A Narrative Review of u-HA/PLLA, a Bioactive Resorbable Reconstruction Material: Applications in Oral and Maxillofacial Surgery
| Autor: | Huy Xuan Ngo, Yunpeng Bai, Jingjing Sha, Shinji Ishizuka, Erina Toda, Rie Osako, Akira Kato, Reon Morioka, Mrunalini Ramanathan, Hiroto Tatsumi, Tatsuo Okui, Takahiro Kanno |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
oral and maxillofacial surgery
Technology Microscopy QC120-168.85 maxillofacial reconstruction bioactive osteoconductivity QH201-278.5 Review Engineering (General). Civil engineering (General) TK1-9971 biocompatibility Descriptive and experimental mechanics uncalcined and unsintered hydroxyapatite General Materials Science Electrical engineering. Electronics. Nuclear engineering TA1-2040 bioresorbability poly L-lactic acid |
| Zdroj: | Materials Materials, Vol 15, Iss 150, p 150 (2022) |
| ISSN: | 1996-1944 |
| Popis: | The advent of bioresorbable materials to overcome limitations and replace traditional bone-reconstruction titanium-plate systems for bone fixation, thus achieving greater efficiency and safety in medical and dental applications, has ushered in a new era in biomaterial development. Because of its bioactive osteoconductive ability and biocompatibility, the forged composite of uncalcined/unsintered hydroxyapatite and poly L-lactic acid (u-HA/PLLA) has attracted considerable interest from researchers in bone tissue engineering, as well as from clinicians, particularly for applications in maxillofacial reconstructive surgery. Thus, various in vitro studies, in vivo studies, and clinical trials have been conducted to investigate the feasibility and weaknesses of this biomaterial in oral and maxillofacial surgery. Various technical improvements have been proposed to optimize its advantages and limit its disadvantages. This narrative review presents an up-to-date, comprehensive review of u-HA/PLLA, a bioactive osteoconductive and bioresorbable bone-reconstruction and -fixation material, in the context of oral and maxillofacial surgery, notably maxillofacial trauma, orthognathic surgery, and maxillofacial reconstruction. It simultaneously introduces new trends in the development of bioresorbable materials that could used in this field. Various studies have shown the superiority of u-HA/PLLA, a third-generation bioresorbable biomaterial with high mechanical strength, biocompatibility, and bioactive osteoconductivity, compared to other bioresorbable materials. Future developments may focus on controlling its bioactivity and biodegradation rate and enhancing its mechanical strength. |
| Databáze: | OpenAIRE |
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