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Effects of melatonin in wound healing of dental pulp and periodontium: Evidence from in vitro, in vivo and clinical studies.

Archives of oral biology
March 1, 2021
Savitri Vaseenon et al. (3 authors)
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to summarize evidence on melatonin's effects in wound healing of dental pulp and periodontium, focusing on anti-inflammatory, antioxidant, cell proliferation, and differentiation properties.

Results Summary

Melatonin reduced inflammation, inhibited cell proliferation, and regulated differentiation in pulp cells, enhancing odontoblast activity. It promoted wound healing in periodontitis but did not initiate differentiation in undifferentiated pulp cells.

Population

Dental pulp and periodontal cells under inflammatory conditions.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (12)
InterventionDirectionEndpointPopulationDosageImpactClaim #
melatonin
increase
pulpal and periodontal regeneration
-
-
has beneficial effects
#1
melatonin
decrease
inflammation
several organs including the heart, brain, and teeth
-
reported protective effects
#2
melatonin
increase
tissue regeneration and wound healing
-
-
has been involved in
#3
melatonin
decrease
inflammation
-
-
has been shown to reduce
#4
melatonin
decrease
cell proliferation
pulp cells
-
inhibit
#5
melatonin
increase
differentiation of pulp cells
-
-
regulate
#6
melatonin
increase
odontoblast activities
-
-
increased
#7
melatonin
increase
differentiation in the dental pulp
-
-
resulting in the
#8
melatonin
no change
differentiation in undifferentiated pulp cells
-
-
did not initiate
#9
melatonin
increase
periodontitis
-
-
seemed to have beneficial effects
#10
melatonin
increase
periodontium's wound healing
-
-
promoting
#11
melatonin
increase
pulpal and periodontal cells under inflammatory conditions
-
-
could have beneficial effects
#12
Abstract

INTRODUCTION: Database research has revealed that melatonin has beneficial effects in pulpal and periodontal regeneration. Several studies reported protective effects of melatonin against inflammation in several organs including the heart, brain, and teeth. In addition to inflammation reduction, melatonin has been involved in tissue regeneration and wound healing. The aim of this review is to summarize the evidence from in vitro, in vivo and clinical studies on the effects of melatonin in wound healing of dental pulp and periodontium. This review gives a thorough summary of the possible role of melatonin in wound healing of dental pulp and periodontium in connection with anti-inflammatory and antioxidant effects, cell proliferation, and cell differentiation. Any contradictory evidence is also assessed. METHODS: The PubMed database was searched for all research articles published before April 2020 with the search terms "melatonin" and "dental pulp". Articles with the search terms "melatonin", "periodontal disease" and "bone" published before October 2019 were also included. Non-English articles were excluded. RESULTS: Melatonin has been shown to reduce inflammation, inhibit cell proliferation and regulate differentiation of pulp cells. Melatonin increased odontoblast activities, resulting in the differentiation in the dental pulp. However, melatonin did not initiate differentiation in undifferentiated pulp cells but seemed to have beneficial effects in periodontitis by promoting periodontium's wound healing. CONCLUSION: Those findings suggest that melatonin could have beneficial effects on pulpal and periodontal cells under inflammatory conditions. However, discrepancies remain between in vitro and in vivo findings regarding the effect of melatonin on dental pulp and periodontium.

Medical Subject Headings (MeSH)
Dental PulpHumansMelatoninPeriodontiumWound Healing
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations9
Citations/Year2.3
Relative Citation Ratio1.09
NIH Percentile53.4%
Research Impact Scores
APT Score0.25
Weight Score2.45
Normalized Score0.66
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