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二氧化钛纳米材料如何成为口腔医学中的关键治疗手段。

How TiO Nanomaterials are Emerging as Key Therapeutics in Stomatology.

作者信息

Qi Junnan, Liu Huimin, Li Huen, Liu Haofeng, Wang Yawen, Kong Chunru, Fu Li, Chang Bei

机构信息

Hospital of Stomatology, Jilin Provincial Key Laboratory of Tooth Development and Bone Remodeling, Jilin University, Changchun, 130021, People's Republic of China.

Hospital of Stomatology, Department of Pediatric Dentistry, Jilin University, Changchun, 130021, People's Republic of China.

出版信息

Int J Nanomedicine. 2025 Sep 19;20:11451-11478. doi: 10.2147/IJN.S533650. eCollection 2025.

Abstract

Conventional treatments for oral diseases-such as cancer and tissue defects-are often limited by high invasiveness, suboptimal efficacy, and drug resistance. In recent years, titanium dioxide (TiO) nanomaterials have demonstrated remarkable therapeutic potential in the field of oral medicine. This review systematically evaluates the current applications and future prospects of TiO and its reduced form (TiO ) nanomaterials across six major domains: cancer diagnosis and therapy, antibacterial treatment, tissue regeneration, drug delivery, restorative dental materials, and teeth whitening, based on an extensive literature search of databases including PubMed and Web of Science. The findings reveal that TiO nanomaterials exhibit exceptional multifunctionality through various mechanisms: (1) surface-enhanced Raman spectroscopy (SERS) substrates achieve 100% sensitivity and 95.83% specificity in diagnosing oral squamous cell carcinoma; (2) reactive oxygen species (ROS)-mediated antibacterial efficiency exceeds 99% against key oral pathogens; (3) modified implant surfaces show a 1.5-fold increase in bone-implant contact; and (4) the incorporation of only 0.06% TiO nanoparticles enhances resin hardness by over 200%. Notably, TiO exhibits visible/near-infrared responsiveness, photothermal conversion capacity, and peroxidase-like activity, enabling 12% HO-based whitening outcomes comparable to commercial 40% HO products. Collectively, TiO-based nanomaterials represent a paradigm shift toward precision oral medicine, owing to their excellent biocompatibility, multifunctional therapeutic mechanisms, and broad application potential. Nonetheless, successful clinical translation requires addressing critical challenges, including synthesis standardization, comprehensive biosafety evaluation, optimization of interfacial bonding strength, and the development of regulatory frameworks tailored to dental nanomedicine.

摘要

口腔疾病(如癌症和组织缺损)的传统治疗方法往往受到高侵袭性、疗效欠佳和耐药性的限制。近年来,二氧化钛(TiO₂)纳米材料在口腔医学领域展现出显著的治疗潜力。本综述基于对包括PubMed和Web of Science在内的数据库进行广泛文献检索,系统评估了TiO₂及其还原形式(TiO)纳米材料在六个主要领域的当前应用和未来前景:癌症诊断与治疗、抗菌治疗、组织再生、药物递送、口腔修复材料和牙齿美白。研究结果表明,TiO₂纳米材料通过多种机制展现出卓越的多功能性:(1)表面增强拉曼光谱(SERS)底物在诊断口腔鳞状细胞癌时灵敏度达到100%,特异性达到95.83%;(2)活性氧(ROS)介导的抗菌效率对主要口腔病原体超过99%;(3)改性种植体表面的骨-种植体接触增加1.5倍;(4)仅加入0.06%的TiO₂纳米颗粒可使树脂硬度提高超过200%。值得注意的是,TiO₂具有可见/近红外响应性、光热转换能力和过氧化物酶样活性,能够实现12%的基于过氧化氢的美白效果,与市售40%过氧化氢产品相当。总体而言,基于TiO₂的纳米材料因其优异的生物相容性、多功能治疗机制和广泛的应用潜力,代表了向精准口腔医学的范式转变。尽管如此,成功的临床转化需要应对关键挑战,包括合成标准化、全面的生物安全性评估、界面结合强度的优化以及针对牙科纳米医学的监管框架的制定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb5f/12456319/abd785d67067/IJN-20-11451-g0001.jpg

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