Evidence map›Paper›PMID 42048971›Full record

ArticleInternational dental journal2026

Effect of Apical Micro-Intervention on Pulp Vitality and Periodontal Regeneration Following Tooth Autotransplantation: A Clinical Outcome Study.

Shaozhen Ma, Li Xiao, Lu Yin, Maoyuan Zhang, Xiaohua Ren, Kun Tian

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Article in International dental journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Shaozhen MaAffiliated Stomatological Hospital of Southwest Medical University, Luzhou, China.
Li XiaoAffiliated Stomatological Hospital of Southwest Medical University, Luzhou, China.
Lu YinAffiliated Stomatological Hospital of Southwest Medical University, Luzhou, China.
Maoyuan ZhangDepartment of Stomatology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.
Xiaohua RenDepartment of Stomatology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.
Kun TianAffiliated Stomatological Hospital of Southwest Medical University, Luzhou, China; Department of Stomatology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China. Electronic address: tiankun78@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the effects of different root apex preparation methods on pulp revascularization and periodontal regeneration after autologous tooth transplantation.

methodsUsing 64 anterior teeth from 6 male Beagle dogs, we compared natural socket preservation (retaining periodontal ligament/PDL) versus artificial socket preparation, with subgroups receiving: (1) circumferential 2 mm apex PDL removal (Cpr), (2) 3 mm apical resection+iRoot BP retrofilling (ArrN/ArrA), (3) apical foramen enlargement >1 mm (Afe), (4) immediate root canal treatment (RCTN/RCTA), or (5) no treatment (ControlA/ControlN). Contralateral autotransplantation of teeth was performed, followed by 6 months of clinical and radiographic monitoring prior to micro-CT and histological analysis.

resultsThe natural socket group showed superior outcomes, with significantly lower probing depths (P < .05) and better survival rates. Radiographic and Micro-CT revealed severe root resorption in Controls and ArrN groups, while ArrA/Cpr groups exhibited reduced apical radiolucency. Notably, high-density intracanal deposits in ArrN/ArrA suggested pulp regeneration, whereas Afe specimens displayed osteoid-like pulp deposits. Histologically, Controls developed discontinuous PDL (Periodontal ligament), extensive resorption and fibrous tissue thickening, while treated teeth maintained better periodontal integrity. These findings demonstrate that PDL preservation combined with apical sealing (particularly ArrN/ArrA protocols) significantly enhances transplantation success by: (1) maintaining apical vascularity, (2) preventing inflammatory resorption through hermetic sealing, and (3) facilitating stem cell recruitment.

conclusionIn tooth autotransplantation, maximal preservation of periodontal ligament cells within the recipient socket helps reduce postoperative root resorption and periodontal inflammation. Sealing the donor tooth apex, whether by intraoperative apical resection-retrofilling or postoperative root canal treatment, effectively controls apical inflammation and improves the success rate of transplantation.

Indexed as

Dental PulpPeriodontal LigamentRegenerationToothTooth ApexAnimalsDogsMaleTooth SocketTransplantation, AutologousTreatment OutcomeX-Ray MicrotomographyAutologous tooth transplantationPeriodontal healingRoot apex sealingRoot canal treatment

Identifiers

PMID42048971
PMCPMC13137187

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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.