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Materials Science in Additive Manufacturing                           Hydrogels in mandibular reconstruction



            transformative shift from fundamental research to clinical   Authors’ contributions
            translation in  mandibular  defect repair. Addressing the
            unique  anatomical  complexity,  dynamic  mechanical   Conceptualization: All authors
            loading, and functional  integration requirements of  the   Visualization: Yiwen Zhang, Yilan Sun
            mandible, this review examines the design considerations   Writing–original draft: Yiwen Zhang, Yilan Sun
            and applications of hydrogels in mandibular regeneration.   Writing–review and editing: All authors
            By synthesizing current achievements in this field, we aim   Ethics approval and consent to participate
            to deepen understanding and motivate future research.
                                                               Not applicable.
              Regarding hydrogel design, ideal hydrogels for
            mandibular regeneration should combine exceptional   Consent for publication
            physical  properties  –  including  adequate  mechanical   Not applicable.
            strength, adhesive properties, and injectability – with superior
            biological performance, encompassing antibacterial activity   Availability of data
            and controlled biodegradability. Although numerous
            studies demonstrate the therapeutic potential of hydrogels   Not applicable.
            in mandibular defects, clinical translation remains   References
            hindered by limitations such as functional constraints,
            procedural complexities, and insufficient comprehensive   1.   Hayden RE, Mullin DP, Patel AK. Reconstruction of the
            safety evaluations. Therefore, intensified fundamental   segmental mandibular defect: Current state of the art. Curr
            research and high-quality clinical trials are urgently needed   Opin Otolaryngol Head Neck Surg. 2012;20(4):231-236.
            to accelerate material development. Future research should      doi: 10.1097/MOO.0b013e328355d0f3
            prioritize the following directions: (1) developing hydrogel   2.   Paré A, Bossard A, Laure B, Weiss P, Gauthier O, Corre P.
            materials with enhanced biocompatibility and mechanical   Reconstruction of segmental mandibular defects: Current
            strength through advanced crosslinking strategies and   procedures and perspectives.  Laryngoscope Investig
            composite formulations; (2) exploring novel antimicrobial   Otolaryngol. 2019;4(6):587-596.
            mechanisms and components to optimize hydrogel        doi: 10.1002/lio2.325
            performance  in  the  complex  oral  microenvironment;
            (3) utilizing 4D bioprinting technology to enable printed   3.   Al Maruf DSA, Ghosh YA, Xin H, et al. Hydrogel: A potential
            structures to dynamically alter their contours, properties,   material for bone tissue engineering repairing the segmental
                                                                  mandibular defect. Polymers (Basel). 2022;14(19):4186.
            and functionalities in response to external stimuli over time,
            achieving personalized mandibular reconstruction; and      doi: 10.3390/polym14194186
            (4) establishing standardized animal models and clinical   4.   Zhou B, Jiang X, Zhou X,  et al. GelMA-based bioactive
            validation systems to rigorously assess hydrogel efficacy   hydrogel scaffolds with multiple bone defect repair functions:
            and biosafety. Through multidisciplinary collaboration and   therapeutic strategies and recent advances.  Biomater Res.
            technological innovation, we anticipate overcoming current   2023;27(1):86.
            technical barriers and elevating mandibular repair to      doi: 10.1186/s40824-023-00422-6
            unprecedented levels of precision and clinical applicability.
                                                               5.   Kumar A, Rao KM, Han SS. Synthesis of mechanically stiff
            Acknowledgments                                       and bioactive hybrid hydrogels for bone tissue engineering
                                                                  applications. Chem Eng J. 2017;317:119-131.
            All authors have read and agreed to the published version.      doi: 10.1016/j.cej.2017.02.065
            The authors thank all the participants for their efforts and
            dedication to the writing of this manuscript.      6.   Bai X, Gao M, Syed S, Zhuang J, Xu X, Zhang XQ.
                                                                  Bioactive hydrogels for bone regeneration.  Bioact Mater.
            Funding                                               2018;3(4):401-417.

            This work was supported by the National Natural Science      doi: 10.1016/j.bioactmat.2018.05.006
            Foundation of China (No. 82170923) and the Fundamental   7.   Yue S, He H, Li B, Hou T. Hydrogel as a biomaterial for
            Research Funds for the Central Universities, China (No.   bone tissue engineering: A  review.  Nanomaterials  (Basel).
            YG2023LC06).                                          2020;10(8):1511.
                                                                  doi: 10.3390/nano10081511
            Conflicts of interest
                                                               8.   Al Maruf DSA, Parthasarathi K, Cheng K, et al. Current and
            The authors declare that they have no competing interests.  future perspectives on biomaterials for segmental mandibular


            Volume 4 Issue 2 (2025)                         15                        doi: 10.36922/MSAM025070006
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