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Smart stimuli-responsive hydrogels for drug delivery in periodontitis treatment
Open accessAbstract
Periodontitis is a chronic inflammatory disease initiated by pathogenic biofilms and host immunity that damages tooth-supporting tissues, including the gingiva, periodontal ligament and alveolar bone. The physiological functions of the oral cavity, such as saliva secretion and chewing, greatly reduce the residence of therapeutic drugs in the area of a periodontal lesion. In addition, complex and diverse pathogenic mechanisms make effectively treating periodontitis difficult. Therefore, designing advanced local drug delivery systems and rational therapeutic strategies are the basis for successful periodontitis treatment. Hydrogels have attracted considerable interest in the field of periodontitis treatment due to their biocompatibility, biodegradability and convenient administration to the periodontal pocket. In recent years, the focus of hydrogel research has shifted to smart stimuli-responsive hydrogels, which can undergo flexible sol-gel transitions in situ and control drug release in response to stimulation by temperature, light, pH, ROS, glucose, or enzymes. In this review, we systematically introduce the development and rational design of emerging smart stimuli-responsive hydrogels for periodontitis treatment. We also discuss the state-of-the-art therapeutic strategies of smart hydrogels based on the pathogenesis of periodontitis. Additionally, the challenges and future research directions of smart hydrogels for periodontitis treatment are discussed from the perspective…
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“Similarly, pH-, enzyme-, ROS-, or NIR-responsive PDA delivery systems may behave differently under real periodontal or tumor microenvironments, where pH, enzyme activity, oxygen levels, and light penetration are highly heterogeneous.83,84”
From Polydopamine-Based Biomaterials in Oral Medicine: Applications, Mechanisms, and Translational Challenges (2026) · cites this paper as [83]
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Metadata
- Authors
- Wang, Y., Li, J., Tang, M., Peng, C., Wang, G., Wang, J., Wang, X., Chang, X., Guo, J., & Gui, S.
- Affiliations
- Anhui University of Traditional Chinese Medicine (CN)
- Corresponding author
- Guo, Jian
- Gui, Shuangying
- ORCID
- Venue
- Biomedicine & Pharmacotherapy
- Publisher
- Elsevier BV
- Published
- 2023-06
- Volume
- 162
- Pages
- 114688
- ISSN
- 0753-3322 (ISSN-L)
- OpenAlex
- W4365816590
- Cited by
- 100
- References
- 138
- Citations by year
- 2026: 27 · 2025: 43 · 2024: 26 · 2023: 4
- FWCI
- 1.87
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Biomedicine & Pharmacotherapy (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- National Natural Science Foundation of China (81873019)
- Anhui University of Chinese Medicine (2022rczd003, 21pyjj05)
- Topics
- Physical Sciences › Materials Science › Biomaterials › Hydrogels: synthesis, properties, applications
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmaceutical Science › Advanced Drug Delivery Systems
- Keywords
- periodontitis, stimuli-responsive hydrogels, local drug delivery, periodontal pockets, sol-gel transition, controlled drug release, periodontal biofilm, periodontal inflammation, reactive oxygen species, glucose-responsive hydrogels, enzyme-responsive hydrogels, photothermal therapy, periodontal regeneration
- MeSH terms
- Humans, Periodontitis, Temperature, Drug Delivery Systems, Hydrogels, Drug Liberation
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