Dental regeneration from stem cells: advances in contemporary dentistry - an integrative literature review

Dental regeneration from stem cells: advances in contemporary dentistry - an integrative literature review

Authors

  • Maysa Ravena Carvalho dos Sants Silva Author
  • Magda Rafaella Santos Araújo Author
  • Fabricia Café de Oliveira Author
  • Gabrielly da Silva Sousa Author
  • Laurah Emanuelly de Sousa Ribeiro Author
  • Thiago Henrique Gonçalves Moreira Author

DOI:

https://doi.org/10.51473/rcmos.v1i2.2025.1450

Keywords:

dental regeneration; mesenchymal stem cells; regenerative dentistry.

Abstract

Dental regeneration is one of the most promising areas of regenerative dentistry, with the potential to replace implants and prostheses with biologically functional teeth. Recent advances, such as the use of biomimetic hydrogels capable of inducing cell differentiation (King's College London, 2025) and the creation of hybrid teeth in decellularized pig scaffolds (Tufts University, 2025), demonstrate the viability of dental bioengineering. The objective of this article was to critically review the scientific literature on the use of dental mesenchymal stem cells - such as DPSCs, PDLSCs, SCAPs and SHEDs - as well as innovative cell-free approaches, such as exosomes, applied to dental regeneration. The search included databases such as PubMed, Scopus, Web of Science, Embase and SciELO, between 2019 and 2025, including preclinical studies, clinical trials and institutional reports. The results show significant advances in the use of biomimetic scaffolds, injectable hydrogels and bioactive biomaterials associated with stem cells, capable of promoting dentin formation, periodontal regeneration and bone neoformation. In addition, therapies based on extracellular vesicles have potential as a safe alternative, with a lower risk of immunological rejection. Despite the progress, challenges related to methodological standardization, high costs and regulatory requirements remain, which still limit the broad clinical application. Therefore, dental regeneration is in a transition phase between experimental research and clinical practice, configuring itself as a viable and innovative alternative to conventional implant dentistry.

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Author Biographies

  • Maysa Ravena Carvalho dos Sants Silva

    Centro Universitário Uninovafapi

  • Magda Rafaella Santos Araújo

    - Centro Universitário Uninovafapi

  • Fabricia Café de Oliveira

    - Centro Universitário Uninovafapi

  • Gabrielly da Silva Sousa

    – Centro Universitário Uninovafapi

  • Laurah Emanuelly de Sousa Ribeiro

     – Centro Universitário Uninovafapi

  • Thiago Henrique Gonçalves Moreira

    – Professor Mestre Centro Universitário Uninovafapi

References

AHMAD, A. et al. Therapeutic potential of dental stem cell-derived exosomes in periodontitis. Stem Cell Research & Therapy, 2025.

AHMAD, P. et al. Isolation methods of exosomes derived from dental stem cells. International Journal of Molecular Sciences, 2025. DOI: —.

AL-DAGHRI, N. et al. Clinical and radiographic outcomes of regenerative endodontic procedures in permanent teeth: a systematic review. BMC Oral Health, v. 25, n. 1, p. 1-12, 2025. Disponível em: https://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-025-06368-6.

ALI, H. et al. Growth factors in dental tissue engineering: clinical perspectives and future directions. International Journal of Molecular Sciences, v. 26, n. 2, p. 12123186, 2025. Disponível em: https://doi.org/10.3390/ijms260212123186.

BANSAL, R. et al. Advances in dental pulp regeneration: a review. Journal of oral and Maxillofacial Surgery, v. 81, n. 8, p. 1045-1053, 2023. Disponível em: https://www.sciencedirect.com/science/article/pii/S221081702300096X.

BMJ ORAL HEALTH. Stem cell-based scaffolds in mandibular regeneration. BMJ Oral Health, 2025.

DAGHRERY, A. et al. Exosomes in craniofacial and dental regeneration. Stem Cell Research & Therapy, 2024.

DENTISTRY.CO.UK. Lab-grown replacement teeth successfully implanted into jaws. Dentistry.co.uk, fev. 2025.

FUKUMOTO, S. et al. Cell-free dental tissue regeneration: a systematic review. Journal of Clinical Medicine, v. 21, p. 6400, 2024. Disponível em: https://www.mdpi.com/2077-0383/13/21/6400.

GIZMODO. These mini pigs just grew human-like teeth. Gizmodo, fev. 2025.

GONÇALVES, F. A. et al. Comparative potential of mesenchymal stem cells from different sources for dental regeneration. World Journal of Stem Cells, v. 15, n. 3, p. 31-46, 2023. Disponível em: https://doi.org/10.4252/wjsc.v15.i3.31.

GOULD, M. L. et al. In vivo and in vitro response to a regenerative dental biocomposite incorporating a tri-phasic hybrid scaffold. Journal of Endodontics, v. 50, n. 4, p. 567-574, 2024. Disponível em: https://journals.sagepub.com/doi/full/10.1177/00220345241261900.

GRAWISH, H. et al. Clinical translation of dental pulp stem cells. Stem Cell Research & Therapy, 2024.

HAN, Y. et al. Injectable tissue-specific hydrogel system for pulp–dentin complex regeneration using dental pulp stem cells. Journal of Materials Science: Materials in Medicine, v. 35, n. 5, p. 56-67, 2024. Disponível em: https://link.springer.com/article/10.1007/s10856-024-06900-5.

HUANG, G. T. J. et al. Regenerative endodontics: a systematic review of randomized clinical trials. Journal of Endodontics, v. 11, p. 1371–1389, 2020. Disponível em: https://doi.org/10.1016/j.joen.2020.08.015.

IVANOVSKI, S. et al. Dental MSC-based therapies in regenerative dentistry. Journal of Dental Research, 2024.

JIA, P. et al. A cell-free regenerative endodontic approach for immature permanent teeth with necrotic pulp. Journal of Oral and Maxillofacial Surgery, v. 83, n. 1, p. 28-36, 2025. Disponível em: https://www.sciencedirect.com/science/article/pii/S2352320425000021.

KING’S COLLEGE LONDON. Lab-grown teeth might become an alternative to fillings. King’s College London, abr. 2025.

KUMAR, V. et al. Extracellular vesicles in regenerative endodontics: a paradigm shift. Frontiers in Dental Medicine, v. 4, p. 10915954, 2023. Disponível em: https://doi.org/10.3389/fdmed.2023.10915954.

LEE, C. H. et al. Applications of nanotechnology in dental pulp regeneration. Journal of Dentistry, v. 135, p. 104353, 2024. Disponível em: https://doi.org/10.1016/j.jdent.2024.104353.

LI, Y. et al. Decellularized dental scaffolds for dentin–pulp complex regeneration: a systematic review. Cell Regeneration, v. 14, n. 1, p. 1-15, 2025. Disponível em: https://cellregeneration.springeropen.com/articles/10.1186/s13619-025-00249-7.

LI, Y.; YELICK, P. N. Bioengineered human-like teeth grown in pigs. Science Advances, v. 7, n. 22, p. eabf7447, 2021. Disponível em: https://doi.org/10.1126/sciadv.abf7447.

LIU, Y. et al. Allogeneic DPSCs injection improves periodontal regeneration. Stem Cell Research & Therapy, 2025.

MAI, Z. et al. Translational and Clinical Applications of Dental Stem Cell-Derived Exosomes. Frontiers in Genetics, 2021.

MURAKAMI, M. et al. Dental pulp stem cells for tissue engineering and regenerative medicine: advances and perspectives. Frontiers in Cell and Developmental Biology, v. 11, p. 11222197, 2023. Disponível em: https://doi.org/10.3389/fcell.2023.11222197.

PARK, J. H. et al. 3D bioprinting in regenerative dentistry: innovations and future perspectives. Materials Today Bio, v. 20, p. 2352320425000021, 2025. Disponível em: https://doi.org/10.1016/j.mtbio.2025.100673.

QIAO, X. et al. Dental Pulp Stem Cell-Derived Exosomes Regulate Anti-Inflammatory and Osteogenesis in Periodontal Ligament Stem Cells and Promote the Repair of Experimental Periodontitis in Rats. International Journal of Nanomedicine, v. 18, p. 4683-4703, 2023.

RANA, M. A. et al. Advancements in regenerative endodontics: a systematic literature review of stem cell-based therapies. Journal of Pakistan Medical Students, v. 5, n. 1,

Published

2025-09-30

How to Cite

SILVA, Maysa Ravena Carvalho dos Sants; ARAÚJO, Magda Rafaella Santos; OLIVEIRA, Fabricia Café de; SOUSA , Gabrielly da Silva; RIBEIRO, Laurah Emanuelly de Sousa; MOREIRA, Thiago Henrique Gonçalves. Dental regeneration from stem cells: advances in contemporary dentistry - an integrative literature review: Dental regeneration from stem cells: advances in contemporary dentistry - an integrative literature review. Multidisciplinary Scientific Journal The Knowledge, Brasil, v. 1, n. 2, 2025. DOI: 10.51473/rcmos.v1i2.2025.1450. Disponível em: https://submissoesrevistarcmos.com.br/rcmos/article/view/1450. Acesso em: 1 oct. 2025.