Breaking Research • Japan • 2024–2030

What if you could grow back your own teeth?

Scientists in Japan are testing a drug that could make dental implants obsolete. We're tracking every step — from the lab to your dentist's chair.

2024 Human trials began
2030 Target launch date
1st Of its kind in the world
A radiant, healthy smile — the promise of tooth regeneration

How does a tooth regrowth drug actually work?

Your body already carries the blueprint for a third set of teeth. Deep in your jaw are dormant tooth buds — suppressed by a protein called USAG-1 (Uterine Sensitization Associated Gene-1) that tells them to stay quiet.

Researchers at Kyoto University, working through Toregem Biopharma, developed an antibody drug that blocks USAG-1. Without that suppression signal, those dormant buds can activate and grow into real, natural teeth — your own biological tissue, not a titanium implant.

It's already worked in mice, ferrets, and as of October 2024, Phase I human trials have begun in Kyoto. The results so far: no serious side effects, and the mechanism is holding up exactly as the science predicted.

See the full development timeline →
Cross-section illustration of a tooth with biological growth signals
Illustration: USAG-1 protein inhibition activates dormant tooth buds in the jaw

From mouse to medicine

A decade of research is approaching a turning point. Here's where things stand.

  1. 2018

    Mouse experiments succeed

    Toregem scientists successfully regrow teeth in mice by blocking USAG-1. The dormant bud theory is confirmed in living animals for the first time.

  2. 2021–2023

    Ferret & primate trials

    The antibody drug works across species, including animals with more human-like dental anatomy. Confidence grows that the mechanism will translate to people.

  3. October 2024

    Phase I human trials begin

    Kyoto University Hospital begins testing on 30 adult males (ages 30–64) with missing teeth. Primary goal: confirm safety. Single doses injected into gum tissue.

  4. 2025 → Now

    Children's trial underway

    A second trial tests children (ages 2–7) born with congenitally missing teeth — who are thought to have the most viable dormant buds. This is the cohort most likely to show visible regrowth.

    Active
  5. 2026–2029

    Phase II & III trials

    Larger trials across broader adult populations. Regulatory review begins in Japan, followed by FDA and EMA submissions for US and European markets.

  6. Target: 2030

    Commercial launch

    Toregem Biopharma's official target for making the drug available — first in Japan, then globally pending regulatory approvals. A multi-billion dollar dental implant industry would be permanently disrupted.

What's happening now

We track every development from research journals, clinical trial registries, and global dental news.

Research

PubMed study confirms USAG-1 antibody approach for congenital hypodontia

Peer-reviewed publication confirms the scientific framework is sound, with Phase I protocol finalized.

Read study →
Market Impact

General use targeted for 2030, say Kyoto researchers

Dentistry Today reports the research team is on track and confident in their 2030 commercialization timeline.

Read article →
Children's Trial

Trial begins for children with congenital tooth agenesis

Kids born without adult teeth — who may have the most viable dormant buds — are now part of the next trial phase.

Read article →

What people want to know

Will this work for adults who lost teeth to decay or injury?
That's the goal of the adult trials currently underway. The Phase I cohort consists of adults with missing teeth. Early signals are promising, though Phase II trials — focused on efficacy in adults — will tell us more.
Is this available anywhere right now?
No. The drug is in Phase I clinical trials in Japan. It is not available for public use anywhere in the world. The earliest realistic date for commercial availability is 2030, and that's in Japan first — US and EU approval would follow.
Could this make dental implants obsolete?
Potentially, for many patients. Dental implants are a $6 billion+ global industry. A drug that grows biological teeth from dormant buds would be a superior solution — no surgery, no titanium, no bone grafting. It's why the dental industry is watching this closely.
Who is behind this research?
The drug was developed by researchers at Kyoto University, led by Dr. Katsu Takahashi. It is now being commercialized through Toregem Biopharma Co., Ltd., a Kyoto-based biotech. Clinical trials are being conducted at Kyoto University Hospital.