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Materials Science in Additive Manufacturing                           Hydrogels in mandibular reconstruction



            the mandible’s intricate anatomical structure. This high   – due to reversible state changes under altered physical
            level of customization provides an effective treatment   conditions  –  limits  their  application  in  high  mechanical
            strategy for bone tissue regeneration, as the scaffolds can   load scenarios.
            be designed for patient-specific defects with remarkable   In contrast, chemically crosslinked hydrogels rely on
            precision, offering a highly personalized and efficient   irreversible covalent bonds formed through mechanisms
            solution for clinical applications.                such as Schiff base crosslinking, Diels–Alder (DA)
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            2.1. Natural and synthetic hydrogels               reactions, or radical polymerization.  These hydrogels
                                                               achieve mechanical strength on the order of MPa,
            Hydrogels can be categorized into natural and synthetic   meeting the mechanical demands of bone tissue repair.
            types  based on  polymer  substrate origins.  Natural   Nevertheless, challenges such as residual crosslinking
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            hydrogels  include polysaccharides  (chitosan,  agarose,   agents or overly dense networks may lead to cytotoxicity.
            hyaluronic acid, alginate, cellulose, etc.) and polypeptides
            (gelatin, collagen,  poly-L-glutamic  acid, poly-L-lysine,   Hydrogels with greater complexity can be synthesized
            etc.).  Their composition resembles the ECM, granting   through the integration of multiple crosslinking
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            them  superior  biocompatibility  and  bioactivity.  For   techniques.  Even when composed of identical materials,
            instance, chitosan exhibits antibacterial properties, while   hydrogels produced through distinct crosslinking
            collagen’s RGD sequences enhance osteoblast adhesion.   approaches develop varied network architectures,
            Their non-toxic degradation byproducts make them   ultimately leading to differences in their physical and
            suitable for carrying stem cells or growth factors to   chemical  properties. 14-16   For  instance,  double-network
            promote localized regeneration. However, low mechanical   hydrogels  utilize  covalent  crosslinking  to  provide
            strength and unpredictable degradation rates limit their   mechanical support, combined with physical crosslinking
            use in large-scale defects (like post-tumor resection),   to enable self-healing capabilities. Alternatively, they
            often necessitating reinforcement with hydroxyapatite or   may employ dynamic covalent bonds to balance
            crosslinking modifications.                        reconfigurability and stability, significantly enhancing the
                                                               material’s strength and toughness. In addition, Chuang
              Synthetic hydrogels (polyethylene glycol [PEG],   et al.  analyzed collagen hydrogels with comparable
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            polyacrylic acid, poly [lactic-co-glycolic acid],  etc.)   chemical compositions and physical attributes but
            allow precise control over mechanical properties, pore   prepared  using  distinct  crosslinking  techniques.  Their
            structures, and degradation timelines through molecular   study revealed that variations in crosslinking bonds
            design. Photocurable PEG hydrogels adapt to complex   between the two hydrogel types resulted in disparities in
            defect geometries,  while thermosensitive poly(N-  permeability, microstructure, and mechanical strength.
            isopropylacrylamide) gels enable minimally invasive filling   Specifically, covalently bonded hydrogels exhibited lower
            of irregular defect areas with robust enzymatic resistance   permeability, higher density, and enhanced mechanical
            for long-term support. Nevertheless, their inherent   stability due to their tightly interconnected networks.
            bioinertia  requires  modification  with  bioactive  peptides
            to enhance cellular interaction, and residual monomers or   2.3. Stimulus-responsive hydrogel
            acidic degradation products may trigger inflammation.  Smart hydrogels are fabricated by incorporating specific
                                                               chemical structures and additives during or after the
            2.2. Physically, chemically, and multi-crosslinked   polymerization process, enabling them to exhibit stimuli-
            hydrogels
                                                               responsive properties.  These hydrogels can dynamically
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            The crosslinking mechanism of hydrogels is a pivotal factor   respond to external triggers such as pH levels, magnet,
            in regulating their network structures and functional   temperature, light, or electricity (Figure 3B). By leveraging
            properties. Based on crosslinking mechanism, hydrogels   mechanisms like controlled drug release, they adapt to the
            can be categorized into physically crosslinked, chemically   unique microenvironments of diseased tissues, thereby
            crosslinked, and multi-crosslinked systems (Figure 3A). 10,11  enhancing therapeutic efficacy.
              Physically crosslinked hydrogels form reversible   Bone tissue, as a mechanosensitive tissue, relies on
            networks through dynamic non-covalent interactions   mechanical stimulation to maintain its structure and
            such as ionic interactions, complementary base pairing,   function. This is particularly evident in the jawbone,
            hydrogen bonding, or hydrophobic associations. These   which experiences frequent occlusal forces, resulting in a
            hydrogels exhibit environmental responsiveness, making   significantly higher metabolic rate and bone remodeling
            them suitable for minimally invasive injection and   activity compared to other skeletal regions. To enhance bone
            controlled drug release. However, their inherent instability   regeneration, researchers have developed mechanically


            Volume 4 Issue 2 (2025)                         4                         doi: 10.36922/MSAM025070006
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