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- DOI 10.18231/j.ijce.2025.005
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- Citation
The primary objective of regenerative endodontic therapy is to re-establish the pulp-dentin complex in an immature permanent tooth with necrotic pulp that has been damaged by injury, inflammation and infection. The technique known as "cell homing," which effectively regenerates tissue at the site of tooth injury by attracting indigenous stem cells, is the foundation of this novel therapy. Many growth factors are involved in a complicated signalling network that controls this complex process. It is crucial to comprehend specific parts played by these growth factors throughout the regeneration and repair of dental tissue, such as orchestrating cell migration and differentiation. This review, summarizes the current understanding of the key growth factors, their involvement in dentin-pulp repair and regeneration and the challenges in completely regenerating the pulp-dentin complex.
Keywords: Signalling, Dentin-pulp regeneration, Growth factors.
References
- Ingle JI, Slavkin HC. Modern endodontic therapy: past, present and future. Ingle’s endodontics. 6 th edition. BC Decker Inc; 2008:1–35.
- Gronthos S, Mankani M, Brahim J, Robey PG, Shi S. Postnatal human dental pulp stem cells (DPSCs) in vitro and in vivo. Proc Natl Acad Sci U S A 2000;97:13625–30.
- Jo YY, Lee HJ, Kook SY, Choung HW, Park JY, Chung JH, et al. Isolation and characterization of postnatal stem cells from human dental tissues. Tissue Eng. 2007;13(4):767-73.
- Zhang W, Walboomers XF, Van Kuppevelt TH, Daamen WF, Van Damme PA, Bian Z, et al. In vivo evaluation of human dental pulp 34 Panwar et al / IP Indian Journal of Conservative and Endodontics 2025;10(1):29-35 stem cells differentiated towards multiple lineages. J Tissue Eng Regen Med. 2008;2(2-3):117–125.
- Miura M, Gronthos S, Zhao M, Lu B, Fisher LW, Robey PG et al. SHED: stem cells from human exfoliated deciduous teeth. Proc Natl Acad Sci. 2003;100(10):5807–12.
- Suh J-D, Taek Lim K, Jin H, Kim J, Choung P-H, Chung JH. Effects of co-culture of dental pulp stem cells and periodontal ligament stem cells on assembled dual disc scaffolds. J Tissue Eng Regen Med. 2014;11:47–58.
- Smith AJ. Vitality of the dentin-pulp complex in health and disease: Growth factors as key mediators. J Dent Educ. 2003;67(6):678– 89.
- Yuan Z, Nie H, Wang S, Lee CH, Li A, Fu SY, et al. Biomaterial selection for tooth regeneration. Tissue Eng Part B Rev. 2011;17(5):373-88.
- Kishen A, Hussein H. Bioactive molecule carrier systems in endodontics. Expert Opin Drug Deliv. 2020;17(8):1093-112.
- Dobie K, Smith G, Sloan AJ, Smith AJ. Effects of alginate hydrogels and TGF-beta 1 on human dental pulp repair in vitro. Connect Tissue Res. 2002;43(2-3):387–90.
- Tan LH, Wang J, Yin S, Zhu WT, Zhou GD, Cao YL, et al. Regeneration of dentin-pulp-like tissue using an injectable tissue engineering technique. Rsc Adv. 2015;5(73):59723-37.
- Wu S, Zhou Y, Yu Y, Zhou X, Du W, Wan M, et al. Evaluation of Chitosan Hydrogel for Sustained Delivery of VEGF for Odontogenic Differentiation of Dental Pulp Stem Cells. Stem Cells Int. 2019;2019:1515040. Doi:10.1155/2019/1515040
[Google Scholar] - Rutherford RB, Gu K. Treatment of inflamed ferret dental pulps with recombinant bone morphogenetic protein-7. Eur J Oral Sci. 2000;108(3):202–6.
- Jia X, Yeo Y, Clifton RJ, Jiao T, Kohane DS, Kobler JB, et al. Hyaluronic acid based microgels and microgel networks for vocal fold regeneration. Biomacromolecules 2006;7(12):3336–44.
- Vo TN, Kasper FK, Mikos AG. Strategies for controlled delivery of growth factors and cells for bone regeneration. Adv Drug Deliv Rev 2012;64(12):1292–309.
- DenBesten PK, Machule D, Gallagher R, Marshall Jr GW, Mathews C, Filvaroff E. The effect of TGF-β2 on dentin apposition and hardness in transgenic mice. Adv Dent Res. 2001;15(1):39–41.
- Lin PS, Chang HH, Yeh CY, Chang MC, Chan CP, Kuo HY, et al. Transforming growth factor beta 1 increases collagen content, and stimulates procollagen I and tissue inhibitor of metalloproteinase-1 production of dental pulp cells: Role of MEK/ERK and activin receptor-like kinase-5/Smad signaling. J Formos Med Assoc. 2017;116(5):351–8.
- Aberg T, Wozney J, Thesleff I. Expression patterns of bone morphogenetic proteins (Bmps) in the developing mouse tooth suggest roles in morphogenesis and cell differentiation. Dev Dyn. 1997;210(4):383–96.
- Nakashima M. Induction of dentin formation on canine amputated pulp by recombinant human bone morphogenetic proteins (BMP)-2 and-4. J Dent Res.1994;73(9):1515–22.
- Vassbotn FS, Havnen OK, Heldin CH, Holmsen H. Negative feedback regulation of human platelets via autocrine activation of the platelet-derived growth factor alpha-receptor. J Biol Chem. 1994;269(19):13874–9.
- Yokose S, Kadokura H, Tajima N, et al. Platelet-derived growth factor exerts disparate effects on odontoblast differentiation depending on the dimers in rat dental pulp cells. Cell Tissue Res. 2004; 315(3):375–84.
- Alkharobi H, Alhodhodi A, Hawsawi Y, Alkafaji H, Devine D, El- Gendy R, et al. IGFBP-2 and-3 co-ordinately regulate IGF1 induced matrix mineralisation of differentiating human dental pulp cells. Stem Cell Res. 2016;17(3):517–22.
- Feng X, Huang D, Lu X, Feng G, Xing J, Lu J, et al. Insulin‐like growth factor 1 can promote proliferation and osteogenic differentiation of human dental pulp stem cells via m TOR pathway. Dev Growth Differ. 2014;56(9):615–24.
- Osathanon T, Nowwarote N, Pavasant P. Basic fibroblast growth factor inhibits mineralization but induces neuronal differentiation by human dental pulp stem cells through a FGFR and PLCγ signaling pathway. J Cell Biochem. 2011;112(7):1807–16.
- Yun YR, Won JE, Jeon E, Lee S, Kang W, Jo H, et al. Fibroblast growth factors: biology, function and application for tissue regeneration. J Tissue Eng. 2010;2010:218142. doi:
- 4061/2010/218142.
- Pepper MS, Ferrara N, Orci L, Montesano R. Potent synergism between vascular endothelial growth factor and basic fibroblast growth factor in the induction of angiogenesis in vitro. Biochem Biophys Res Commun. 1992;189(2):824–31.
- Alon T, Hemo I, Itin A, Pe'er J, Stone J, Keshet E. Vascular endothelial growth factor acts as a survival factor for newly formed retinal vessels and has implications for retinopathy of prematurity. Nat Med. 1995;1(10):1024–8.
- Imura K, Hashimoto Y, Okada M, Yoshikawa K, Yamamoto K. Application of hydroxyapatite nanoparticle-assembled powder using basic fibroblast growth factor as a pulp-capping agent. Dent Mater J. 2019;38(5):713–20.
- Iwaya SI, Ikawa M, Kubota M. Revascularization of an immature permanent tooth with apical periodontitis and sinus tract. Dent Traumatol. 2001;17(4):185–7.
- Huang GT, Lin LM. Letter to the editor: Comments on the use of the term "revascularization" to describe root regeneration. J Endod. 2008;34(5):511–2.
- Li L, Wang Z. PDGF-BB, NGF and BDNF enhance pulp-like tissue regeneration via cell homing. RSC Adv. 2016;6(111):109519–27.
- Kim JY, Xin X, Moioli EK, Chung J, Lee CH, Chen M, et al. Regeneration of dental-pulp-like tissue by chemotaxis-induced cell homing. Tissue Eng Part A. 2010;16(10):3023–31.
- Ivica A, Deari S, Patcas R, Weber FE, Zehnder M. Transforming growth factor beta 1 distribution and content in the root dentin of young mature and immature human premolars. J Endod. 2020;46(5):641–7.
- Widbiller M, Eidt A, Hiller KA, Buchalla W, Schmalz G, Galler KM. Ultrasonic activation of irrigants increases growth factor release from human dentine. Clin Oral Investig. 2016;21(3):879–
- Galler KM, Widbiller M, Buchalla W, Eidt A, Hiller KA, Hoffer PC, et al. EDTA conditioning of dentine promotes adhesion, migration and differentiation of dental pulp stem cells. Int Endod J. 2016;49(6):581–90.
- Tomson PL, Grover LM, Lumley PJ, Sloan AJ, Smith AJ, Cooper PR. Dissolution of bio-active dentine matrix components by mineral trioxide aggregate. J Dent. 2007;35(8):636–42.
- Graham L, Cooper PR, Cassidy N, Nor JE, Sloan AJ, Smith AJ. The effect of calcium hydroxide on solubilisation of bio-active dentine matrix components. Biomaterials. 2006;27(14):2865–73.
- Ferracane JL, Cooper PR, Smith AJ. Dentin matrix component solubilization by solutions of pH relevant to self-etching dental adhesives. J Adhes Dent. 2013;15(5):407–12.
- Duncan HF, Smith AJ, Fleming GJ, Reid C, Smith G, Cooper PR. Release of bio-active dentine extracellular matrix components by histone deacetylase inhibitors (HDACi). Int Endod J. 2017;50(1):24–38.
- Hristov K, Gateva N, Stanimirov P, Ishkitiev N, Tsikandelova R, Mihaylova Z. Influence of citric acid on the vitality of stem cells from apical papilla. Acta Medica Bulgarica. 2018;45(2):31–5.
- Chae Y, Yang M, Kim J. Release of TGF-β1 into root canals with various final irrigants in regenerative endodontics: An in vitro analysis. Int Endod J. 2018;51(12):1389–97.
- Cordeiro MM, Dong Z, Kaneko T, Zhang Z, Miyazawa M, Shi S, et al. Dental pulp tissue engineering with stem cells from exfoliated deciduous teeth. J Endod. 2008;34(8):962–9.
- Huang GT, Yamaza T, Shea LD, Djouad F, Kuhn NZ, Tuan RS, et al. Stem/progenitor cell-mediated de novo regeneration of dental pulp with newly deposited continuous layer of dentin in an in vivo model. Tissue Eng Part A. 2010;16(2):605–15.
- Srisuwan T, Tilkorn DJ, Al-Benna S, Vashi A, Penington A, Messer HH, et al. Survival of rat functional dental pulp cells in vascularized tissue engineering chambers. Tissue and Cell. 2012;44(2):111–21. Panwar et al / IP Indian Journal of Conservative and Endodontics 2025;10(1):29-35 35
- Duncan HF, Kobayashi Y, Shimizu E. Growth factors and cell homing in dental tissue regeneration. Curr Oral Health Rep. 2018;5(4):276–85.
- Smith AJ, Duncan HF, Diogenes A, Simon S, Cooper PR. Exploiting the bioactive properties of the dentin-pulp complex in regenerative endodontics. J endod. 2016;42(1):47–56.
- Silva TA, Rosa AL, Lara VS. Dentin matrix proteins and soluble factors: intrinsic regulatory signals for healing and resorption of dental and periodontal tissues? Oral Dis. 2004;10(2):63–74.
- Smith AJ, Scheven BA, Takahashi Y, Ferracane JL, Shelton RM, Cooper PR. Dentine as a bioactive extracellular matrix. Arch Oral Biol. 2012;57(2):109–21.
- Kling M, Cvek M, Mejare I. Rate and predictability of pulp revascularization in therapeutically reimplanted permanent incisors. Dent Traumatol. 1986;2(3):83–9.
- Andreasen JO, Borum MK, Jacobsen HL, Andreasen FM. Replantation of 400 avulsed permanent incisors. 2. Factors related to pulpal healing. Dent Traumatol. 1995;11(2):59–68.
- Yang JW, Zhang YF, Sun ZY, Song GT, Chen Z. Dental pulp tissue engineering with bFGF-incorporated silk fibroin scaffolds. J Biomater Appl. 2015;30(2):221–9.
- Laureys WG, Cuvelier CA, Dermaut LR, De Pauw GA. The critical apical diameter to obtain regeneration of the pulp tissue after tooth transplantation, replantation, or regenerative endodontic treatment. J Endod. 2013;39(6):759–63.
How to Cite This Article
Vancouver
Panwar V, Nikhil V. Harnessing growth factors in endodontics [Internet]. IP Indian J Conserv Endod. 2025 [cited 2025 Oct 17];10(1):29-35. Available from: https://doi.org/10.18231/j.ijce.2025.005
APA
Panwar, V., Nikhil, V. (2025). Harnessing growth factors in endodontics. IP Indian J Conserv Endod, 10(1), 29-35. https://doi.org/10.18231/j.ijce.2025.005
MLA
Panwar, Varsha, Nikhil, Vineeta. "Harnessing growth factors in endodontics." IP Indian J Conserv Endod, vol. 10, no. 1, 2025, pp. 29-35. https://doi.org/10.18231/j.ijce.2025.005
Chicago
Panwar, V., Nikhil, V.. "Harnessing growth factors in endodontics." IP Indian J Conserv Endod 10, no. 1 (2025): 29-35. https://doi.org/10.18231/j.ijce.2025.005