This in vitro study performed a comparative mechanical evaluation of three classes of direct restorative materials: resin composites, polyacid-modified composite resins (components), and Glass Ionomer Cements (GICs). The objective was to clarify the mechanical position of components relative to composites and glass ionomer cements (GICs). Specimens from two materials per class including the components Dyract AP and Dyract Extra were fabricated using standardized molds. Compressive, diametral tensile, and three-point flexural strength tests were conducted according to ADA and ISO specifications, followed by statistical analysis using ANOVA and Tukey’s HSD test. Results established a consistent mechanical hierarchy: composite resins exhibited the highest strength values in all tests, followed by components, with GICs demonstrating the lowest. Within the component group, the third generation Dyract Extra showed superior properties compared to Dyract AP. The findings confirm that components occupy an intermediate mechanical position, offering significantly greater strength than GICs but not matching composites. Thus, components suit low-to-moderate stress applications where fluoride release and handling ease are beneficial, while composites remain indicated for high-stress areas. This study provides clear evidence for evidence-based clinical material selection.
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Background: Parkinson’s disease involves progressive dopaminergic neuron degeneration and elevated oxidative stress. Targeted delivery of neurotrophic factors like glial cell line-derived neurotrophic factor (GDNF) remains a therapeutic challenge due to the need for site-specific, stimulus responsive release. Methods: We developed a reactive oxygen species (ROS)-responsive hydrogel designed to release GDNF upon exposure to oxidative signals. The hydrogel’s degradation behavior and release kinetics were assessed under physiological and oxidative conditions. Bioactivity of the released GDNF was evaluated in vitro using ROS-damaged neuronal cells. Results: The hydrogel showed high stability under normal conditions but degraded rapidly in the presence of H₂O₂, enabling dose-dependent GDNF release. Released GDNF retained biological activity, promoting neuronal survival and neurite extension. Conclusion: This ROS-responsive hydrogel represents a promising platform for oxidative stress-triggered neurorepair and site-specific neuromodulation in Parkinson’s disease therapy.
Pulpectomy in primary teeth is a widely accepted endodontic procedure aimed at preserving arch integrity and function until natural exfoliation, and its success largely depends on the biological and physicochemical properties of the root canal filling material, which must combine antimicrobial efficacy, biocompatibility, and a resorption pattern compatible with physiological root resorption. This systematic review aimed to evaluate and compare the clinical and radiographic outcomes of different obturation materials used in pulpectomy of primary teeth. A comprehensive literature search was conducted in PubMed, Scopus, Web of Science, and the Cochrane Library. Clinical studies evaluating pulpectomy outcomes in primary teeth were included, while in vitro studies, animal studies, case reports, and narrative or systematic reviews were excluded. The methodological quality of the included studies was assessed using established risk-of-bias tools, and eligible studies were synthesized through a qualitative analysis. Five clinical studies met the inclusion criteria and were included in the qualitative synthesis. All investigated materials demonstrated acceptable clinical success rates. Calcium hydroxide iodoform pastes showed favorable short- to medium-term outcomes but exhibited a tendency toward faster intracanal resorption, whereas zinc oxide–eugenol–based materials were associated with delayed resorption and lower biological compatibility. Emerging clinical evidence suggests that bioceramic calcium silicate–based materials may offer high clinical and radiographic success rates, although long-term data remain limited. Within the limitations of the available evidence, both calcium hydroxide– iodoform pastes and bioceramic materials appear to be effective for pulpectomy in primary teeth; however, the limited number of eligible clinical studies and the heterogeneity of study designs and followup periods restrict the strength of definitive conclusions, highlighting the need for further well-designed, long-term randomized clinical trials to clarify resorption dynamics and potential effects on permanent tooth eruption. This systematic review was conducted in accordance with the PRISMA 2020 guidelines and was registered in the PROSPERO database (CRD1283772); no external funding was received.
The purpose of this research was to determine and compare the impact of light curing on the water sorption and solubility properties of alkasite and bulk-fill glass hybrid materials. An alkasite self-adhesive bulk-fill material (Cention ® N, Ivoclar Vivadent AG, Schaan, Liechtenstein; CEN) and a bulk-fill glass material hybrid (EQUIA Forte™ HT, GC Corp., Tokyo, Japan; EFT) were utilized. Each material was prepared in accordance with the manufacturer’s recommendations. Specimens were placed in disk-shaped molds and divided into two subgroups: light-cured (LC) and non-light-cured (NLC) (n = 5). Sorption and solubility tests were performed in accordance with ISO 4049 standards. Statistical analysis was conducted using one-way ANOVA, Tamhane’s T2 post hoc, Pearson’s correlation coefficient, and independent samples t-tests (p < 0.05). The highest water sorption was observed in Group EFT (63.022 ± 6.772 μg/mm³), while the lowest was observed in Group CEN (4.447 ± 0.412 μg/mm³). No significant differences were detected among Groups CEN and CEN LC and Groups EFT and EFT LC (p > 0.05). Regarding water solubility, Group EFT LC (−99.534 ± 2.008 μg/mm³) exhibited the lowest values, while Group CEN (−2.728 ± 0.499 μg/mm³) demonstrated the highest values. No significant difference was found between Group CEN and CEN LC (p > 0.05), while a statistically significant difference was found between Group EFT and Group EFT LC (p < 0.05). A statistically significant difference was identified between Group CEN and Group EFT and between Group CEN LC and Group EFT LC in terms of both water sorption and solubility values (p < 0.05). The correlation analysis found no significant relationship between the sorption and solubility values for the materials examined (p > 0.05). Regarding water sorption, the self-adhesive bulk-fill material was superior to the bulk-fill glass hybrid material, whether light-cured or not. For water solubility, the bulk-fill glass hybrid material was superior to the self-adhesive bulk-fill material, whether light cured or not. The bulk-fill glass hybrid material exhibited reduced resistance to water sorption but a positive characteristic for water solubility. This short-term in vitro study provides a foundation for the evaluation of early-stage water-material interaction, which is essential for comprehending the behaviour of the material.
Background: Recurrent pregnancy loss (RPL) associated with endometrial dysfunction remains clinically challenging due to the lack of localized, multifunctional therapeutic strategies. Restoring endometrial receptivity, vascularization, and immune balance is key to successful intervention. Methods: An injectable bioactive hydrogel was developed by crosslinking aldehyde-modified hyaluronic acid (HA-CHO) with chitosan. The hydrogel was loaded with LIF (Leukemia Inhibitory Factor), VEGF (Vascular Endothelial Growth Factor), IL-11 (Interleukin-11), and valproic acid to enhance regenerative activity. Its effects were assessed in vitro via cell proliferation (CCK-8), tube formation (HUVEC assay), cytokine expression (THP-1 qPCR), and endometrial gene profiling (hEMSC qPCR). Results: The hydrogel exhibited rapid gelation, good biocompatibility, and factor-loading capacity. It significantly enhanced hEMSC proliferation and HUVEC tube formation. Pro-inflammatory cytokines (TNF-α, IL-6) were downregulated, while IL-10 (Interleukin-10) was upregulated in macrophages. The hydrogel also increased expression of LIF and IGFBP1 (Insulin-like Growth Factor Binding Protein 1), but not PRL, indicating enhanced receptivity without full decidualization. Conclusion: This HA-CHO/chitosan hydrogel supports endometrial regeneration through coordinated promotion of proliferation, angiogenesis, immune modulation, and receptivity. It holds strong potential for localized treatment of RPL with endometrial insufficiency.
Background: Postoperative wound sealing and localized drug delivery are critical needs in nasopharyngeal carcinoma (NPC) management. Natural polysaccharide-based films offer a biocompat ible platform for addressing these challenges. Methods: A composite film was prepared by Schiff base crosslinking of chitosan and oxidized pullulan. The film was characterized by FTIR, and its adhesion, drug release, cytocompatibility, and effects on cell migration were evaluated using in vitro assays. Results: The composite film exhibited a distinct C=N peak in FTIR spectra and significantly enhanced wet adhesion (55 kPa) compared to individual components. Cisplatin-loaded films showed sustained release over 72 h and reduced the viability of CNE-2 cells to 28%. The drug-free film was non-cytotoxic. Extracts from the composite film promoted nasopharyngeal epithelial cell migration, as shown by RTCA assay. Conclusion: This study explored the in vitro characteristics of a chitosan/oxidized pullulan film and evaluated its basic biological performance at the cellular level capable of localized drug release and supporting cell-level healing responses. Further validation in more complex models is warranted.
Background: Recurrent pregnancy loss (RPL) associated with endometrial dysfunction remains clinically challenging due to the lack of localized, multifunctional therapeutic strategies. Restoring endometrial receptivity, vascularization, and immune balance is key to successful intervention. Methods: An injectable bioactive hydrogel was developed by crosslinking aldehyde-modified hyaluronic acid (HA-CHO) with chitosan. The hydrogel was loaded with LIF (Leukemia Inhibitory Factor), VEGF (Vascular Endothelial Growth Factor), IL-11 (Interleukin-11), and valproic acid to enhance regenerative activity. Its effects were assessed in vitro via cell proliferation (CCK-8), tube formation (HUVEC assay), cytokine expression (THP-1 qPCR), and endometrial gene profiling (hEMSC qPCR). Results: The hydrogel exhibited rapid gelation, good biocompatibility, and factor-loading capacity. It significantly enhanced hEMSC proliferation and HUVEC tube formation. Pro-inflammatory cytokines (TNF-α, IL-6) were downregulated, while IL-10 (Interleukin-10) was upregulated in macrophages. The hydrogel also increased expression of LIF and IGFBP1 (Insulin-like Growth Factor Binding Protein 1), but not PRL, indicating enhanced receptivity without full decidualization. Conclusion: This HA-CHO/chitosan hydrogel supports endometrial regeneration through coordinated promotion of proliferation, angiogenesis, immune modulation, and receptivity. It holds strong potential for localized treatment of RPL with endometrial insufficiency.
Background: Parkinson’s disease involves progressive dopaminergic neuron degeneration and elevated oxidative stress. Targeted delivery of neurotrophic factors like glial cell line-derived neurotrophic factor (GDNF) remains a therapeutic challenge due to the need for site-specific, stimulusresponsive release. Methods: We developed a reactive oxygen species (ROS)-responsive hydrogel designed to release GDNF upon exposure to oxidative signals. The hydrogel’s degradation behavior and release kinetics were assessed under physiological and oxidative conditions. Bioactivity of the released GDNF was evaluated in vitro using ROS-damaged neuronal cells. Results: The hydrogel showed high stability under normal conditions but degraded rapidly in the presence of H₂O₂, enabling dose-dependent GDNF release. Released GDNF retained biological activity, promoting neuronal survival and neurite extension. Conclusion: This ROS-responsive hydrogel represents a promising platform for oxidative stress-triggered neurorepair and site-specific neuromodulation in Parkinson’s disease therapy.
Background: Alzheimer’s disease (AD) progresses silently, with pathological changes such as amyloid-beta (Aβ) accumulation occurring years before cognitive symptoms emerge. Early intervention is considered critical to modifying disease progression. However, conventional therapeutics often lack pathological specificity and cause systemic side effects, highlighting the need for disease-responsive strategies. Methods: We designed a BACE1-cleavable peptide precursor that self-assembles into nanofibers in Aβ-rich environments. Enzyme-triggered assembly was characterized using dynamic light scattering (DLS) and Thioflavin T (ThT) fluorescence. Neuroprotective effects were assessed via MTT assay and qPCR of inflammatory markers. Results: The responsive peptide formed stable nanostructures upon BACE1 activation, significantly suppressed Aβ aggregation, improved neuronal viability, and reduced IL-1β expression. Conclusion: This study validates the use of enzyme-responsive peptide nanofibers as a selective and multifunctional therapeutic strategy for early intervention in Alzheimer’s disease, combining disease-environment activation with anti-aggregation, anti-inflammatory, and cognitive protective effects.
Background: Antiphospholipid syndrome (APS) is a major cause of pregnancy morbidity, characterized by antiphospholipid antibody–induced platelet activation and placental thrombosis. Integrin αIIbβ3 is a key mediator of platelet aggregation in this pathological process. Methods: We developed PEGDA-based hydrogels functionalized with acrylated RGD peptides to competitively bind αIIbβ3 and inhibit platelet aggregation. The effects of hydrogel and αIIbβ3 antibody treatments were evaluated in vitro using integrin-binding assays, turbidity-based platelet aggregation and clotting assays, ELISA for cytokine release, and transwell migration of trophoblasts. Results: RGD-modified hydrogels showed dose-dependent binding to αIIbβ3. Both hydrogel and antibody treatments significantly reduced antiphospholipid antibodies (aPL)-induced platelet aggregation, delayed fibrin clot formation, and suppressed IL-6 and TNF-α release from trophoblasts. Cell migration assays confirmed that these interventions preserved trophoblast motility impaired by aPL exposure. Conclusion: Targeting integrin αIIbβ3 with RGD-functionalized biomaterials or neutralizing antibodies effectively attenuated aPL-mediated thromboinflammation. This approach represents a promising localized intervention strategy to prevent APS-related pregnancy complications.