Evidence map›Paper›PMID 40719698›Full record

ArticleClinical advances in periodontics2026

Preservation therapy for vertically fractured teeth with periodontal tissue regeneration using FGF-2.

Masaichiro Iwasaki, Masahide Takedachi, Keigo Sawada, Koji Miki, Shinya Murakami

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Article in Clinical advances in periodontics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Masaichiro IwasakiPrivate Practice, Iwasaki Dental Clinic, Nara, Japan.
Masahide TakedachiDepartment of Periodontology and Regenerative Dentistry, Graduate School of Dentistry, University of Osaka, Osaka, Japan.
Keigo SawadaDepartment of Periodontology and Regenerative Dentistry, Graduate School of Dentistry, University of Osaka, Osaka, Japan.
Koji MikiDepartment of Periodontology and Regenerative Dentistry, Graduate School of Dentistry, University of Osaka, Osaka, Japan.
Shinya MurakamiDepartment of Periodontology and Regenerative Dentistry, Graduate School of Dentistry, University of Osaka, Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVertically fractured teeth often have a poor prognosis, and extraction is considered the most predictable treatment. Conventional management has consisted of preservation therapy involving extraction, bonding, root restoration, and replantation of fractured teeth. However, these methods fail to adequately address the periodontal tissue damage associated with root fractures. This report describes successful periodontal tissue regeneration using basic fibroblast growth factor (FGF-2) combined with a carbonate apatite-based bone graft material (CaAp) as a scaffold during the replantation of vertically fractured teeth.

methodsOur series included four patients: a 57-year-old woman, a 59-year-old woman, a 45-year-old man, and a 41-year-old woman, all diagnosed with vertically fractured teeth. The fractured teeth were extracted, bonded using 4-methacryloxyethyl trimellitate anhydride in methyl methacrylate initiated by tri-n-butyl borane (4-META/MMA-TBB) resin, and replanted. CaAp was applied to the extraction sockets; FGF-2 was administered to the periodontal ligament-deficient root areas prior to replantation.

resultsIn all cases, periodontal pocket depths were reduced to 3 mm or less, and no signs of inflammation were evident. Cone-beam computed tomography revealed substantial regeneration of periodontal tissues.

conclusionsThe combination of FGF-2 and CaAp during the replantation of vertically fractured teeth promotes periodontal tissue regeneration and demonstrates potential for long-term tooth preservation. KEY POINTS: What new information do these cases provide? This is the first report to our knowledge demonstrating that replantation of a root-fractured tooth, historically considered suitable only for extraction, can achieve substantial periodontal tissue regeneration. This regeneration was accomplished by bonding and restoring the tooth using 4-methacryloxyethyl trimellitate anhydride in methyl methacrylate initiated by tri-n-butyl borane (4-META/MMA-TBB) resin in combination with fibroblast growth factor (FGF-2) and carbonate apatite-based bone graft material (CaAp). What are the keys to successful management of these cases? Atraumatic tooth extraction Thorough curettage of the extraction socket Comprehensive debridement of the fractured root surface Precise bonding and restoration of the fractured tooth Effective application of FGF-2 and CaAp, with accurate positioning and stabilization of the replanted tooth What are the primary limitations to success in these cases? The mechanical factors that can cause root fracture need to be eliminated for this treatment to succeed. The long-term prognosis depends on consistent follow-up and monitoring. The procedure is highly technique-sensitive; outcomes are closely associated with operator skill and experience.

Indexed as

Fibroblast Growth Factor 2Guided Tissue Regeneration, PeriodontalRegenerationTooth FracturesTooth ReplantationAdultApatitesBone SubstitutesBoron CompoundsFemaleHumansMaleMethacrylatesMethylmethacrylatesMiddle AgedTissue ScaffoldsApatitesBone SubstitutesBoron CompoundsFibroblast Growth Factor 2MethacrylatesMethylmethacrylatesmethylmethacrylate-tributylborane resintri-n-butylboranebasic fibroblast growth factor (FGF‐2)carbonate apatite‐based bone graft materialtooth replantation

Identifiers

PMID40719698
PMCPMC13269248

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.