatite composite scaffolds for bone tissue engineering. Mater Des. 2017;114:149–60.
Tan L, Yu X, Wan P, Yang K. Biodegradable materialsfor bone repairs: a review. J Mater Sci Technol. 2013;29:503–13.
Barakat NAM, Khil MS, Omran AM, Sheikh FA, Kim HY. Extraction of pure natural hydroxyapatite from the bovine bones bio waste by three different methods. J Mater Process Technol. 2009;209:3408–15.
Moshaverinia A, Ansari S, Moshaverinia M, Roohpour N, Darr JA, Rehman I. Effects of incorporation of hydroxyapatite and fluoroapatite nanobioceramics into conventional glass ionomer cements (GIC). Acta Biomater. 2008;4:432–40.
Moharam LM, Hassan SN. Effect of eggshell powder application on the shear bond strength of bulk-fill resin composite to bleached enamel. Bull Natl Res Cent. 2021;45:221.
Paolone G, Saracinelli M, Devoto W, Putignano A. Esthetic direct restorations in endodontically treated anterior teeth. Eur J Esthet Dent. 2013;8:44–67.
Acknowledgements
The authors would like to acknowledge Indian council of medical research for funding the study.
Funding
The review is part of a study funded by Indian council of medical research (Reference number: IIRP-2023-7925).
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The idea was conceptualized by SS. The team comprising all the co-authors designed the protocol and the methods of the study. The extraction of data was conducted by RT and JR. The steps of analysis were conducted by SS, RT, AK and V. The initial draft of the manuscript was prepared by JS, RT. It was revised by SS.
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Swarup, J.S., Thomas, R., Rucharitha, J. et al. Eggshell-derived hydroxyapatite as a biomaterial in dentistry: a scoping review of synthesis, properties and applications. Evid Based Dent 26, 153 (2025). https://doi.org/10.1038/s41432-025-01146-3
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DOI: https://doi.org/10.1038/s41432-025-01146-3
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