Effects of melatonin in wound healing of dental pulp and periodontium: Evidence from in vitro, in vivo and clinical studies.
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
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
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 |
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.