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[The periodontal ligament as a driver of dentoalveolar regeneration].

The periodontal ligament plays a central role in maintening and repairing the dentoalveolar complex. Unlike osseointegration around implants, the periodontal ligament functions as a dynamic, bone-remodelling system in which osteoclastic and osteoblastic processes are continuously coordinated. This enables it to actively maintain and regenerate bone, the periodontal space and soft tissues. Autotransplantation offers a unique clinical situation in which this biological potential is directly harnessed by transferring a vital periodontal ligament to a new location. In a donor tooth with an open ap