Evidence map›Paper›PMID 41951599›Full record

ArticleNature communications2026

Occlusion-activated autonomous piezoelectric implants for adaptive prevention of peri-implantitis.

Annan Chen, Ke Li, Yinjin Li, Che Fan, Zhiyao Zhang, Yuanchao Liu, Jin Su, Yunsong Shi, Huachen Cui, Kai Liu and 4 more

Abstract read
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
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  3. Article
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  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Annan Chen *State Key Laboratory of Materials Processing and Die & Mould Technology, School of Materials Science and Engineering, Huazhong University of Science and Technology, Wuhan, China.ORCID http://orcid.org/0000-0001-6385-3359
Ke Li *Department of Stomatology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.ORCID http://orcid.org/0009-0007-8487-0538
Yinjin LiState Key Laboratory of Materials Processing and Die & Mould Technology, School of Materials Science and Engineering, Huazhong University of Science and Technology, Wuhan, China.
Che FanDepartment of Materials Science and Engineering, City University of Hong Kong, Hong Kong SAR, China.
Zhiyao ZhangDepartment of Stomatology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Yuanchao LiuDepartment of Mechanical Engineering, City University of Hong Kong, Hong Kong SAR, China.ORCID http://orcid.org/0000-0001-7699-488X
Jin SuState Key Laboratory of Materials Processing and Die & Mould Technology, School of Materials Science and Engineering, Huazhong University of Science and Technology, Wuhan, China.
Yunsong ShiDepartment of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Huachen CuiGuangzhou Municipal Key Laboratory of Materials Informatics, The Hong Kong University of Science and Technology (Guangzhou), Guangzhou, China.ORCID http://orcid.org/0000-0002-2277-9890
Kai LiuState Key Laboratory of Silicate Materials for Architectures, Wuhan University of Technology, Wuhan, China.
Yusheng ShiState Key Laboratory of Materials Processing and Die & Mould Technology, School of Materials Science and Engineering, Huazhong University of Science and Technology, Wuhan, China. shiyusheng@hust.edu.cn.ORCID http://orcid.org/0000-0002-3793-0493
Zhen ZhangDepartment of Stomatology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. zhangtitanium@hust.edu.cn.ORCID http://orcid.org/0000-0003-2228-4078
Chunze YanState Key Laboratory of Materials Processing and Die & Mould Technology, School of Materials Science and Engineering, Huazhong University of Science and Technology, Wuhan, China. c_yan@hust.edu.cn.ORCID http://orcid.org/0000-0001-9052-9175
Jian LuDepartment of Mechanical Engineering, City University of Hong Kong, Hong Kong SAR, China. jianlu@cityu.edu.hk.ORCID http://orcid.org/0000-0001-5362-0316

Funding

National Natural Science Foundation of China (National Science Foundation of China) 52205363, 12302157, and 52235008Natural Science Foundation of Hubei Province (Hubei Provincial Natural Science Foundation) 2024AFB918
6 · The paper itself

Abstract

More than one-third of the global population suffers from dental defects, with osseointegrated implants being the gold-standard intervention; yet, their long-term functional performance is hindered by peri-implantitis. Here, we present an autonomous piezoelectric implant that delivers adaptive antibacterial and anti-inflammatory functionalities through physiological occlusal activation without any external intervention. The implant demonstrates good functional durability, sustaining consistent bioelectric outputs through over 1,000,000 loading-unloading cycles and exhibiting stable electrical performance in simulated physiological environments for over 30 days. Besides, integration with machine learning enables reliable, patient-specific prediction and real-time modulation of occlusal mechano-adaptive voltage responses. The autonomous implant achieves tri-modal therapeutic integration: (ⅰ) electrocatalytic bactericidal activity via controlled reactive oxygen species generation, (ⅱ) electrically induced immunomodulation of macrophages from pro- to anti-inflammatory phenotypes, and (ⅲ) electrostimulation-enhanced osteogenesis surpassing conventional titanium alloys, both in vitro and in vivo. These findings provide insights for occlusion-activated effective peri-implantitis intervention and a widely applicable strategy for developing autonomous and adaptable bioelectronic platforms.

Indexed as

Dental ImplantsPeri-ImplantitisPiezosurgeryAnimalsAnti-Bacterial AgentsAutonomous RobotsHumansMacrophagesMiceOsteogenesisReactive Oxygen SpeciesTitaniumAnti-Bacterial AgentsDental ImplantsReactive Oxygen SpeciesTitanium

Identifiers

PMID41951599
PMCPMC13243470

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.