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水凝胶是用于无缝合口腔伤口闭合的合适生物粘附材料吗?

Is Hydrogel an Appropriate Bioadhesive Material for Sutureless Oral Wound Closure?

作者信息

Al-Azzawi Huda Moutaz Asmael, Paolini Rita, Celentano Antonio

机构信息

Melbourne Dental School The University of Melbourne Carlton Victoria Australia.

出版信息

Health Sci Rep. 2024 Dec 9;7(12):e70249. doi: 10.1002/hsr2.70249. eCollection 2024 Dec.

DOI:10.1002/hsr2.70249
PMID:39659817
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11628734/
Abstract

BACKGROUND AND AIMS

An effective surgical adhesive must possess strength, biodegradability, flexibility, non-toxicity, and the ability to accommodate to tissue movement. However, existing adhesives in the market lack some of these crucial properties. Both synthetic cyanoacrylate and natural fibrin glue have been explored for sutureless oral surgery, but they come with specific limitations. This perspective review aims to explore the novel potential of hydrogels as bioadhesives for wound closure in the oral cavity.

METHODS

This review thoroughly examines the properties, applications, and limitations of hydrogels as bioadhesive materials for wound closure within the human body.

RESULTS

We first provide a comprehensive description of materials used for sutureless oral surgery. Next, drawing on our expertise in the field of oral surgery, we propose novel potential applications for hydrogels in oral wound closure. We showed that Hydrogels represent promising bioadhesives in medical field and are undergoing continuous enhancement to expand their applications in wound closure.

CONCLUSION

Although hydrogels have been utilized in various dental conditions, their potential for closing wounds in the oral cavity remains unexplored.

摘要

背景与目的

一种有效的手术粘合剂必须具备强度、生物可降解性、柔韧性、无毒性以及适应组织运动的能力。然而,市场上现有的粘合剂缺乏其中一些关键特性。合成氰基丙烯酸酯和天然纤维蛋白胶都已被用于免缝合口腔手术,但它们都有特定的局限性。这篇观点性综述旨在探讨水凝胶作为口腔伤口闭合生物粘合剂的新潜力。

方法

本综述全面研究了水凝胶作为人体伤口闭合生物粘合材料的特性、应用和局限性。

结果

我们首先全面描述了用于免缝合口腔手术的材料。接下来,凭借我们在口腔外科领域的专业知识,我们提出了水凝胶在口腔伤口闭合中的新潜在应用。我们表明,水凝胶是医学领域有前景的生物粘合剂,并且正在不断改进以扩大其在伤口闭合中的应用。

结论

尽管水凝胶已被用于各种牙科病症,但它们在口腔伤口闭合方面的潜力仍未得到探索。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28cc/11628734/bbbf9755aa60/HSR2-7-e70249-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28cc/11628734/bbbf9755aa60/HSR2-7-e70249-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28cc/11628734/bbbf9755aa60/HSR2-7-e70249-g001.jpg

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Multifunctional polypeptide-based hydrogel bio-adhesives with pro-healing activities and their working principles.多功能多肽水凝胶生物粘合剂及其愈合促进作用和工作原理。
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Sci Transl Med. 2024 Mar 20;16(739):eadj0616. doi: 10.1126/scitranslmed.adj0616.
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Cyanoacrylate tissue adhesive versus silk sutures for mandibular third molar surgery: a systematic review and meta-analysis.氰基丙烯酸酯组织粘合剂与丝线缝合用于下颌第三磨牙手术:系统评价和荟萃分析。
Clin Oral Investig. 2024 Feb 29;28(3):180. doi: 10.1007/s00784-024-05578-6.
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Does cyanoacrylate have the best postoperative outcomes after third molar extractions when compared to conventional sutures? A systematic review and meta-analysis.与传统缝线相比,氰基丙烯酸酯在拔除第三磨牙后是否具有最佳的术后效果?一项系统评价和荟萃分析。
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