Enamel matrix derivative (EMD)-enhanced cell sheets were induced by complete medium supplemented with 50 μg/mL vitamin C and 100 μg/mL EMD.
EMD-enhanced cell sheets appeared thicker and more compact than normal PDLSC sheets.
EMD-enhanced cell sheets demonstrated more layers of cells (3–7 layers) and secreted richer extracellular matrix (ECM) than did normal periodontal ligament stem cell (PDLSC) sheets.
EMD-enhanced cell sheets induced relatively higher mRNA expression of periodontal tissue-specific genes (COL I, POSTN), calcification-related genes (RUNX2, OPN, OCN) and a cementum tissue-specific gene (CAP) to varying degrees.
EMD-enhanced cell sheets possessed a better mineralization ability in terms of osteogenic differentiation in vitro.