Evidence map›Paper›PMID 42645272›Full record

ReviewBiomimetics (Basel, Switzerland)2026

Mitigating Monomer Leaching and Resin-Related Hypersensitivity in Removable Orthodontics Through Bio-Inspired Surface Modifications: A Narrative Review.

Lucia Giannini, Marco Farronato, Antonino Manti, Cinzia Maspero

Abstract readReview
In one paragraph

Review in Biomimetics (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Lucia GianniniFondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.ORCID 0000-0002-3132-1750
Marco FarronatoFondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.ORCID 0000-0002-6209-9873
Antonino MantiDepartment of Biomedical, Surgical and Dental Sciences, School of Dentistry, University of Milan, 20122 Milan, Italy.ORCID 0009-0001-7757-4382
Cinzia MasperoFondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.ORCID 0000-0002-5930-1698

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDuring clinical service, removable orthodontic appliances are continuously exposed to environmental challenges that may compromise material stability and contribute to potentially increasing the risk of local inflammatory responses and hypersensitivity reactions.

methodA literature search was conducted using PubMed/MEDLINE, Scopus, and Web of Science databases. Studies investigating bio-inspired and surface-engineering approaches applicable to orthodontic polymers, acrylic resins, aligner materials, and related dental biomaterials were considered. Evidence from orthodontic adhesives and non-bio-inspired barrier coatings was included when relevant as comparative or translational support. Particular attention was given to polydopamine coatings, polyphenol- and tannic acid-based coatings, chitosan systems, peptide-functionalized surfaces, titanium and titanium oxide-based modifications, nanoparticle-enriched coatings, biomimetic hydrogel-like barriers, and conventional barrier coatings used as comparators.

resultsAvailable evidence suggests that surface modifications reduce monomer diffusion, bacterial adhesion, biofilm formation, and improve cellular responses. Bio-inspired and titanium-based coatings show particular promise by enhancing biocompatibility while providing antimicrobial, antioxidant, anti-inflammatory, and protective barrier properties. Conclusions Bio-inspired surface engineering is a promising approach to improve the biological safety of removable orthodontic appliances. However, further standardized in vitro, in situ, and clinical studies are needed to confirm their long-term stability, durability, and clinical effectiveness in reducing hypersensitivity and other adverse biological effects.

Indexed as

biofilmbio-inspired coatingshypersensitivitymonomer leachingpolymethyl methacrylateremovable orthodontic appliancestitanium dioxide

Identifiers

PMID42645272
PMCPMC13510272

What OpenQuestion holds

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Registered trials

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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.