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Materials Science in Additive Manufacturing                           Hydrogels in mandibular reconstruction



            stability need to be improved. A double-network hydrogel   fluids, ensuring stable adhesion to physiological tissue
            containing magnesium ions was synthesized using in situ   surfaces. However, hydration barriers often hinder effective
            radical polymerization and crosslinking via magnesium   tissue-hydrogel integration.
            ion coordination. The introduction of magnesium ions   In recent years, researchers have developed novel
            not only increased the crosslinking density of the hydrogel   hydrogel systems integrating wet adhesion and mechanical
            but  also  enhanced  its  mechanical  strength  and  stability.   reinforcement through biomimetic design and multi-scale
            The hydrogel, enhanced by integrating a double-network   composite strategies. Inspired by marine mussel adhesive
            architecture and POSS-Mg composites, achieved a six-fold   proteins, chemical modifications based on L-DOPA or
            increase in peak compressive strength. This improvement   catechol groups can endow hydrogels with robust wet
            highlights its suitability for applications such as bone   adhesion at tissue interfaces.  These systems overcome
                                                                                       40
            regeneration and promoting blood vessel formation in rat   hydration barriers through covalent crosslinking between
            cranial defect models. 35
                                                               catechol groups and tissue surface amino/thiol groups,
              Furthermore,  adjusting  parameters  such  as  hydrogel   coupled with metal coordination. For example, Hu et al.
                                                                                                            41
            component concentrations or molecular weights can   developed an L-DOPA-PVA-ZIF-8 hydrogel (L-DPZ) that
            markedly improve mechanical properties such as elastic   integrates  multiple  functionalities  through  a  biomimetic
            modulus and tensile strength. However, mechanical   approach: a biocompatible PVA polymer matrix was
            enhancement inevitably introduces challenges, including   covalently grafted with L-DOPA to provide catechol
            fabrication complexity, altered degradation kinetics,   active groups, while ZIF-8 nanoparticles formed a metal-
            and potential component toxicity. Therefore, to meet the   catecholamine coordination network. This system achieved
            unique demands of mandibular defect repair, current   a shear strength of 10 MPa through amino/thiol covalent
            research  must  focus  on optimizing synthesis  protocols,   bonds and metal coordination. In addition, the high
            degradation parameters, and biosafety evaluation systems   porosity of ZIF-8 enabled controlled Zn release, promoting
                                                                                             2+
            to synergistically enhance mechanical compatibility, tissue   osteogenic differentiation of rat BMSCs. Simultaneously,
            induction, and clinical translatability. Table 1 summarizes   nano-scale bonding between ZIF-8 and catechol groups
            recent advances in mechanically reinforced hydrogels for   significantly enhanced mechanical strength, ensuring
            mandibular defect repair.                          that hydrogel degradation kinetics matched new bone
                                                               regeneration. This strategy demonstrates potential for
            3.1.2. Adhesion                                    resolving clinical challenges such as stabilizing comminuted
            An ideal hydrogel for maxillofacial repair must exhibit   fractures, reconstructing bone defects, and replanting teeth,
            strong adhesiveness to resist washing by blood and tissue   offering promising solutions in complex medical scenarios.

            Table 1. Applications of mechanically enhanced hydrogels for the repair of mandibular defects
            Composite        Cell type       Animal model      Outcome achieved                      References
            hydrogels
            nHA@ADA/Gel      MC3T3-E1, ATCC  SD rats critical-sized   • Increased mechanical strength   36
                                             mandibular defects  • Antioxidant capacity
                                                               • Promoted mandibular bone regeneration
            BPDAH-GPEGD      BMSC, macrophage  SD rat cranial defect  •  Excellent injectability, self‑healing property and   37
                                                                shape adaptability
                                                               • Increased mechanical strength
                                                               • Repaired critical‑sized skull bone defect
            SIM@ZIF-8/       BMSC            SD rats cranial and   • Excellent injectability and mechanical strength  38
            PEGDA/SA                         premaxillary defect  • Promoted osteogenesis and suppress adipogenesis
            POSS-UPy         PDLSCs          Cranial bone defect  • Increased mechanical strength       21
                                                               • Promoted osteogenesis
            SF/MBG/SA        BMSC            Rabbit maxillary sinus   • Great injectability and shapeability  39
                                             elevation         • Increased mechanical strength
                                                               • Promoted osteogenesis
            Abbreviations: ADA: Alginate dialdehyde; BMSC: Bone marrow stromal cell; BPDAH: BMP-2 loaded polydopamine/heparin nanoparticles;
            GPEGD: Gelatin/polyethylene glycol diacrylate/2-(dimethylamino) ethyl methacrylate; MBG: Bioactive mesoporous glass; nHA: Nano-sized
            hydroxyapatite; PDLSCs: Periodontal ligament stem cells; PEGDA: Polyethylene glycol diacrylate; POSS-UPy: Polyhedral oligomeric silsesquioxane
            2-ureido-4[1H]-pyrimidinone; SA: Sodium alginate; SD: Sprague–Dawley; SF: Silk fibroin; SIM@ZIF-8: simvastatin-laden zeolitic imidazolate
            framework-8.


            Volume 4 Issue 2 (2025)                         8                         doi: 10.36922/MSAM025070006
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