# Mechanism of promoting the regeneration of oral tissues by injectable hydrogel

**Authors:** Karthik Shunmugavelu, Bala Geetha Shakthi Chakravarthy, Shaila Umachandran

PMC · DOI: 10.3205/dgkh000588 · GMS Hygiene and Infection Control · 2025-09-30

## TL;DR

Injectable hydrogels show promise for regenerating oral tissues like periodontal ligaments and alveolar bone with minimal invasiveness.

## Contribution

This review systematically evaluates injectable hydrogels for oral tissue regeneration, highlighting their composition and clinical potential.

## Key findings

- Hydrogels made of natural polymers like collagen and hyaluronic acid show regenerative potential.
- Advanced hydrogels, such as self-healing and thermosensitive types, improve biocompatibility and drug delivery.
- Challenges remain in long-term stability and clinical translation of hydrogel formulations.

## Abstract

The regeneration of oral tissues, including periodontal ligaments, alveolar bone, and soft tissues, remains a major challenge in dentistry and maxillofacial surgery. Traditional approaches, such as grafting and guided tissue regeneration, are limited by donor site morbidity, immune responses, and surgical complexities. Injectable hydrogels have emerged as promising biomaterials due to their ability to deliver cells, growth factors, and bioactive molecules directly to injury sites in a minimally invasive manner. Their adjustable properties and ability to mimic the extracellular matrix make them ideal for promoting tissue repair and regeneration. This review evaluates the literature on injectable hydrogels in oral tissue regeneration, with a focus on their composition, mechanism of action, and clinical applications.

A systematic search was conducted across PubMed, Scopus, Web of Science, and Google Scholar for studies published between 2000 and 2024, following PRISMA guidelines.

Thirty (30) studies met the inclusion criteria, with five selected for detailed analysis. The findings highlight the regenerative potential of hydrogels composed of natural polymers, e.g., collagen, alginate, and hyaluronic acid, synthetic polymers, e.g., polyethylene glycol PEG, and polycaprolactone, as well as poly(lactic-co-glycolic)acid. Advanced hydrogel formulations, including self-healing, thermosensitive, and bioactive hydrogels, demonstrate enhanced biocompatibility, mechanical properties, and controlled drug delivery.

Despite their potential, challenges such as long-term stability, clinical translation, and standardization in hydrogel formulations remain. Further research is required to optimize hydrogel-based therapies for widespread clinical use in oral and periodontal tissue regeneration.

## Linked entities

- **Chemicals:** alginate (PubChem CID 5102882)

## Full-text entities

- **Chemicals:** alginate (MESH:D000464), poly(lactic-co-glycolic)acid (MESH:D000077182), polyethylene glycol PEG (-), polycaprolactone (MESH:C016240), hyaluronic acid (MESH:D006820)

## Full text

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## Figures

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## References

5 references — full list in the complete paper: https://tomesphere.com/paper/PMC12587274/full.md

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Source: https://tomesphere.com/paper/PMC12587274