Kumari Deepali, Karmakar Varnita, Sisinthy Sreenivas Patro, Pandey Manisha, Jain Neha, Gorain Bapi
Department of Pharmaceutical Sciences and Technology, Birla Institute of Technology, Mesra, Ranchi, Jharkhand, 835215, India.
School of Pharmacy, University of Nottingham Malaysia, Selangor, Semenyih, 43500, Malaysia.
Drug Deliv Transl Res. 2025 Apr;15(4):1139-1155. doi: 10.1007/s13346-024-01735-2. Epub 2024 Nov 5.
Oral diseases rank among the most widespread ailments worldwide posing significant global health and economic challenges affecting around 3.5 billion people, impacting the quality of life for affected individuals. Dental caries, periodontal disease, bacterial and fungal infections, tooth loss and oral malignancies are among the most prevalent global clinical disorders contributing to oral health burden. Traditional treatments for oral diseases often face challenges such as poor drug bioavailability, breakdown of medication in saliva, inconsistent antibiotic levels at the site of periodontal infection as well as higher side effects. However, the emergence of nanoemulgel (NEG) as an innovative drug delivery system offers promising solutions where NEG combines the advantages of both nanoemulsions (NEs) and hydrogels providing improved drug solubility, stability, and targeted delivery. Due to their minuscule size and ability to control drug release, NEGs hold promise for improving treatment of oral diseases, where versatility of these delivery systems makes them suitable for various applications, including topical delivery in dentistry. This review concisely outlines the anatomy of the oral environment and investigates the therapeutic potential of NE-based gels in oral disorder treatment. It thoroughly examines the challenges of drug delivery in the oral cavity and proposes strategies to improve therapeutic efficacy, drawing attention to previous research reports for comparison. Through comprehensive analysis, the review highlights the promising role of NEGs as a novel therapeutic approach for oral health management via research advancements and their clinical translation. Additionally, it provides valuable insights into future research directions and development opportunities in this area.
口腔疾病是全球最普遍的疾病之一,带来了重大的全球健康和经济挑战,影响着约35亿人,对患者的生活质量产生影响。龋齿、牙周病、细菌和真菌感染、牙齿缺失以及口腔恶性肿瘤是导致口腔健康负担的最常见的全球临床疾病。口腔疾病的传统治疗方法往往面临药物生物利用度差、药物在唾液中分解、牙周感染部位抗生素水平不一致以及副作用较大等挑战。然而,纳米乳凝胶(NEG)作为一种创新的药物递送系统的出现提供了有前景的解决方案,其中NEG结合了纳米乳剂(NE)和水凝胶的优点,提高了药物的溶解度、稳定性和靶向递送。由于其微小的尺寸和控制药物释放的能力,NEG有望改善口腔疾病的治疗,这些递送系统的多功能性使其适用于各种应用,包括牙科局部递送。本综述简要概述了口腔环境的解剖结构,并研究了基于NE的凝胶在口腔疾病治疗中的治疗潜力。它全面审视了口腔给药的挑战,并提出了提高治疗效果的策略,同时提请注意以前的研究报告以供比较。通过综合分析,本综述强调了NEG作为一种通过研究进展及其临床转化来管理口腔健康的新型治疗方法的有前景的作用。此外,它还为该领域未来的研究方向和发展机会提供了有价值的见解。