Cheng Qiu-Shuang, Xu Pei-Yao, Luo Sheng-Chang, Chen Ai-Zheng
Institute of Biomaterials and Tissue Engineering, Huaqiao University, Xiamen, Fujian, 361021, P. R. China.
Fujian Provincial Key Laboratory of Biochemical Technology (Huaqiao University), Xiamen, Fujian, 361021, P. R. China.
Macromol Biosci. 2025 Mar;25(3):e2400494. doi: 10.1002/mabi.202400494. Epub 2024 Nov 26.
Oral diseases represent a prevalent global health burden, profoundly affecting patients' quality of life. Given the involvement of oral mucosa and muscles in diverse physiological functions, coupled with clinical aesthetics considerations, repairing oral and maxillofacial soft tissue defects poses a formidable challenge. Wet-adhesive materials are regarded as promising oral repair materials due to their unique advantages in easily overcoming physical and biological barriers in the oral cavity. This review first introduces the intricate wet-state environment prevalent in the oral cavity, meticulously explaining the fundamental physical and chemical adhesion mechanisms that underpin adhesive materials. It then comprehensively summarizes the diverse types of adhesives utilized in stomatology, encompassing polysaccharide, protein, and synthetic polymer adhesive materials. The review further evaluates the latest research advancements in utilizing these materials to treat various oral and maxillofacial soft tissue diseases, including oral mucosal diseases, periodontitis, peri-implantitis, oral and maxillofacial skin defects, and maxillofacial tumors. Finally, it also highlights the promising future prospects and pivotal challenges related to stomatology application of multifunctional adhesive materials.
口腔疾病是一种普遍存在的全球健康负担,严重影响患者的生活质量。鉴于口腔黏膜和肌肉参与多种生理功能,再加上临床美学方面的考虑,修复口腔颌面部软组织缺损是一项艰巨的挑战。湿粘性材料因其在轻松克服口腔内物理和生物屏障方面的独特优势,被视为有前景的口腔修复材料。本综述首先介绍口腔中普遍存在的复杂湿态环境,详细解释支撑粘性材料的基本物理和化学粘附机制。然后全面总结口腔医学中使用的各种粘合剂类型,包括多糖、蛋白质和合成聚合物粘合剂材料。该综述进一步评估利用这些材料治疗各种口腔颌面部软组织疾病的最新研究进展,包括口腔黏膜疾病、牙周炎、种植体周围炎、口腔颌面部皮肤缺损和颌面部肿瘤。最后,它还强调了多功能粘合剂材料在口腔医学应用方面的广阔未来前景和关键挑战。