Yang Mingzhen, Sun Mingyu, Wang Jiarui, Cao Qing, Xian Cory J, Zhai Yuankun
School of Stomatology, Henan University, Kaifeng, China; Kaifeng Key Laboratory of Periodontal Tissue Engineering, Kaifeng, China.
West China School of Stomatology, Sichuan University, Chengdu, China.
Int Dent J. 2025 Sep 1;75(6):103881. doi: 10.1016/j.identj.2025.103881.
Oral inflammatory diseases pose a significant global health challenge due to their high incidence and risk of systemic complications. Conventional treatment methods are limited by issues such as antibiotic resistance, poor drug delivery efficiency, and immunosuppressive side effects, which create an urgent need for innovative therapeutic approaches. Metal nanoparticles (MNPs), as promising candidates, have unique antibacterial and immune-regulating properties, which arise from their nanoscale size, excellent targeted penetration, and diverse biological activities. This review overviews the mechanisms involving major MNPs, such as Ag, Cu/CuO, Au, TiO₂, Zn/ZnO and CeO₂, in oral inflammatory diseases over the past 5 years, together with their applications in preclinical and clinical settings. These MNPs can effectively inactivate oral pathogens and modulate the host immune response. Furthermore, they enhance the precision of targeted drug delivery by improving material properties, thereby offering more effective treatment and prevention of oral inflammatory diseases. The discussion then moves on to address the challenges encountered by MNPs in clinical translation and their future development prospects. These MNPs possess tremendous potential for advancing the personalisation and precision of oral inflammatory disease therapy.
口腔炎性疾病因其高发病率和全身并发症风险,对全球健康构成重大挑战。传统治疗方法受到抗生素耐药性、药物递送效率低和免疫抑制副作用等问题的限制,这迫切需要创新的治疗方法。金属纳米颗粒(MNPs)作为有前景的候选者,具有独特的抗菌和免疫调节特性,这源于它们的纳米级尺寸、出色的靶向穿透能力和多样的生物活性。本综述概述了过去5年中主要的金属纳米颗粒,如银(Ag)、铜/氧化铜(Cu/CuO)、金(Au)、二氧化钛(TiO₂)、锌/氧化锌(Zn/ZnO)和二氧化铈(CeO₂),在口腔炎性疾病中的作用机制,以及它们在临床前和临床环境中的应用。这些金属纳米颗粒可以有效地使口腔病原体失活并调节宿主免疫反应。此外,它们通过改善材料性能提高了靶向药物递送的精准度,从而为口腔炎性疾病提供更有效的治疗和预防。接着讨论了金属纳米颗粒在临床转化中遇到的挑战及其未来发展前景。这些金属纳米颗粒在推进口腔炎性疾病治疗的个性化和精准化方面具有巨大潜力。