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However, whether a comparable interoceptive mechanism exists in the other mineralized tissue\u2014teeth\u2014remains unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This review uses skeletal interoception as a comparative framework to examine whether analogous sensory\u2010regulatory mechanisms may operate in dental tissues. We summarize the neuroanatomical basis of dental innervation, the peripheral cellular mechanisms by which the pulp\u2010dentine complex and periodontal ligament\u2010alveolar bone complex sense and transduce local tissue states, and the reciprocal neural and effector responses that may contribute to dental homeostasis. Based on current evidence, we propose \u2018dental interoception\u2019 as a hypothetical conceptual framework for understanding neural\u2010cellular regulation in teeth and their supporting tissues.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>The literature search was conducted in the PubMed and Web of Science databases, with a focus on how dental cells sense local tissue\u2010state changes and communicate with the nervous system, as well as the direct regulation on odontogenesis\u2010related cells by the nervous system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Current evidence suggests two potential modules of dental interoception: a pulp\u2010dentine module that monitors intradental tissue states and supports pulp repair and reparative dentinogenesis, and a periodontal ligament\u2010alveolar bone module that senses tooth load and regulates occlusal adaptation and alveolar bone remodelling. These modules involve pulpal cell\u2010trigeminal nerve communication, reciprocal neural regulation of pulpal vascular, immune, stem\u2010cell and reparative responses, and periodontal mechanoreceptor\u2010guided remodelling. However, whether they form a complete peripheral\u2010central\u2010peripheral feedback loop remains unresolved.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The bidirectional regulation between the nervous system and dental tissues is fundamental for maintaining dental homeostasis. Mapping the full circuitry underlying this interaction will be essential to establish dental interoception as a coherent physiological concept.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.70279","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T01:11:07Z","timestamp":1785201067000},"page":"1997-2014","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Interaction Between the Central Nervous System and Dental Tissues: Hypothetical Dental Interoception Inferred From Skeletal Interoception"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-2617-721X","authenticated-orcid":false,"given":"Da","family":"Huang","sequence":"first","affiliation":[{"name":"Hospital of Stomatology, Jilin University  Changchun China"},{"name":"Jilin Provincial Key Laboratory of Oral and Craniofacial Diseases &amp; Tissue Reconstruction  Changchun 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