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Materials Science in Additive Manufacturing                           Hydrogels in mandibular reconstruction




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            Figure 3. Hydrogel crosslinking strategies and stimuli-responsive mechanisms. (A) Crosslinked network structure in hydrogels. (B) Schematic diagram of
            stimulus-responsive hydrogel driving mechanism. Created with BioRender.com

            tunable, high-strength hydrogels by incorporating   titanate and hydroxyapatite nanoparticles into a chitosan/
            nanoparticles or nanosheets into gel networks through   gelatin hydrogel, constructing a piezoelectric scaffold
            multi-crosslinking  strategies  or hybridizing hydrogels   with self-powered electrical activity, pro-angiogenic, and
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            with 3D-printed or electrospun scaffolds.  Rauner   osteogenic capabilities. This scaffold accelerates cranial
            et al.   fabricated  the  ultra-robust  hydrogels  through   bone  regeneration  by  activating  cellular  voltage-gated
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            enzyme-induced  mineralization.  Their  dual-crosslinking   calcium channels and integrin-related signaling pathways
            system,  centered  on  cage-like  polyhedral  oligomeric   through endogenous electrical signals, while promoting
            silsesquioxane (POSS), integrates high-strength hydrogen   secretion of growth factors. Current studies suggest
            bonds and dynamic disulfide bonds to form a core/shell   piezoelectric materials enhance osteogenesis through
            star-shaped architecture. Quadruple hydrogen bonds act   multiple pathways, including improved local blood flow
            as physical crosslinking points to optimize the network’s   and immunomodulation, though their precise molecular
            local mechanical reinforcement, while reversible hydrogen   mechanisms remain unclear. Furthermore, balancing
            bond breakage dissipates energy, markedly improving   the mechanical strength and electrophysiological
            mechanical strength and toughness. 21              activity of hydrogels to match the dynamic  electrical
              Bone tissue functions not only as a mechanical load-  microenvironment of bone remains a core challenge in
            bearing  system but  also exhibits piezoelectric  properties   optimizing material design for clinical applications.
            that  regulate  bone  metabolism and  growth  through   3. Considerations in hydrogel design for
            electromagnetic  signals.  Piezoelectric  biomaterials
            (polylactic acid, collagen, potassium sodium niobate, etc.)   mandibular regeneration
            generate intrinsic electrical charges under mechanical   Hydrogel-based mandibular regeneration strategies require
            deformation, mimicking the natural bioelectrical   careful optimization of multifunctional properties to meet
            microenvironment of bone. This enables drug-free electrical   complex anatomical and physiological needs (Figure  4).
            stimulation strategies for bone defect repair. For example,   Mechanical properties must mimic natural bone to
            Wu et al.  incorporated polydopamine-modified barium   withstand chewing forces while promoting bone formation.
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            Volume 4 Issue 2 (2025)                         5                         doi: 10.36922/MSAM025070006
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