A natural human tooth consists of enamel, dentin, pulp and cementum, and its root structure is surrounded by the periodontal ligament (PDL) (Figure 1). The PDL is a soft, highly vascular and specialized connective tissue that surrounds the tooth root and attaches it to the alveolar bone. 1,2 The main components of the PDL are functionoriented elastic fibres, tissue-containing cells (eg, fibroblasts, osteoclasts, osteoblasts, cementoblasts, mastocytes and macrophages), blood and lymphatic vessels, and nerves that are connected to the tooth pulp, the tooth socket, and the gingiva. 3,4 It consists of 53%-74% collagen fibres, 1%-2% blood vessels and nerve endings, rooted