New Challenges and Prospective Applications of Three-Dimensional Bioactive Polymeric Hydrogels in Oral and Craniofacial Tissue Engineering: A Narrative Review

Injectable in situ gelling methylcellulose-based hydrogels for bone tissue regeneration

Injectable bone substitutes (IBSs) represent a compelling choice for bone tissue regeneration, as they can be exploited to optimally fill complex bone defects in a minimally invasive manner. In this context, in situ gelling methylcellulose (MC) hydrogels may be engineered to be free-flowing injectable solutions at room temperature and gels upon exposure to body temperature. Moreover, incorporating a suitable inorganic phase can further enhance the mechanical properties of MC hydrogels and promote mineralization, thus assisting early cell adhesion to the hydrogel and effectively guiding bone tissue regeneration. In this work, thermo-responsive IBSs were designed selecting MC as the organic matrix and calcium phosphate (CaP) or CaP modified with graphene oxide (CaPGO) as the inorganic component. The resulting biocomposites displayed a transition temperature around body temperature, preserved injectability even after loading with the inorganic components, and exhibited adequate retention on an ex vivo calf femoral bone defect model. The addition of CaP and CaPGO promoted the in vitro mineralization process already 14 days after immersion in simulated body fluid. Interestingly, combined X-ray diffraction and solid state nuclear magnetic resonance characterizations revealed that the formed biomimetic phase was constituted by crystalline hydroxyapatite and amorphous calcium phosphate. In vitro biological characterization revealed the beneficial impact of CaP and CaPGO, indicating their potential in promoting cell adhesion, proliferation and osteogenic differentiation. Remarkably, the addition of GO, which is very attractive for its bioactive properties, did not negatively affect the injectability of the hydrogel nor the mineralization process, but had a positive impact on cell growth and osteogenic differentiation on both pre-differentiated and undifferentiated cells. Overall, the proposed formulations represent potential candidates for use as IBSs for application in bone regeneration both under physiological and pathological conditions.

Prospectives and challenges of nano-tailored biomaterials-assisted biological molecules delivery for tissue engineering purposes

Nano carriers have gained more attention for their possible medical and technological applications. Tailored nanomaterials can transport medications efficiently to targeted areas and allow for sustained medication discharge, reducing undesirable toxicities while boosting curative effectiveness. Nonetheless, transitioning nanomedicines from experimental to therapeutic applications has proven difficult, so different pharmaceutical incorporation approaches in nano scaffolds are discussed. Then numerous types of nanobiomaterials implemented as carriers and their manufacturing techniques are explored. This article is also supported by various applications of nanobiomaterials in the biomedical field.

State-of-the-Art Advances and Current Applications of Gel-Based Membranes

Gel-based membranes, a fusion of polymer networks and liquid components, have emerged as versatile tools in a variety of technological domains thanks to their unique structural and functional attributes. Historically rooted in basic filtration tasks, recent advancements in synthetic strategies have increased the mechanical strength, selectivity, and longevity of these membranes. This review summarizes their evolution, emphasizing breakthroughs that have positioned them at the forefront of cutting-edge applications. They have the potential for desalination and pollutant removal in water treatment processes, delivering efficiency that often surpasses conventional counterparts. The biomedical field has embraced them for drug delivery and tissue engineering, capitalizing on their biocompatibility and tunable properties. Additionally, their pivotal role in energy storage as gel electrolytes in batteries and fuel cells underscores their adaptability. However, despite monumental progress in gel-based membrane research, challenges persist, particularly in scalability and long-term stability. This synthesis provides an overview of the state-of-the-art applications of gel-based membranes and discusses potential strategies to overcome current limitations, laying the foundation for future innovations in this dynamic field.

Advancing Dentistry through Bioprinting: Personalization of Oral Tissues

Despite significant advancements in dental tissue restoration and the use of prostheses for addressing tooth loss, the prevailing clinical approaches remain somewhat inadequate for replicating native dental tissue characteristics. The emergence of three-dimensional (3D) bioprinting offers a promising innovation within the fields of regenerative medicine and tissue engineering. This technology offers notable precision and efficiency, thereby introducing a fresh avenue for tissue regeneration. Unlike the traditional framework encompassing scaffolds, cells, and signaling factors, 3D bioprinting constitutes a contemporary addition to the arsenal of tissue engineering tools. The ongoing shift from conventional dentistry to a more personalized paradigm, principally under the guidance of bioprinting, is poised to exert a significant influence in the foreseeable future. This systematic review undertakes the task of aggregating and analyzing insights related to the application of bioprinting in the context of regenerative dentistry. Adhering to PRISMA guidelines, an exhaustive literature survey spanning the years 2019 to 2023 was performed across prominent databases including PubMed, Scopus, Google Scholar, and ScienceDirect. The landscape of regenerative dentistry has ushered in novel prospects for dentoalveolar treatments and personalized interventions. This review expounds on contemporary accomplishments and avenues for the regeneration of pulp-dentin, bone, periodontal tissues, and gingival tissues. The progressive strides achieved in the realm of bioprinting hold the potential to not only enhance the quality of life but also to catalyze transformative shifts within the domains of medical and dental practices.

Effect of nano-metal oxides (TiO2, MgO, CaO, and ZnO) on antibacterial property of (PEO/PEC-co-AAm) hydrogel synthesized by gamma irradiation

The global threat of infectious diseases and antibiotic resistance calls for the development of potent antimicrobial agents integrated with hydrogel for effective control and treatment. Hydrogel is advanced biomaterials compounds. Hydrogel is an advanced biomaterial compound that offers tunable physical and chemical properties, which can be tailored to specific biomedical applications. This study investigates the antibacterial properties of pectin/polyethylene oxide (PEC/PEO)-based poly acrylamide hydrogels containing 5 wt% nano-metal oxides (TiO2, CaO, MgO, and ZnO) synthesized through gamma irradiation at a dose of 30 kGy. This technique allows for sterilization and effectively incorporating the metal oxide nanoparticles within the hydrogel matrix. Characterization of the nanocomposites is performed using Fourier-transform infrared spectroscopy (FTIR), X-ray diffraction (XRD), transmission electron microscopy (TEM), and scanning electron microscopy (SEM). Incorporating metal oxide nanoparticles induces noticeable changes in the FTIR spectra, confirming interactions between the nanoparticles and the hydrogel matrix. The antibacterial activity of the nanocomposites is evaluated against different bacteria, and the results demonstrate significant inhibitory effects, especially for MgO- and ZnO-hydrogel nanocomposites against P. mirabilis, S. aureus, P. aeruginosa, and C. albicans, highlighting their potential as antimicrobial agents. The 5 wt% of MgO, ZnO, TiO2 and CaO inside PEO/PEC-co-AAm hydrogel nanocomposites exhibited significant inhibitory effects, with a respective optical density at λ = 600 nm (OD600) values of 0.896 nm, 0.986 nm, 1.250 nm, and 1.980 nm compared to the control and hydrogel alone (OD600 values of 2.88 nm and 2.72 nm, respectively). The antibacterial activity of the (MgO-, ZnO-, TiO2-, and CaO-hydrogel) was enhanced, resulting in the inhibition of S. aureus growth by approximately 68.89 %, 65.86 %, 56.25 %, and 31.94 %, respectively. Incorporating nanoparticles into a hydrogel matrix introduces novelty by preventing their aggregation and synergistically enhancing the antibacterial activity. The hydrogel's porous structure and water content facilitate the physical entrapment of bacteria and promote proximity to the metal oxide nanoparticles, resulting in improved interaction and antimicrobial effectiveness. Moreover, the hydrogel ability to absorb and entrap resistance compounds released by bacteria, coupled with its ability to supply water for the generation of reactive oxygen species, further contributes to its antimicrobial properties.

In situ photo-crosslinked hydrogel promotes oral mucosal wound healing through sustained delivery of ginsenoside Rg1

Oral mucosal wounds exhibit an increased susceptibility to inflammation as a consequence of their direct exposure to a diverse range of microorganisms. This causes pain, slow healing, and other complications that interfere with patients' daily activities like eating and speaking. Consequently, patients experience a significant decline in their overall quality of life. Therefore, the pursuit of novel treatment approaches is of great importance. In this study, ginsenoside Rg1, a natural active substance extracted from ginseng root, was chosen as a therapeutic agent. It was encapsulated in a screened photo-crosslinked hydrogel scaffold for the treatment of mucosal defects in the rat palate. The results demonstrated that Rg1-hydrogel possessed excellent physical and chemical properties, and that oral mucosa wounds treated with Rg1-hydrogel exhibited the greatest healing performance, as evidenced by more pronounced wound re-epithelialization, increased collagen deposition, and decreased inflammatory infiltration. Subsequent investigations in molecular biology confirmed that Rg1-hydrogel stimulated the secretion of repair-related factors and inhibited the secretion of inflammatory factors. This study demonstrated that the hydrogel containing ginsenoside Rg1 significantly promotes oral mucosal tissue healing in vivo. Based on the findings, it can be inferred that the Rg1-hydrogel has promising prospects for the therapeutic management of oral mucosal wounds.

Macro, Micro, and Nano-Inspired Bioactive Polymeric Biomaterials in Therapeutic, and Regenerative Orofacial Applications

Introducing dental polymers has accelerated biotechnological research, advancing tissue engineering, biomaterials development, and drug delivery. Polymers have been utilized effectively in dentistry to build dentures and orthodontic equipment and are key components in the composition of numerous restorative materials. Furthermore, dental polymers have the potential to be employed for medication administration and tissue regeneration. To analyze the influence of polymer-based investigations on practical medical trials, it is required to evaluate the research undertaken in this sector. The present review aims to gather evidence on polymer applications in dental, oral, and maxillofacial reconstruction.