国际口腔医学杂志 ›› 2025, Vol. 52 ›› Issue (2): 154-160.doi: 10.7518/gjkq.2025040

• 材料学专栏 • 上一篇    下一篇

新型组织黏合剂在口腔领域的研究进展

韦秀湘(),李昊()   

  1. 广西医科大学口腔医学院/附属口腔医院口腔修复科广西口腔颌面修复与重建研究重点实验室 南宁 530021
  • 收稿日期:2024-07-22 修回日期:2024-12-07 出版日期:2025-03-01 发布日期:2025-03-01
  • 通讯作者: 李昊
  • 作者简介:韦秀湘,住院医师,硕士,Email:wei2022883@163.com
  • 基金资助:
    国家自然科学基金(82060195);广西医疗卫生适宜技术开发与推广应用项目(S2022118)

Research progress of novel tissue adhesives in stomatology

Xiuxiang Wei(),Hao Li()   

  1. Dept. of Prosthodontics, College & Hospital of Stomatology, Guangxi Medical University, Guangxi Key Laboratory of Oral and Maxillofacial Rehabilitation and Reconstruction, Nanning 530021, China
  • Received:2024-07-22 Revised:2024-12-07 Online:2025-03-01 Published:2025-03-01
  • Contact: Hao Li
  • Supported by:
    National Natural Science Foundation of China(82060195);Guangxi Medical and Health Appropriate Technology Development and Application Project(S2022118)

摘要:

组织黏合剂作为止血剂、密封剂、输送载体以及植入式生物医学材料在生物医学工程的不同领域已经得到广泛的研究。近年来,研究者致力于开发适用于潮湿和高动态口腔环境的新型组织黏合剂。与传统组织黏合剂相比,由于具有良好的生物相容性、生物降解性和组织黏附性,新型组织黏合剂在止血、药物输送、组织修复等方面具有很大的优势,在口腔领域显示出广阔的应用前景。本文对口腔领域应用较多的组织黏合剂进行简单分类,重点介绍各种新型组织黏合剂的组成、特性、黏附机制、应用及其存在的问题,旨在为新型组织黏合剂在口腔领域的应用和研究提供参考。

关键词: 组织黏附, 药物递送, 水凝胶, 止血剂, 贻贝, 口腔

Abstract:

Tissue adhesives used as hemostatic agents, sealants, delivery platforms and implantable biomedical mate-rials have been widely studied in different fields of biomedical engineering. In recent years, researchers have focused on developing novel tissue adhesives suitable for moist and highly dynamic oral environments. Compared with traditional tissue adhesives, novel ones have great advantages in hemostasis, drug delivery, tissue repair, and so on, because of their good biocompatibility, biodegradation, and tissue adhesion. As such, these materials show broad application prospects in the oral region. In this paper, tissue adhesives widely used in the field of stomatology are briefly classified, focusing on the composition, characteristics, adhesion mechanism, application, and existing problems of novel adhesives. This work aims to provide reference for the application and research of novel tissue adhesives in this field.

Key words: tissue adhesive, drug delivery, hydrogel, hemostatic agents, mussel, oral

中图分类号: 

  • R318.08
1 Lu YP, Xu XY, Li JS. Recent advances in adhesive materials used in the biomedical field: adhesive properties, mechanism, and applications[J]. J Mater Chem B, 2023, 11(15): 3338-3355.
2 Nam S, Mooney D. Polymeric tissue adhesives[J]. Chem Rev, 2021, 121(18): 11336-11384.
3 Narsingyani RG, Patel SM, Sood RA, et al. Attached oral mucosal wound closure using blue glue-a prospective clinical study[J]. Ann Maxillofac Surg, 2023, 13(1): 31-36.
4 García Cerdá D, Ballester AM, Aliena-Valero A, et al. Use of cyanoacrylate adhesives in general surgery[J]. Surg Today, 2015, 45(8): 939-956.
5 Singer AJ, Quinn JV, Hollander JE. The cyanoacrylate topical skin adhesives[J]. Am J Emerg Med, 2008, 26(4): 490-496.
6 Sierra DH. Fibrin sealant adhesive systems: a review of their chemistry, material properties and clinical applications[J]. J Biomater Appl, 1993, 7(4): 309-352.
7 Bao JB, Fu XN, Wu YR, et al. The healing capacity and osteogenesis pattern of demineralized dentin matrix (DDM)-fibrin glue (FG) compound[J]. Sci Rep, 2023, 13(1): 13140.
8 Pradhan N, Anup Belludi SA, R S, et al. Evaluation and comparison of the efficacy of autologous fibrin glue with 4-0 silk sutures in periodontal flap closure and wound healing-a split mouth randomized controlled trial[J]. J Biomater Appl, 2023, 38(3): 412-423.
9 Hussain S, Ali Zaidi SA, Sawani S, et al. Fibrin glue in managing intractable gingival bleeding in patients with inherited bleeding disorders-a quasi-experimental pilot study[J]. J Pak Med Assoc, 2024, 74(2): 378-383.
10 Petra JMB, Marleen Z, Johan B, et al. The chemistry of tissue adhesive materials[J]. Prog Polym Sci, 2014, 39(2014): 1375-1405.
11 Carretta A, Epskamp M, Ledermann L, et al. Collagen-bound fibrin sealant (TachoSil®) for dural closure in cranial surgery: single-centre comparative cohort study and systematic review of the literature[J]. Neurosurg Rev, 2022, 45(6): 3779-3788.
12 Symms JT, Dabecco R, Ballard D, et al. Fibrin glue-coated collagen complex patch: a novel material for surgical repair of spontaneous temporal bone cerebrospinal fluid leak and encephalocele[J]. Otol Neurotol, 2023, 44(5): 469-477.
13 Pirmoradian M, Hooshmand T, Najafi F, et al. Design, synthesis, and characterization of a novel dual cross-linked gelatin-based bioadhesive for hard and soft tissues adhesion capability[J]. Biomed Mater, 2022, 17(6). doi: 10.1088/1748-605X/ac9268 .
doi: 10.1088/1748-605X/ac9268
14 Tarafder S, Park GY, Felix J, et al. Bioadhesives for musculoskeletal tissue regeneration[J]. Acta Biomater, 2020, 117: 77-92.
15 Bhagat V, Becker ML. Degradable adhesives for surgery and tissue engineering[J]. Biomacromolecules, 2017, 18(10): 3009-3039.
16 Sung HW, Huang DM, Chang WH, et al. Evaluation of gelatin hydrogel crosslinked with various crosslinking agents as bioadhesives: in vitro study[J]. J Biomed Mater Res, 1999, 46(4): 520-530.
17 Liu Y, Cheong Ng S, Yu J, et al. Modification and crosslinking of gelatin-based biomaterials as tissue adhesives[J]. Colloids Surf B Biointerfaces, 2019, 174: 316-323.
18 Chang WC, Tai AZ, Tsai NY, et al. An injectable hybrid gelatin methacryloyl (GelMA)/phenyl isothiocyanate-modified gelatin (Gel-Phe) bioadhesive for oral/dental hemostasis applications[J]. Polymers, 2021, 13(14): 2386.
19 Qi Y, Xu CY, Zhang ZD, et al. Wet environment-induced adhesion and softening of coenzyme-based polymer elastic patch for treating periodontitis[J]. Bioact Mater, 2024, 35: 259-273.
20 An H, Zhang M, Huang Z, et al. Hydrophobic cross-linked chains regulate high wet tissue adhesion hydrogel with toughness, anti-hydration for dynamic tissue repair[J]. Adv Mater, 2024, 36(8): e2310164.
21 Lee KY, Mooney DJ. Alginate: properties and biomedical applications[J]. Prog Polym Sci, 2012, 37(1): 106-126.
22 Silva C, Ramos-Yacasi G, Mallandrich M, et al. Alginate hydrogel formulation with ketorolac for the treatment of pain related sialolithiasis[J]. Gels, 2023, 9(5): 415.
23 Zhao Y, Li ZH, Song SL, et al. Skin-inspired antibacterial conductive hydrogels for epidermal sensors and diabetic foot wound dressings[J]. Adv Funct Mater, 2019, 29(31): 1901474.
24 Dou X, Li GT, Wang S, et al. Probiotic-loaded cal-cium alginate/fucoidan hydrogels for promoting oral ulcer healing[J]. Int J Biol Macromol, 2023, 244: 125273.
25 Hasani-Sadrabadi MM, Sarrion P, Pouraghaei S, et al. An engineered cell-laden adhesive hydrogel promotes craniofacial bone tissue regeneration in rats[J]. Sci Transl Med, 2020, 12(534): eaay6853.
26 Chi JH, Li A, Zou MY, et al. Novel dopamine-modified oxidized sodium alginate hydrogels promote angiogenesis and accelerate healing of chronic diabe-tic wounds[J]. Int J Biol Macromol, 2022, 203: 492-504.
27 Guo YX, Shao ZJ, Wang WJ, et al. Periodontium-mimicking, multifunctional biomass-based hydrogel promotes full-course socket healing[J]. Biomacromolecules, 2024, 25(2): 1246-1261.
28 Fang Y, Lin YK, Wang LY, et al. Cohering plasma into adhesive gel by natural biopolymer-nanoparticle hybrid powder for efficient hemostasis and wound healing[J]. ACS Appl Mater Interfaces, 2024, 16(9): 11263-11274.
29 Wang LS, Qiu LB, Li BY, et al. Tissue adhesives based on chitosan for skin wound healing: where do we stand in this era? A review[J]. Int J Biol Macromol, 2024, 258(Pt 2): 129115.
30 Tian BR, Hua SY, Tian Y, et al. Chemical and physical chitosan hydrogels as prospective carriers for drug delivery: a review[J]. J Mater Chem B, 2020, 8(44): 10050-10064.
31 Ghafar H, Khan MI, Sarwar HS, et al. Development and characterization of bioadhesive film embedded with lignocaine and calcium fluoride nanoparticles[J]. AAPS PharmSciTech, 2020, 21(2): 60.
32 Su KZ, Li JX, Wu XX, et al. One-step synthesis of hydrogel adhesive with acid-responsive tannin release for diabetic oral mucosa defects healing[J]. Adv Healthc Mater, 2024, 13(9): e2303252.
33 Zheng DW, Deng WW, Song WF, et al. Biomaterial-mediated modulation of oral microbiota synergizes with PD-1 blockade in mice with oral squamous cell carcinoma[J]. Nat Biomed Eng, 2022, 6(1): 32-43.
34 Wang Y, Pan ZY, Cui J, et al. Adhesive hydrogel releases protocatechualdehyde-Fe3+ complex to promote three healing stages for accelerated therapy of oral ulcers[J]. Acta Biomater, 2024, 178: 68-82.
35 Rafiee A, Mozafari N, Fekri N, et al. Preparation and characterization of a nanohydroxyapatite and sodium fluoride loaded chitosan-based in situ forming gel for enamel biomineralization[J]. Heliyon, 2024, 10(2): e24217.
36 Melrose J. High performance marine and terrestrial bioadhesives and the biomedical applications they have inspired[J]. Molecules, 2022, 27(24): 8982.
37 Guo Q, Chen JS, Wang JL, et al. Recent progress in synthesis and application of mussel-inspired adhesives[J]. Nanoscale, 2020, 12(3): 1307-1324.
38 Bao ZX, Gao MH, Sun Y, et al. The recent progress of tissue adhesives in design strategies, adhesive mechanism and applications[J]. Mater Sci Eng C Mater Biol Appl, 2020, 111: 110796.
39 Hu SS, Pei XB, Duan LL, et al. A mussel-inspired film for adhesion to wet buccal tissue and efficient bu-ccal drug delivery[J]. Nat Commun, 2021, 12(1): 1689.
40 Hu SS, Wang S, He QQ, et al. A mechanically reinforced super bone glue makes a leap in hard tissue strong adhesion and augmented bone regeneration[J]. Adv Sci, 2023, 10(11): e2206450.
41 An H, Gu Z, Zhou LP, et al. Janus mucosal dressing with a tough and adhesive hydrogel based on synergistic effects of gelatin, polydopamine, and nano-clay[J]. Acta Biomater, 2022, 149: 126-138.
42 Jo YK, Choi BH, Zhou C, et al. Cell recognitive bioadhesive-based osteogenic barrier coating with localized delivery of bone morphogenetic protein-2 for accelerated guided bone regeneration[J]. Bioeng Transl Med, 2023, 8(3): e10493.
43 Chen JS, Peng QY, Liu JF, et al. Mussel-inspired cation-π interactions: wet adhesion and biomimetic materials[J]. Langmuir, 2023, 39(49): 17600-17610.
44 Baskaran N, Wang YC, Tan RJ, et al. Overcoming the yield challenge of mussel foot proteins: enhancing adhesion through metal ion-incorporated nanoparticles[J]. Colloids Surf B Biointerfaces, 2023, 229: 113479.
45 Kord Forooshani P, Lee BP. Recent approaches in designing bioadhesive materials inspired by mussel adhesive protein[J]. J Polym Sci A Polym Chem, 2017, 55(1): 9-33.
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