Proteoglycans (PGs) are typically macromolecules that are composed of a linkage sugar, core proteins, and glycosaminoglycans (GAGs) (Figure 1). 1 As PGs are ubiquitously distributed intracellularly, pericellularly, extracellularly or on the cell surfaces, they can have profound effects on numerous physiological and pathological processes such as tissue development, wound repair, metabolic dysfunction, and carcinogenesis. [2][3][4][5] Thus, researchers are exploring new avenues for preventing or curing diseases by harnessing PGs. 6 Furthermore, several PGs have been reported to reside and function in teeth 7-9 and the periodontium. [10][11][12] The significance of the periodontium cannot be overemphasized because it is made up of the gingiva, periodontal ligament, alveolar bone, and cementum that stabilizes, supports, and protects teeth in alveolar sockets. 13 Once the periodontium is destroyed irreversibly, teeth will risk loss or extraction, further impairing chewing function, esthetics, and quality of life. 14 Considering the close associations of PGs with tissue biology, we aim to shed light on comprehensive interactions between PGs and the periodontium to pave the way for further research on