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Bone Regeneration After Maxillary Sinus Augmentation with Allogeneic and Xenogeneic Biomaterials with Adjunctive Photobiomodulation: Histological and Radiological Secondary Outcomes of a Randomized Clinical Trial -
Therapeutic Biomaterials for Chronic Osteomyelitis: Time–Space–Control Strategies for Infection Control and Bone Repair—A Narrative Review -
Autologous Platelet Concentrates and Photobiomodulation as Biologically Active Modifiers of Hard and Soft Tissue Healing: A Randomised Controlled Trial
Journal Description
Journal of Functional Biomaterials
Journal of Functional Biomaterials
is an international, interdisciplinary, peer-reviewed, open access journal on materials for biomedical use, published monthly online by MDPI.
- Open Access— free for readers, with article processing charges (APC) paid by authors or their institutions.
- High Visibility: indexed within Scopus, SCIE (Web of Science), PubMed, PMC, Embase, Ei Compendex, Inspec, CAPlus / SciFinder, and other databases.
- Journal Rank: JCR - Q1 (Engineering, Biomedical) / CiteScore - Q1 (Biomedical Engineering)
- Rapid Publication: manuscripts are peer-reviewed and a first decision is provided to authors approximately 15.1 days after submission; acceptance to publication is undertaken in 3.9 days (median values for papers published in this journal in the first half of 2026).
- Recognition of Reviewers: reviewers who provide timely, thorough peer-review reports receive vouchers entitling them to a discount on the APC of their next publication in any MDPI journal, in appreciation of the work done.
- Companion journal: Healthcare Materials
Impact Factor:
5.9 (2025);
5-Year Impact Factor:
6.2 (2025)
Latest Articles
Distinct Structural Determinants of Failure in Morse Taper and Internal Hex Implant Systems
J. Funct. Biomater. 2026, 17(7), 346; https://doi.org/10.3390/jfb17070346 - 17 Jul 2026
Abstract
Objectives: To evaluate the influence of implant–abutment connection design, implant diameter, and simulated marginal bone loss on fracture resistance and failure patterns of dental implant systems. Materials and Methods: A total of 180 implant–abutment assemblies were tested, including Morse taper (MT)
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Objectives: To evaluate the influence of implant–abutment connection design, implant diameter, and simulated marginal bone loss on fracture resistance and failure patterns of dental implant systems. Materials and Methods: A total of 180 implant–abutment assemblies were tested, including Morse taper (MT) and internal hex (IH) connections with diameters of 3.5, 4.0, and 5.0 mm. Implants were embedded at two simulated bone levels (0 and 3 mm) and loaded at 30° until failure, in accordance with ISO 14801:2015. Fracture resistance (N) was analyzed using three-way ANOVA. Results: Connection type, implant diameter, bone level, and their interactions significantly affected fracture resistance (p < 0.001). Internal hex implants showed a marked diameter-dependent increase in resistance and greater reduction under simulated bone loss, particularly in reduced diameters. In contrast, Morse taper implants demonstrated similar resistance values regardless of implant diameter or bone level. Failure patterns also differed between systems: internal hex implants exhibited cervical implant fractures in reduced diameters, whereas Morse taper implants showed progressive abutment deformation and/or abutment fracture without implant body fracture. Conclusions: Implant fracture resistance is strongly influenced by implant–abutment connection geometry. Within the limitations of this static in vitro study, MT systems demonstrated diameter-independent mechanical stability and prosthetic-controlled failure patterns, whereas IH systems were highly sensitive to diameter reduction and simulated bone loss.
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(This article belongs to the Section Dental Biomaterials)
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Open AccessArticle
Functionalization of a Shape-Memory 3D-Printed Clear Aligner Resin with Silanized Chitosan Nanoparticles: Antibacterial, Optical, Polymerization, and Mechanical Evaluation
by
Saya Mustafa Azeez and Anees Mahmood Mudhir
J. Funct. Biomater. 2026, 17(7), 345; https://doi.org/10.3390/jfb17070345 - 16 Jul 2026
Abstract
Directly 3D-printed clear aligners are increasingly adopted for orthodontic treatment, but lack intrinsic antibacterial properties. This study investigates the integration of silanized chitosan nanoparticles (CSNPs) into 3D-printed clear aligner resin to improve antibacterial activity while preserving optical, polymerization, and mechanical performance. Commercial CSNPs
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Directly 3D-printed clear aligners are increasingly adopted for orthodontic treatment, but lack intrinsic antibacterial properties. This study investigates the integration of silanized chitosan nanoparticles (CSNPs) into 3D-printed clear aligner resin to improve antibacterial activity while preserving optical, polymerization, and mechanical performance. Commercial CSNPs were surface modified with 3-(trimethoxysilyl)propyl methacrylate and characterized using FTIR, UV-Vis, TEM, EDS, XRD, DLS and zeta-potential analysis. The silanized CSNPs were incorporated into TA-28 clear aligner resin at 0.01, 0.05, and 0.1 wt%. Antibacterial activity against Streptococcus mutans (S. mutans) and Porphyromonas gingivalis (P. gingivalis) was assessed using bacterial adherence and biofilm assay. Transparency, degree of conversion, tensile and flexural properties were evaluated. Successful silanization was confirmed by characterization analyses. The incorporation of silanized CSNPs reduced bacterial adherence and biofilm formation significantly in comparison with the control group (p < 0.001). The transparency was maintained at 0.01 and 0.05 wt% but reduced significantly at 0.1 wt% (p < 0.001). While all nano-modified groups had a lower DC% than the control group, values remained above 75%. Mechanical performance showed improvements, particularly in stiffness and flexural properties, following nanoparticle incorporation. Among the tested concentrations, the 0.05 wt% CSNPs provided the most favorable overall performance, highlighting their potential for the development of next-generation bioactive clear aligners.
Full article
(This article belongs to the Special Issue Dental Biomaterials in Implantology and Orthodontics)
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Open AccessArticle
Bone-like Collagen Matrices Through Rapid Intrafibrillar Mineralisation
by
Michael Eugene Doyle, Qiancheng Zhang, Brian J. Rodriguez, Kenneth Dalgarno and Ana Marina Ferreira
J. Funct. Biomater. 2026, 17(7), 344; https://doi.org/10.3390/jfb17070344 - 16 Jul 2026
Abstract
An innovative strategy for collagen self-assembly with accelerated intra and extrafibrillar mineralisation is introduced to generate bone scaffolds with biomimetic properties. This method, termed Rapid Fibrillogenic Mineralisation (RFM), leverages coprecipitation with 10× Simulated Body Fluid (10× SBF) during fibril formation to maximise nucleation,
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An innovative strategy for collagen self-assembly with accelerated intra and extrafibrillar mineralisation is introduced to generate bone scaffolds with biomimetic properties. This method, termed Rapid Fibrillogenic Mineralisation (RFM), leverages coprecipitation with 10× Simulated Body Fluid (10× SBF) during fibril formation to maximise nucleation, particularly within intrafibrillar zones at molecular termini. Densification is achieved within minutes via plastic compression driven by capillary action, producing bone-like scaffold density without compromising the collagen matrix. Transmission electron microscopy confirms intrafibrillar hydroxyapatite crystals within 15 min, while X-ray diffraction demonstrates distinct HA peaks across groups. Scanning electron microscopy verified extrafibrillar mineralisation after 4 h, with saturation by 6 h, yielding ‘nanoflower’ crystal clusters. Infrared spectra showed increased carbonate content over time, indicating lattice substitutions characteristic of natural bone. Enhanced mineralisation translated into significant mechanical gains as Dynamic Mechanical Analysis revealed compressive moduli approaching cancellous bone (up to 283 ± 31 MPa). In addition, a decrease in the piezoelectric coefficient occurs with increased mineralisation process, highlighting the effects of mineral inclusions on collagen fibre composition and anisotropy. Biologically, mineralised scaffolds supported cellular growth compared to collagen controls. RFM thus enables rapid, reproducible fabrication of biomimetic bone scaffolds that closely emulate native mineralisation patterns and mechanical behaviour. Beyond offering a practical route for scaffold production in tissue engineering, the process also provides new insights into bone physiology and in vitro modelling. By reshaping collagen into a synthetic echo of nature’s bone, RFM establishes a rapid approach for designing functional biomaterials with translational potential.
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(This article belongs to the Special Issue Advancements in Biomaterials for Bone Tissue Engineering)
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Open AccessArticle
Influence of ZnO Nanoparticles on the Color and Surface Roughness of Composite and Glass-Ionomer Materials
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Sanja Ilić, Neda Ninkovic, Branislav Sredanovic, Goran Vučić, Ljiljana Božić, Ljubica Škrbić, Jovana Kuzmanovic Pficer and Dragica Manojlovic
J. Funct. Biomater. 2026, 17(7), 343; https://doi.org/10.3390/jfb17070343 - 15 Jul 2026
Abstract
Objective: The effect of incorporating various concentrations of 210 nm ZnO nanoparticles (ZnO-NPs) into resin-based composites (RBCs) and glass-ionomer cement (GIC) on their color and surface roughness after immersion in red wine is evaluated. Materials and Methods: 12 experimental groups (n =
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Objective: The effect of incorporating various concentrations of 210 nm ZnO nanoparticles (ZnO-NPs) into resin-based composites (RBCs) and glass-ionomer cement (GIC) on their color and surface roughness after immersion in red wine is evaluated. Materials and Methods: 12 experimental groups (n = 12) were tested, including three commercial restorative materials: a microhybrid RBC (Gradia Direct®), a nanohybrid RBC (Evetric®) and a GIC (Fuji IX®). These were modified with ZnO-NPs at weight concentrations of 1%, 2%, and 3%. Color coordinates (L*,a*,b*) were measured using a spectrophotometer (CIEDE2000 formula) before and after 24 h immersion in red wine (37 °C). Surface roughness (Ra) was analyzed using contact profilometry. Results: The addition of ZnO-NPs increased the lightness (L*) and decreased the a* values in all materials. In resin-based composites, even a 1% concentration of ZnO-NPs caused a color change above the clinical acceptability threshold (ΔE00 > 1.8; observed values ranged from 3.2 to 8.0). After immersion in wine, all materials exhibited further discoloration (ΔE00 up to 12.5 for composites). Surface roughness values increased from 0.42 μm (control composite) to 1.95 μm (3% ZnO-NP-modified GIC). Conclusions: Addition of ZnO-NPs influences the aesthetics and topography of restorative materials. Their concentration must be balanced to maintain visual and surface integrity.
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(This article belongs to the Section Dental Biomaterials)
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Open AccessSystematic Review
Biomaterial-Driven Modulation of Macrophage Polarization in an Experimental Environment of Implant-Associated Infection Mediated by Staphylococcus aureus: A Systematic Review of Preclinical Studies
by
Giorgia Codispoti, Maria Sartori, Michael Salvatore, Andrea Liberatore, Liliana Gabrielli, Tiziana Lazzarotto and Gianluca Giavaresi
J. Funct. Biomater. 2026, 17(7), 342; https://doi.org/10.3390/jfb17070342 - 14 Jul 2026
Abstract
Implant-associated infections (IAIs) caused by Staphylococcus aureus are a major cause of orthopedic implant failure, driven by biofilm formation and chronic inflammation. Macrophages regulate bacterial clearance and tissue repair through polarization into pro-inflammatory (M1) and anti-inflammatory (M2) phenotypes. This systematic review evaluated preclinical
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Implant-associated infections (IAIs) caused by Staphylococcus aureus are a major cause of orthopedic implant failure, driven by biofilm formation and chronic inflammation. Macrophages regulate bacterial clearance and tissue repair through polarization into pro-inflammatory (M1) and anti-inflammatory (M2) phenotypes. This systematic review evaluated preclinical in vivo studies according to PICO criteria (Population: IAI animal models; Intervention: functionalized biomaterials; Comparator: non-functionalized controls; Outcome: bacterial burden reduction associated with macrophage reprogramming). A PRISMA-guided search of PubMed, Scopus, Web of Science, and Embase (January 2015–December 2025) identified 23 eligible studies, assessed using SYRCLE’s risk-of-bias tool. Due to heterogeneity, a narrative synthesis was performed without meta-analysis. Effect measures included bacterial CFU reduction, macrophage polarization markers, cytokine expression, and histological outcomes. In 87.5% of studies, macrophage modulation was associated with reduced bacterial load, biofilm disruption, and improved peri-implant tissue repair and bone integration. These findings support immunomodulatory biomaterials as promising strategies to manage IAIs through combined antibacterial and immune-regulatory mechanisms. However, further validation in larger animal models is required, particularly for nanomaterials. The protocol of this systematic review was registered on the Open Science Framework.
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(This article belongs to the Special Issue Engineered Surfaces: Functionalization Approaches for Cutting-Edge Biomedical Applications)
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Open AccessArticle
Multiphotonic Tuning of Nonlinearities Exhibited by Plasma Polypyrrole
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Carlos Alberto Espinoza-Garcés, Victor Manuel Garcia-de-los-Rios, Axayacatl Morales-Guadarrama, Christopher René Torres-SanMiguel and Carlos Torres-Torres
J. Funct. Biomater. 2026, 17(7), 341; https://doi.org/10.3390/jfb17070341 - 14 Jul 2026
Abstract
Polypyrrole (PPy) synthesized via plasma polymerization (PPPy) offers a unique combination of electrical conductivity, biocompatibility and stability. This advanced material has emerged as a promising platform for next-generation optoelectronics and multiphotonic biosensors. However, fully unlocking its potential has been hindered by processing challenges
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Polypyrrole (PPy) synthesized via plasma polymerization (PPPy) offers a unique combination of electrical conductivity, biocompatibility and stability. This advanced material has emerged as a promising platform for next-generation optoelectronics and multiphotonic biosensors. However, fully unlocking its potential has been hindered by processing challenges that restrict the fabrication of tailored specimens for precise optical and mechanical characterization. This work overcomes these limitations by isolating and analyzing the nonlinear optical (NLO) response of PPPy across three distinct architectural paradigms: Electrospinning, Coating on SiO2 Slides, and Dust of Polymer. Using open- and closed-aperture Z-scan techniques, we demonstrate that PPPy exhibits highly pronounced, architecture-dependent NLO behaviors. Notably, the Electrospinning PPPy morphology triggered a full order-of-magnitude enhancement in the nonlinear refractive index (n2) alongside low-threshold nonlinear absorption (β × 10−8 cm/W). Irradiance-dependent properties further revealed an optical anisotropy, directly governed by the structural and morphological orientation inherent to each processing method. Since optical nonlinearities are closely related to mechanical and electronic properties, these findings provide a critical blueprint for developing macromolecular architectures, opening new pathways for biocompatible cutting-edge multiphotonic platforms, innovative coatings and surface modifications for tailored implants.
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(This article belongs to the Special Issue Spotlight on Biomedical Coating Materials)
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Open AccessArticle
Static and Dynamic Mechanical Properties of 3D-Printable Aligner Resins: An In Vitro Study with FTIR Chemical Characterization
by
Marco Serafin, Elisa Boccalari, Marina Borgese, Alberto Caprioglio, Mario Raspanti, Gilberto Binda and Piero Antonio Zecca
J. Funct. Biomater. 2026, 17(7), 340; https://doi.org/10.3390/jfb17070340 - 14 Jul 2026
Abstract
Background: Directly printed aligners are advancing rapidly, but the mechanical behavior of the resins behind them is still only partly understood. This in vitro study compared the static flexural behavior, short-term stress relaxation, and FTIR profiles of five Class IIa-certified 3D-printable resins for
[...] Read more.
Background: Directly printed aligners are advancing rapidly, but the mechanical behavior of the resins behind them is still only partly understood. This in vitro study compared the static flexural behavior, short-term stress relaxation, and FTIR profiles of five Class IIa-certified 3D-printable resins for direct orthodontic aligners. Methods: The five resins, TC-85, TA-28, DCA, Clear-A V2, and Ortho Flex, were printed as standardized rectangular bars and tested at 37 °C. Three-point bending to 1 mm deflection yielded the maximum flexural stress and the flexural modulus, while a 30 min hold at fixed deflection captured stress relaxation. FTIR added a qualitative chemical characterization. Results: Differences between resins were substantial. DCA led on every static measure, pairing the highest flexural stress and modulus with the highest final relaxation modulus and the best stiffness retention. Clear-A V2 was also statically stiff but retained force only intermediately, whereas TC-85 combined high stiffness with pronounced relaxation. Ortho Flex performed modestly under static loading yet held on to a moderate fraction of its stiffness, and TA-28 relaxed the most. Conclusions: Directly printed aligner resins are mechanically heterogeneous, and static bending alone did not predict short-term force stability. Relaxation metrics should therefore accompany static testing whenever a resin is selected for a specific clinical purpose.
Full article
(This article belongs to the Special Issue Three-Dimensional Printing and Biomaterials for Medical Applications)
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Open AccessArticle
Chemical Recycling of Polyethylene Terephthalate (PET) Medical Waste for the Sustainable Production of Biomedical Materials
by
Haoming Yang and Yuan Yu
J. Funct. Biomater. 2026, 17(7), 339; https://doi.org/10.3390/jfb17070339 - 13 Jul 2026
Abstract
This study systematically evaluates the application prospects of three chemical recycling technologies for resource recovery from PET medical waste and the sustainable production of biomedical materials: catalytic pyrolysis, thermochemical recovery, and enzymatic hydrolysis. Orthogonal experimental designs and Box–Behnken response surface methodologies were used
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This study systematically evaluates the application prospects of three chemical recycling technologies for resource recovery from PET medical waste and the sustainable production of biomedical materials: catalytic pyrolysis, thermochemical recovery, and enzymatic hydrolysis. Orthogonal experimental designs and Box–Behnken response surface methodologies were used to optimise process parameters, and an extended assessment platform covering chemical purity, molecular weight distribution, biocompatibility, and mechanical properties was established. Under optimised conditions (200 C, 3% w/w catalyst, 4 h, 6:1 ethylene-glycol-to-PET mass ratio), catalytic pyrolysis with zinc acetate achieved a terephthalic acid (TPA) recovery of 92.3 ± 1.8% at a product purity of 98.2 ± 0.5%, and retained 97.6% of the tensile strength and 97.4% of the elastic modulus of virgin PET. Although the enzymatic process was relatively long at 24 h, it had the best biocompatibility (L929 fibroblast viability 94.1 ± 2.2% and haemolysis 1.82 ± 0.28%) and reduced the carbon footprint by 46.5% compared to catalytic processing. Thermochemical recovery was completed in 1 h at 500 C, achieving a TPA recovery of 71.2 ± 3.8%, and is suitable for large-scale processing of low-value medical waste streams. Biocompatibility tests showed that PET regenerated via the three paths met the ISO 10993 series of standards, with a cytotoxicity grade of 0–1 and an endotoxin content below 0.5 EU/mL. Gel permeation chromatography showed that the number-average molecular weight (Mn) of chemically recycled PET was between 21,200 and 24,100 g·mol−1 (compared to 24,500 g·mol−1 for virgin PET), approximately 86.5% to 98.4% of the virgin value, and significantly higher than mechanically recycled PET. The technical route and quality-control system established here provide a scientific basis for the closed-loop recycling of medical-grade PET and support the green transformation of the medical industry.
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(This article belongs to the Special Issue Active Biomedical Materials and Their Applications, 2nd Edition)
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Open AccessArticle
Mesoporous Bioactive Glass Nanoparticle-Reinforced Calcium Silicate Sealer for Reduced Microleakage and Enhanced Antibacterial Performance
by
Zun Zhang, Qianqian Zhang, Ying Sun, Baiyan Sui and Xin Liu
J. Funct. Biomater. 2026, 17(7), 338; https://doi.org/10.3390/jfb17070338 - 13 Jul 2026
Abstract
Long-term success of root canal therapy depends not only on effective disinfection but also on durable sealing of the obturated canal system. However, currently available sealers still face persistent challenges in balancing handling, interfacial stability, bioactivity, and antibacterial performance. Here, we developed an
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Long-term success of root canal therapy depends not only on effective disinfection but also on durable sealing of the obturated canal system. However, currently available sealers still face persistent challenges in balancing handling, interfacial stability, bioactivity, and antibacterial performance. Here, we developed an injectable calcium silicate-based root canal sealer reinforced with mesoporous bioactive glass nanoparticles (MBGN) to improve sealing-related performance. The formulation integrated a hydration-active calcium silicate matrix with a mesoporous bioactive component while maintaining practical handling characteristics. MBGN incorporation enhanced dentin-associated mineralization, promoted intratubular crystal deposition, reduced apical microleakage, and decreased internal porosity after obturation. The 5% MBG formulation showed the most favorable sealing profile, reducing the dye penetration depth from 2.68 ± 0.41 mm in the 0% MBG group to 1.87 ± 0.32 mm, together with decreased open and closed pore parameters in the apical region. In parallel, the MBGN-reinforced sealer preserved acceptable cytocompatibility and exhibited stronger antibacterial activity against Streptococcus mutans than the reference formulations. The improved performance may be associated with effective initial adaptation and bioactive interfacial densification. Together, these findings suggest that MBGN incorporation may be a promising route for engineering more bioactive calcium silicate sealers with improved sealing stability and antibacterial function for endodontic applications.
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(This article belongs to the Special Issue Advanced Materials for Clinical Endodontic Applications (3rd Edition))
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Open AccessArticle
Sustainable Carboxymethyl Cellulose-Based Foams via Deep Eutectic Solvent Processing for pH-Responsive Drug Delivery
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Bruno B. Ravanello, Filipe Silva de Matos, Bruna Ramos Navalhas, Luís Pereira and Nalin Seixas
J. Funct. Biomater. 2026, 17(7), 337; https://doi.org/10.3390/jfb17070337 - 12 Jul 2026
Abstract
Carboxymethyl cellulose (CMC)-based materials are widely studied for functional materials and porous platform applications, yet their stability usually requires energy-intensive thermal curing or toxic chemical crosslinkers, which limit process sustainability. In this work, we present a more sustainable approach for the preparation of
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Carboxymethyl cellulose (CMC)-based materials are widely studied for functional materials and porous platform applications, yet their stability usually requires energy-intensive thermal curing or toxic chemical crosslinkers, which limit process sustainability. In this work, we present a more sustainable approach for the preparation of CMC-based foams using deep eutectic solvents (DES) as multifunctional structuring agents. CMC hydrogels were prepared with different DES at room temperature, followed by freeze-drying to obtain foams. Among the tested DES, choline chloride:oxalic acid (1:1) combined with glycerol produced foams with the most favorable properties, including high water uptake (288.24 ± 3.02% after 1 h) and water stability for 28 days. Morphological analysis revealed a homogeneous and interconnected porous network (32.2 ± 13.3 µm), while compression tests demonstrated good mechanical recovery (93.29 ± 3.12% over 10 cycles). Fourier transform infrared spectroscopy suggests interactions between CMC and DES, especially hydrogen bonds. The foams exhibited pH-dependent behavior, with limited resveratrol release under acidic conditions (22.2 ± 4.0% after 24 h), with significant release at pH 7.4 (85.30 ± 5.75%) and total release at pH 13.0. Drug release kinetics suggest a diffusion-controlled mechanism under acidic pH, transitioning to anomalous transport at higher pH values. This study demonstrates that DES can be used to prepare CMC-based foams, providing a more sustainable route to porous materials. Although biological validation is needed to confirm therapeutic safety, this study provides an initial physicochemical basis for using these matrices as tunable and stimuli-responsive porous materials.
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(This article belongs to the Special Issue Emerging Natural-Polymer-Based Materials for Biomedical Applications)
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Open AccessArticle
Polyethylene Terephthalate Glycol-Modified (PETG) as a Reusable and Biocompatible Substrate for Cell Culture Applications
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Alessia Vita, Federica Tiberio, Diego Sibilia, Martina Salvati, Domiziano Dario Tosi, Lorena Di Pietro, Antonio Alliva, Carlo Mariella, Ornella Parolini and Wanda Lattanzi
J. Funct. Biomater. 2026, 17(7), 336; https://doi.org/10.3390/jfb17070336 - 11 Jul 2026
Abstract
The development of reusable and biocompatible biomaterial-based culture substrates is increasingly relevant for improving sustainability in biomedical research workflows. In this study, polyethylene terephthalate glycol-modified (PETG) was evaluated as a potential alternative to conventional polystyrene (PS) for in vitro cell culture applications. PETG
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The development of reusable and biocompatible biomaterial-based culture substrates is increasingly relevant for improving sustainability in biomedical research workflows. In this study, polyethylene terephthalate glycol-modified (PETG) was evaluated as a potential alternative to conventional polystyrene (PS) for in vitro cell culture applications. PETG substrates were fabricated through laser cutting and tested for their ability to support cell adhesion, viability, proliferation, and lineage-specific differentiation across multiple human cell models, including calvarial mesenchymal stromal cells (CMSCs), bone marrow-derived mesenchymal stromal cells (hBM-MSCs), dermal fibroblasts, LHCN-M2 myoblasts, and SH-SY5Y neuroblastoma cells. Morphological and immunofluorescence analyses demonstrated that PETG supported cell attachment and focal adhesion formation, comparable to standard PS surfaces. Cell viability and proliferation assays confirmed metabolic activity and growth over time. Furthermore, PETG substrates supported osteogenic, adipogenic, myogenic, and neuronal differentiation, as demonstrated by histological staining, myotube formation, neurite outgrowth, and lineage-specific gene expression analyses. Finally, PETG maintained CMSC morphology and metabolic activity after repeated recovery, ethanol/UV treatment, and gelatin re-coating, with comparable results between new substrates and those reused for up to three cycles. These findings support PETG as a biocompatible culture substrate with preliminary short-term reuse potential and possible sustainability benefits for laboratory workflows.
Full article
(This article belongs to the Special Issue Biocompatible Research of Materials in Biomedical Applications)
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Open AccessArticle
Copper-Doped Silicate Porous Architectures for Hard Tissue Engineering
by
Cristina Cristea, Maria-Eliza Puscasu, Gabriela-Olimpia Isopencu, Ovidiu-Cristian Oprea, Vasile-Adrian Surdu, Mihaela Bacalum, Roberta Moisa, Sorin-Ion Jinga and Cristina Busuioc
J. Funct. Biomater. 2026, 17(7), 335; https://doi.org/10.3390/jfb17070335 - 9 Jul 2026
Abstract
Porous silicate scaffolds represent a promising class of grafting materials for hard tissue engineering due to their superior bioactivity, adjustable degradation rates, and ability to stimulate both osteogenesis and angiogenesis. In this work, scaffolds based on an akermanite-targeted (Ca2MgSi2O
[...] Read more.
Porous silicate scaffolds represent a promising class of grafting materials for hard tissue engineering due to their superior bioactivity, adjustable degradation rates, and ability to stimulate both osteogenesis and angiogenesis. In this work, scaffolds based on an akermanite-targeted (Ca2MgSi2O7) starting composition, including copper-doped variants, were synthesized using sol–gel and combustion routes, followed by 3D printing to achieve porous architectures with controlled pore size and interconnectivity. The powders were characterized by scanning electron microscopy, energy-dispersive X-ray spectroscopy, Fourier transform infrared spectroscopy, X-ray diffraction, and thermal analysis to evaluate their morphology, composition, and crystalline phases. The scaffolds were further assessed in terms of bioactivity by immersion in simulated body fluid (SBF), antibacterial activity, and in vitro cellular response. The results confirmed that copper doping enhanced antibacterial properties, while maintaining favorable biological behavior. Comparative analysis revealed differences between the two synthesis methods, with sol–gel providing more homogeneous structures and combustion leading to highly porous morphologies. These findings highlight copper-doped silicate scaffolds as promising candidates for bone tissue regeneration, combining architectural integrity with biological functionality.
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(This article belongs to the Special Issue The 15th Anniversary of JFB—Innovative Biomaterials for Tissue Engineering: Regeneration of Soft and Hard Tissues)
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Open AccessArticle
Hydrophobic pp-HMDSO Coating for Three-Dimensional Cell Culture
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Marina Rakhmanova, Anastasia Leonteva, Maxim Chagin, Evgeniya Ermakova, David Sergeevichev, Vladimir Richter, Marina Kosinova and Anna Nushtaeva
J. Funct. Biomater. 2026, 17(7), 334; https://doi.org/10.3390/jfb17070334 - 9 Jul 2026
Abstract
The interaction of biomaterial surface with cells is a pivotal factor in tissue engineering and three-dimensional (3D) modeling. This paper presents an approach to modifying polystyrene surface by plasma-enhanced chemical vapor deposition of thin plasma-polymerized hexamethyldisiloxane (pp-HMDSO) films to enhance biocompatibility and stimulate
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The interaction of biomaterial surface with cells is a pivotal factor in tissue engineering and three-dimensional (3D) modeling. This paper presents an approach to modifying polystyrene surface by plasma-enhanced chemical vapor deposition of thin plasma-polymerized hexamethyldisiloxane (pp-HMDSO) films to enhance biocompatibility and stimulate the formation of 3D cellular structures. The coatings were characterized by SEM, EDS, XPS, FTIR, AFM, contact angle measurements, and surface free energy (SFE) analysis. A hydrophobic surface initiates 3D structure formation by ensuring uniform cell repulsion and stimulating intercellular interactions. Biological evaluation was performed on U-87 MG (glioblastoma) and HMC3 (microglia) cell lines. For U-87 MG, the pp-HMDSO layer proved critical: cell death and atypical adhesion occurred on untreated plastic, whereas stable spheroids formed on the modified surface. HMC3 cells formed small spheroids even on unmodified surfaces, but on pp-HMDSO coatings, the process was more intense and the structures more uniform due to surface hydrophobicity. These results demonstrate the potential of plasma-polymerized HMDSO films as a scalable platform for creating biomaterials with controlled properties for 3D culturing.
Full article
(This article belongs to the Special Issue Surface Coating, Functionalization, and Characterization of Cell- and Tissue-Based Biomaterials)
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Open AccessArticle
Remineralization of Artificial Caries-like Lesions in Permanent Enamel by MI Paste One: Comparative Physicochemical Outcomes and In Vitro Resistance to Secondary Demineralization
by
Najla F. Alsayari, Sarah S. Al-Angari, Latifa A. Alhowaish, Abdulaziz S. Alangari, Raman Bedi, Ayman M. Sulimany and Maha A. Alsarheed
J. Funct. Biomater. 2026, 17(7), 333; https://doi.org/10.3390/jfb17070333 - 9 Jul 2026
Abstract
Background: Patients with White spot lesions (WSLs) are seeking minimally invasive remineralizing treatment. While fluoride is the gold standard of non-invasive caries therapy, its remineralizing impact is predominantly superficial. MI Paste One (MIP-1) combines casein phosphopeptide–amorphous calcium phosphate (CPP–ACP) with 1100 ppm fluoride.
[...] Read more.
Background: Patients with White spot lesions (WSLs) are seeking minimally invasive remineralizing treatment. While fluoride is the gold standard of non-invasive caries therapy, its remineralizing impact is predominantly superficial. MI Paste One (MIP-1) combines casein phosphopeptide–amorphous calcium phosphate (CPP–ACP) with 1100 ppm fluoride. This in vitro study aimed to assess the effect of MIP-1 compared with other agents. Methods: Enamel slabs were demineralized to create a caries-like lesion and randomized into five groups (n = 10): G1, WSL/artificial saliva (AS) (negative control); G2, deionized water brushing; G3, fluoridated toothpaste brushing; G4, MIP-1 brushing; G5, topical MI Paste application. Color change (ΔE), gloss (GU), microhardness (VHN), roughness (Ra), and surface topography (SEM) were assessed at four time points: baseline, first demineralization, treatment, and second demineralization. Results: All active agents improved microhardness after treatment. After secondary demineralization, G4 achieved the highest hardness, significantly superior to G3 (p = 0.016). G5 occupied a statistically intermediate position. CPP–ACP-containing agents (G4, G5) achieved color improvement that was significantly superior to controls. Conclusions: MIP-1 outperformed fluoride toothpaste in resisting secondary demineralization of permanent enamel WSLs. CPP–ACP made a measurable independent contribution to demineralization resistance in permanent enamel. These findings highlight the need for further clinical investigation of MIP-1.
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(This article belongs to the Section Dental Biomaterials)
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Open AccessArticle
Implants in Adolescents: Clinical Outcomes After Growth-Pattern-Adapted Implant Placement
by
Felix Tetsch, Milan Stoilov, Dominik Kraus, Michael Marder, Jan Tetsch and Norbert Enkling
J. Funct. Biomater. 2026, 17(7), 332; https://doi.org/10.3390/jfb17070332 - 9 Jul 2026
Abstract
(1) Background: Dental implants in adolescents remain controversial. This retrospective study aimed to evaluate the esthetic outcome of implants placed during adolescence using a growth-pattern-adapted concept, with implant survival, peri-implant health, and patient satisfaction as secondary outcomes. (2) Materials and methods: Primary implant
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(1) Background: Dental implants in adolescents remain controversial. This retrospective study aimed to evaluate the esthetic outcome of implants placed during adolescence using a growth-pattern-adapted concept, with implant survival, peri-implant health, and patient satisfaction as secondary outcomes. (2) Materials and methods: Primary implant survival was retrospectively evaluated based on treatment records in 305 patients (612 implants) affected by tooth loss or congenital tooth agenesis. A subgroup of 68 anterior maxillary implants (50 patients, mean age at implantation: 16.2 ± 2.3 years; range: 12–20) were clinically re-examined after a mean follow-up of 92.4 ± 61.2 months (range: 36–288). (3) Results: Primary implant survival was 93.8% overall (tooth loss: 97.7%; tooth agenesis: 92.3%). The clinical follow-up cohort showed no cases of peri-implantitis and patient satisfaction was high. Anterior maxillary implants demonstrated favorable esthetic outcomes (Pink Esthetic Score [PES]: 12.0 ± 1.1), with females exhibiting significantly higher scores than males. Vertical discrepancies between the implant crown and the contralateral tooth were observed in 41.2% of implants (infraocclusion: 32.4%; supraocclusion: 8.8%). They were significantly associated with tooth loss, non-mesofacial growth patterns and younger age at implantation, without significant influence on PES. (4) Conclusions: The growth-pattern-adapted implant placement met the predefined esthetic threshold and resulted in high primary implant survival, stable peri-implant health, and high satisfaction, supporting its feasibility for anterior maxillary implant placement during adolescence.
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(This article belongs to the Special Issue Advanced Biomaterials and Oral Implantology—3rd Edition)
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Open AccessReview
Natural Polymers in Guided Bone Regeneration (GBR)
by
Anca Fratila, Diana Marian, Alexandru Petre, Anca Hermenean and Ioana Lile
J. Funct. Biomater. 2026, 17(7), 331; https://doi.org/10.3390/jfb17070331 - 7 Jul 2026
Abstract
Guided Bone Regeneration (GBR) is a pivotal technique in dental and orthopedic applications for regenerating bone in areas of deficiency. Natural polymers such as collagen, chitosan, alginate, and gelatin have emerged as essential materials in GBR due to their biocompatibility, biodegradability, and bioactivity.
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Guided Bone Regeneration (GBR) is a pivotal technique in dental and orthopedic applications for regenerating bone in areas of deficiency. Natural polymers such as collagen, chitosan, alginate, and gelatin have emerged as essential materials in GBR due to their biocompatibility, biodegradability, and bioactivity. These polymers not only provide a scaffold for bone regeneration but also support cellular adhesion, proliferation, and differentiation. Despite their benefits, challenges such as variable degradation rates, insufficient mechanical strength, and limited bioactivity hinder their optimal clinical use. To address these limitations, ongoing research focuses on enhancing the properties of natural polymers. Composite materials combining fast- and slow-degrading polymers are being developed to achieve consistent degradation rates. Surface modifications, including nanoscale texturing and growth factor coatings, are improving bioactivity. Nanotechnology further enhances the structural and therapeutic potential of GBR materials, while advancements in 3D bioprinting enable the creation of customized scaffolds with precise architecture. These innovations aim to bridge the gap between biological compatibility and clinical functionality, making natural polymers more adaptable and effective in GBR. This review highlights the mechanisms, challenges, and advancements in natural polymers for GBR, emphasizing their potential to transform bone regeneration into a more reliable and patient-centered approach.
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(This article belongs to the Special Issue State of the Art: Biomaterials in Bone Implant and Regeneration (2nd Edition))
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Open AccessArticle
Partially Demineralized Acellular Bovine Bone Matrix Supports for Bone Healing In Vivo
by
Cuc Bui, Quan Minh To, My Thi Ngoc Nguyen, Thuan Minh Le, Triet Minh Tran, Lam Nguyen Le, Duc Hoang Minh Bui, Lam Van Nguyen and Ha Le Bao Tran
J. Funct. Biomater. 2026, 17(7), 330; https://doi.org/10.3390/jfb17070330 - 6 Jul 2026
Abstract
Acellular bone matrix, with its natural extracellular matrix components, has been considered a potential alternative platform for bone grafting. Our study focused on fabricating acellular bovine bone matrix (ABBM) and evaluating its in vitro characteristics and in vivo effect on bone repair. The
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Acellular bone matrix, with its natural extracellular matrix components, has been considered a potential alternative platform for bone grafting. Our study focused on fabricating acellular bovine bone matrix (ABBM) and evaluating its in vitro characteristics and in vivo effect on bone repair. The bovine cancellous bone was subjected to ABBM preparation, which included partial demineralization and decellularization processing. The effects of the ABBM on human bone marrow-derived stem cells (hBMSCs) were evaluated, including viability, migration, attachment, and proliferation. A rabbit bone defect model was implanted with ABBM and histologically assessed for bone healing. The acellular properties were determined by the absence of nuclear material and the accepted minimum residual DNA content. An in vitro study indicated the ABBM’s positive effect on the migration of hBMSCs. ABBM was also demonstrated to support hBMSC attachment and proliferation. In vivo testing was performed in rabbits with a cranial bone defect, which showed complete bone healing after 8 weeks of grafting with ABBM. Overall, the fabricated ABBM demonstrated in vitro and in vivo biocompatibility and effective support for bone healing in vivo, and therefore represents a potential xenogeneic biomaterial for bone tissue repair.
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(This article belongs to the Special Issue Biomaterials for Wound Healing and Tissue Repair)
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Open AccessReview
Functional Adhesives for a Restorative Future
by
Andreas Katsonis, Monica Silvia Tatarciuc, Anca Mihaela Vitalariu, Roxana Ionela Vasluianu, Jamal Al-Ashkar, Catalina Holban Cioloca, Andrea-Simoni Katsoni, Panagiotis Perperidis, Irina Gradinaru, Adina Oana Armencia and Ovidiu Stamatin
J. Funct. Biomater. 2026, 17(7), 329; https://doi.org/10.3390/jfb17070329 - 6 Jul 2026
Abstract
Cementation of indirect restorations has undergone a profound change over the past century, evolving from a philosophy of purely mechanical cementation to sophisticated biomaterials science based on adhesion. The aim of this narrative review is to provide essential context for understanding contemporary clinical
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Cementation of indirect restorations has undergone a profound change over the past century, evolving from a philosophy of purely mechanical cementation to sophisticated biomaterials science based on adhesion. The aim of this narrative review is to provide essential context for understanding contemporary clinical decision-making. A key aspect is the structural and compositional characteristics of enamel and dentin as bonding substrates, underlining why enamel remains the gold standard, while dentin continues to present significant challenges. The synthesis is based on evidence of adhesive strategies for the four main classes of contemporary restorative materials, such as glass-ceramics (lithium disilicate and leucite), polycrystalline zirconia, resin-matrix ceramics (hybrid ceramics), and indirect composites. Each material was detailed in terms of surface penetration (e.g., hydrofluoric acid etching and air abrasion), chemical coupling (e.g., silanization and MDP-based primers), and appropriate resin cement selection (light-cured, dual-cured, or self-adhesive). A step-by-step clinical protocol is synthesized based on current evidence, integrating critical techniques such as immediate dentin sealing and optimized polymerization. This review concludes that while adhesive resin cements provide predictable long-term results, significant challenges remain, guiding future clinical research and innovation.
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(This article belongs to the Section Dental Biomaterials)
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Open AccessArticle
Soft Tissue Healing After Post-Extractive Alveolar Ridge Reconstruction Using a Magnesium Membrane-Based Regenerative Approach: A Preliminary Study
by
Ilham Mounssif, Claudio Mazzotti, Valentina Bentivogli, Francesco Bondi, Diego Bianchelli, Matteo Sangiorgi, Giovanni Zucchelli and Martina Stefanini
J. Funct. Biomater. 2026, 17(7), 328; https://doi.org/10.3390/jfb17070328 - 6 Jul 2026
Abstract
Post-extractive alveolar ridge reconstruction with resorbable barrier membranes aims to preserve ridge dimensions and support future implant placement, yet evidence on soft tissue healing with magnesium-based membranes remains limited. This prospective observational pilot study evaluated mucosal healing following alveolar ridge reconstruction using a
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Post-extractive alveolar ridge reconstruction with resorbable barrier membranes aims to preserve ridge dimensions and support future implant placement, yet evidence on soft tissue healing with magnesium-based membranes remains limited. This prospective observational pilot study evaluated mucosal healing following alveolar ridge reconstruction using a resorbable pure magnesium membrane (NOVAMag®) combined with a xenogeneic bone graft and a collagen dermal matrix overlay in five consecutively enrolled patients. Soft tissue healing was assessed with the Wound Healing Index (WHI) at 7, 14, 30, 90, and 180 days postoperatively. Secondary outcomes included postoperative pain (VAS) and oral health-related quality of life (OHIP-14) at 7 days. Mean WHI scores progressed from 4.4 ± 0.8 at day 7 to 4.8 ± 0.4 at day 14, with complete excellent healing (WHI 5.0 ± 0.0) achieved in all patients by day 90 and maintained through day 180. One case of partial wound dehiscence resolved spontaneously without infection or graft loss. Mean VAS was 1.86 ± 1.89 cm, and mean OHIP-14 was 20.8 ± 5.23, indicating limited and transient patient-reported impact. These preliminary findings support the clinical feasibility of the NOVAMag® membrane as part of a combined regenerative approach in post-extractive ridge reconstruction and warrant validation in larger controlled trials.
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(This article belongs to the Special Issue Advanced Biomaterials for Oral Rehabilitation)
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Open AccessArticle
Balancing Osseointegration and Infection Control: The Role of Titanium Surface Topography in Peri-Implant Biology
by
Simina Angela Lăcrimioara Iușan, Dana-Gabriela Feștilă, Ioana-Codruța Mirică, Giorgiana Corina Mureșan, Bianca-Nausica Petrescu, Olga Sorițău, Carmen Costache, Dan-Alexandru Toc, Otilia Andercou, Maria Aluaș, Simion Bran, Dragoș Budei, Silviu Albu and Ondine Patricia Lucaciu
J. Funct. Biomater. 2026, 17(7), 327; https://doi.org/10.3390/jfb17070327 - 6 Jul 2026
Abstract
Background: Peri-implant infections remain a major cause of dental implant failure, largely due to bacterial adhesion and biofilm formation on implant surfaces. This study aimed to investigate how surface topography influences bacterial colonisation and osteoblastic response. Methods: Titanium discs with machined (Ma), sandblasted,
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Background: Peri-implant infections remain a major cause of dental implant failure, largely due to bacterial adhesion and biofilm formation on implant surfaces. This study aimed to investigate how surface topography influences bacterial colonisation and osteoblastic response. Methods: Titanium discs with machined (Ma), sandblasted, large-grit, and acid-etched (SLA), and nanostructured (Nano) surfaces were prepared, sterilised, and seeded with pre-differentiated dental follicle mesenchymal stem cells. Co-cultures with Enterococcus faecalis (E. faecalis) and Streptococcus oralis (S. oralis) were established under CO2-free conditions, and cell–bacteria interactions were evaluated using fluorescence microscopy and quantitative image analysis. Results: Nano surfaces showed the highest osteoblastic adhesion and viability, while significantly reducing bacterial proliferation and biofilm formation compared with Ma and SLA surfaces. The sequence of colonisation influenced cell–bacteria dynamics, with early cell attachment limiting subsequent bacterial adhesion. Conclusions: Nano titanium surfaces may offer a dual benefit by promoting osseointegration while limiting bacterial adhesion. These findings support their potential use as surface modifications to reduce peri-implant infection risk and improve long-term implant success.
Full article
(This article belongs to the Special Issue Antibacterial Biomaterials for Medical Applications)
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