Evidence map›Paper›PMID 42791886›Full record

ReviewBioengineering (Basel, Switzerland)2026

From Bench to Bone: Translational Pathways of Nanomaterial-Based Therapies in Craniomaxillomandibulofacial and Cranial Vault Reconstruction.

Ioannis Chatzistefanou, Sophia Tsokkou, Alexandros C Liatsos, Kyriaki Papadopoulou, Georgia-Alexandra Spyropoulou, Vasileios Petsinis, Theodora Papamitsou

Abstract readReview
In one paragraph

Review in Bioengineering (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

7 authors.

Ioannis ChatzistefanouUniversity General Hospital "Attikon", National and Kapodistrian University of Athens, 12462 Athens, Greece.ORCID 0000-0001-7463-6106
Sophia TsokkouLaboratory of Histology-Embryology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.ORCID 0009-0000-1703-6980
Alexandros C LiatsosLaboratory of Histology-Embryology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.ORCID 0009-0005-1715-1272
Kyriaki PapadopoulouLaboratory of Histology-Embryology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.ORCID 0000-0002-6138-0970
Georgia-Alexandra SpyropoulouClinic of Plastic and Reconstructive Surgery, Papageorgiou General Hospital, Aristotle University of Thessaloniki, 56429 Thessaloniki, Greece.
Vasileios PetsinisUniversity General Hospital "Attikon", National and Kapodistrian University of Athens, 12462 Athens, Greece.
Theodora PapamitsouLaboratory of Histology-Embryology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.ORCID 0000-0002-0709-5407

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Craniomaxillofacial and cranial vault reconstruction remain limited by donor-site morbidity, infection, inadequate vascularization, incomplete osseointegration, and poor adaptation of conventional grafts to complex patient-specific anatomy. Nanomaterial-based therapies offer a translationally attractive strategy. Nanoscale hydroxyapatite, calcium phosphates, mesoporous silica, metallic nanoparticles, bioactive glasses, polymeric carriers, injectable nanocomposite hydrogels, extracellular vesicle-inspired systems, and nanostructured coatings can act on several targets at once, including osteogenesis, angiogenesis, immune response, antimicrobial activity, mechanical reinforcement, and controlled release. This review synthesizes recent evidence on nanomaterial-enabled bone regeneration for craniomaxillofacial and cranial vault reconstruction, placing emphasis on the pathway from in vitro mechanisms to animal models, additive manufacturing, patient-specific implants, and early clinical translation. 3D-printed calcium phosphate or hydroxyapatite-based patient-specific scaffolds are currently supported by the strongest near-clinical evidence, whilst immunomodulatory, bioprinted, injectable, and drug-delivering nanocomposites remain largely preclinical. Growth-factor-independent strategies based on ionic signaling, dipyridamole-enhanced adenosine signaling, nanosilicate-mediated osteogenesis, Wnt/beta-catenin mechanotransduction, and nanoparticle-mediated osteoimmunomodulation may reduce reliance on recombinant bone morphogenetic proteins. However, large-animal validation, long-term biodistribution, nanotoxicology, sterilization, manufacturing reproducibility, and regulatory classification remain major barriers. Future clinical translation will require rational scaffold design, anatomical indication-specific testing, antimicrobial integration, and harmonized regulatory evidence packages.

Indexed as

3D printingangiogenesisbone regenerationcranial vaultcraniomaxillofacial reconstructionhydroxyapatitemesoporous silica nanoparticlesnanomaterialsosteoimmunomodulation

Identifiers

PMID42791886
PMCPMC13603724

What OpenQuestion holds

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Read underepoch 390

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.