Evidence map›Paper›PMID 42628726›Full record

ArticleJournal of endodontics2026

Strategies to Microengineer Vascularized, Mineralized, and Immunomodulatory Niches for Dental Regeneration.

Cristiane M Franca, Faisal Shakir, Luiz E Bertassoni

Abstract read
In one paragraph

Article in Journal of endodontics, 2026. 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

3 authors.

Cristiane M FrancaDepartment of Biomaterial and Biomedical Sciences, School of Dentistry, Oregon Health & Science University (OHSU), Portland, Oregon; Knight Cancer Precision Biofabrication Hub, Knight Cancer Institute, OHSU, Portland, Oregon; Quantitative Oncology Program, Knight Cancer Institute, OHSU, Portland, Oregon. Electronic address: mirandaf@ohsu.edu.
Faisal ShakirDepartment of Biomaterial and Biomedical Sciences, School of Dentistry, Oregon Health & Science University (OHSU), Portland, Oregon.
Luiz E BertassoniDepartment of Biomaterial and Biomedical Sciences, School of Dentistry, Oregon Health & Science University (OHSU), Portland, Oregon; Knight Cancer Precision Biofabrication Hub, Knight Cancer Institute, OHSU, Portland, Oregon; Cancer Early Detection Advanced Research Center (CEDAR), Knight Cancer Institute, OHSU, Portland, Oregon; Division of Oncological Sciences, Knight Cancer Institute, OHSU, Portland, Oregon; Department of Biomedical Engineering, School of Medicine, OHSU, Portland, Oregon.

Funding

Microengineering the Dental Pulp Vascular Microenvironment_Diversity SupplementR01DE026170 · NIDCR · OREGON HEALTH & SCIENCE UNIVERSITY · PI BERTASSONI, LUIZ EDUARDO · 2016 to 2020
$2.5M
Engineering Immunomodulatory Scaffolds for Dental Pulp RegenerationK01DE030484 · NIDCR · OREGON HEALTH & SCIENCE UNIVERSITY · PI MIRANDA FRANCA, CRISTIANE · 2022 to 2024
$464k
RegendoGEL for guided pulp and dentin regenerationR41DE033326 · NIDCR · REGENDODENT, INC. · PI BERTASSONI, LUIZ EDUARDO, CRANE, MICHAEL · 2025 to 2025
$399k
NIDCR NIH HHS K01 DE030484NIDCR NIH HHS R01 DE026170NIDCR NIH HHS R41 DE033326
6 · The paper itself

Abstract

introductionRegenerative endodontic therapies aim to restore the vitality and function of the dentin-pulp complex, including the vascularized and innervated pulp and mineralized dentin. Although cell homing, stem cell transplantation, and scaffold-based approaches have shown promise in immature teeth, outcomes in previously infected, fully formed adult teeth remain inconsistent. These limitations highlight the need to better understand the interactions among vascular, immune, and microbiological factors within the pulp microenvironment.

methodsThis narrative review examines the dentin-pulp complex from a microengineering perspective, synthesizing preclinical and clinical studies of strategies to engineer vascular, immune, and mineralized niches using bioactive and immune-informed materials.

resultsCurrent evidence indicates that regeneration depends on the coordinated restoration of interconnected vascular, immune, and mineralized niches. Prevascularized constructs may accelerate integration with the host vasculature and support pulp-like tissue formation, whereas scaffold composition, architecture, and mechanical properties regulate vascular stability and immune-cell behavior. However, residual bacterial products, particularly lipopolysaccharide, may sustain inflammation and compromise the regenerative signals provided by these materials. Dentin-derived matrix molecules and premineralized scaffolds can support mineralized tissue formation and provide an early protective barrier, but reinnervation, intracanal calcification, repair rather than true regeneration, and the limited availability of clinically scalable cell and matrix sources remain important challenges.

conclusionsPredictable and functional regeneration of the dentin-pulp complex may require the integration of effective disinfection and lipopolysaccharide neutralization with immune modulation, prevascularized and premineralized scaffolds, and scalable sources of stem cells and dentin matrix. Strategies to restore functional innervation remain an important future direction.

Indexed as

3D printingDental pulpDentin matrix moleculesOrgans on-a-chipRegenerationTissue engineering

Identifiers

PMID42628726
PMCPMC13648283

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.