Evidence map›Paper›PMID 42038179›Full record

ReviewGalen medical journal2025

Biological Interplay between Orthodontic Forces and Apical Papilla-derived Stem Cells: A Review on Mechanisms and Implications :.

Maryam Sobhani, Yasaman Bathaei, Alireza Afzalan, Sepideh Hormozi, Zeinab Shanehsaz, Sara Nabizadeh, Kosar Gashtasb

Abstract readReview
In one paragraph

Review in Galen medical journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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

7 authors.

Maryam SobhaniDepartment of Orthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
Yasaman BathaeiDepartment of Orthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
Alireza AfzalanDepartment of Oral and Maxillofacial Surgery of Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Sepideh HormoziDepartment of Orthodontics, School of Dentistry, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Zeinab ShanehsazDepartment of Periodontics, Faculty of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Sara NabizadehDepartment of Restorative Dentistry, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
Kosar GashtasbDepartment of Orthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Orthodontics is not limited to the movement of teeth, but has also expanded to the cellular and molecular realms. In this study, it was aimed to review mechanisms and implications of biological interplay between orthodontic forces and apical papilla-derived stem cells. Materials and Methods: This narrative and semi-systematic review investigates the biological interactions between orthodontic forces and stem cells derived from the apical papilla (SCAPs). A comprehensive literature search was conducted in PubMed, Web of Science, and Google Scholar using specific keywords and MeSH terms from 2015 to 2025. Studies in English and Persian were included if they focused on the effects of orthodontic forces on SCAPs' function, differentiation, or signaling pathways. Key biological mechanisms and molecular responses were extracted and analyzed. Results: Between 2015 and 2025, 10 studies were included, primarily investigating human dental stem cells (SCAPs, DPCs, PDLSCs, SHEDs) and rat models. Findings showed that advanced glycation end-products inhibit osteogenesis via KDM6B and Wnt/β-catenin suppression, whereas Ape1 inhibition promotes odontogenic differentiation through the same pathway. Nano-dentine enhanced osteogenic gene expression compared to MTA and Biodentine, and low-energy blue LED stimulated osteogenic differentiation despite reduced proliferation. TGF-β1 had dose-dependent effects on SCAP proliferation and differentiation, while FTO/SMOC2 regulated odontoblastic differentiation under inflammatory conditions. Mechanical forces reduced SHED proliferation without affecting apoptosis, and pathogenic bacteria like F. nucleatum and E. faecalis impaired SCAP proliferation, viability, and osteogenic gene expression, indicating that molecular, material, mechanical, and microbial factors critically modulate dental stem cell differentiation. Conclusion: Current evidence shows that various physical, chemical, microbial, and molecular factors influence dental stem cell behavior. Understanding these mechanisms can support the development of personalized therapies, enhancing outcomes in endodontic and orthodontic treatments, particularly under pathological conditions like diabetes and chronic inflammation.

Indexed as

Apical PapillaBiological InterplayOrthodontic Forces

Identifiers

PMID42038179
PMCPMC12894819

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LicenceCC BY
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Registered trials

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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.