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11 October 2025 : Review article  

Phytochemicals in Treatment of Periodontal Disease: A Review of Mechanisms and Roles

Xiaochuan Lin BC 1,2, Banghui Shi BCE 1,2, Lidou Ye BCD 1,2, Likun Liang ABDE 3,2, Yunxia Gao BEF 1,2, Yashi Qin BDF 1,2, Renchuan Tao EF 1,2, Xiang-zhi Yong ABCDEFG 1,2,4*

DOI: 10.12659/MSM.949388

Med Sci Monit 2025; 31:e949388

Figure 1 Phytochemicals in the treatment of periodontitis. (A) Phytochemicals inhibit periodontal pathogenic microorganisms. Phytochemicals exert multifaceted antimicrobial activity against periodontal pathogens by inhibiting the bacterial proliferation, eliminating free-floating periodontal pathogen, downregulating virulence-factor expression, and disrupting dental plaque biofilms. (B) Phytochemicals alleviate inflammation in periodontal tissue. Phytochemicals mitigate periodontal inflammation by modulating key signaling pathways, including NF-κB, JAK-STAT, MAPK, Nrf2/HO-1, PI3K/Akt, and Wnt/β-catenin, effectively suppressing inflammatory mediator release and maintaining tissue homeostasis. (C) Phytochemicals promote periodontal tissue regeneration. Phytochemicals enhance tissue regeneration, encompassing both bone and soft-tissue repair. For bone regeneration, NPs improve the inflammatory, hyperoxic, and hyperglycemic microenvironment, suppress osteoclast activity, and promote stem cell differentiation and osteoblast function. For soft-tissue regeneration, phytochemicals primarily modulate macrophage and fibroblast activity to facilitate repair. ROS – reactive oxygen species; AGES – advanced glycation end products. The image was created using Adobe Photoshop 2020.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750