Author(s):
Saskia L Nasroen, Dharli Syafriza, Azhari Gani, Abdillah Imron Nasution, Fitri Yunita Batubara, Nur Asmah, Viona Diansari, Basri A. Gani
Email(s):
saskiyaunjani@gmail.com
DOI:
10.52711/0974-360X.2026.00666
Address:
Saskia L Nasroen1*, Dharli Syafriza2, Azhari Gani3, Abdillah Imron Nasution4, Fitri Yunita Batubara5, Nur Asmah6, Viona Diansari7, Basri A. Gani4
1Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Universitas Jenderal Achmad Yani Cimahi, Bandung, Indonesia.
2Department of Pediatric Dentistry, Dentistry Faculty, Universitas Syiah Kuala, Darussalam, Banda Aceh, Aceh, Indonesia.
3Department of Internal Medicine, Faculty of Medicine, Universitas Syiah Kuala and Dr. Zainal Abidin Hospital, Banda Aceh, Indonesia.
4Department of Oral Biology, Dentistry Faculty, Universitas Syiah Kuala, Darussalam, Banda Aceh, Indonesia.
5Department of Conservative Dentistry, Dentistry Faculty, Universitas Sumatera Utara, Medan, Sumatera Utara, Indonesia.
6Department of Conservative Dentistry, Dentistry Faculty, Universitas Muslim Indonesia, Makasar, Sulawesi Selatan, Indonesia.
7Department of Denta Material, Dentistry Faculty, Universitas Syiah Kuala, Darussalam, Banda Aceh, Ind
Published In:
Volume - 19,
Issue - 10,
Year - 2026
ABSTRACT:
The cleft palate is a congenital craniofacial anomaly that causes both functional and aesthetic impairments. While surgical repair remains the primary treatment, it is often complicated by delayed healing, infections, and suboptimal tissue regeneration. Recent advances in biomaterials and localized drug delivery systems have emerged as potential solutions to improve these outcomes. This scoping review aims to map recent innovations in biomaterial-based strategies and drug delivery technologies applied to cleft palate reconstruction, with a focus on regenerative and pharmacological approaches. The review followed PRISMA-ScR guidelines. Literature searches were conducted in PubMed, Scopus, and Web of Science for articles published between 2013 and 2024. Studies included the use of biomaterials, nanotechnology, and pharmacological agents in cleft palate repair. Multiple biomaterials, including collagen scaffolds, chitosan-based hydrogels, and nanocomposites, have been identified for their regenerative potential. Drug delivery systems, such as hydrogel platforms and nanoparticle carriers, enable the localized and sustained release of growth factors, antibiotics, and anti-inflammatory agents. These innovations showed promising outcomes in accelerating wound healing, reducing postoperative complications, and enhancing functional tissue integration in preclinical models. Combining advanced biomaterials with targeted drug delivery represents a promising direction for improving cleft palate reconstruction. Further research is needed to validate these approaches through well-designed preclinical and clinical studies, with a focus on translational feasibility and long-term outcomes.
Cite this article:
Saskia L Nasroen, Dharli Syafriza, Azhari Gani, Abdillah Imron Nasution, Fitri Yunita Batubara, Nur Asmah, Viona Diansari, Basri A. Gani. Biomaterial and Drug Delivery Innovations in Cleft Palate Reconstruction: A Scoping Review of Regenerative and Pharmacological Strategies. Research Journal Pharmacy and Technology. 2026;19(10):4773-1. doi: 10.52711/0974-360X.2026.00666
Cite(Electronic):
Saskia L Nasroen, Dharli Syafriza, Azhari Gani, Abdillah Imron Nasution, Fitri Yunita Batubara, Nur Asmah, Viona Diansari, Basri A. Gani. Biomaterial and Drug Delivery Innovations in Cleft Palate Reconstruction: A Scoping Review of Regenerative and Pharmacological Strategies. Research Journal Pharmacy and Technology. 2026;19(10):4773-1. doi: 10.52711/0974-360X.2026.00666 Available on: https://rjptonline.org/AbstractView.aspx?PID=2026-19-10-42
REFERENCES:
1. Putri FA, Pattamatta M, Anita SES, Maulina T. The global occurrences of cleft lip and palate in pediatric patients and their association with demographic factors: a narrative review. Children (Basel). 2024; 11(3): 322. http://dx.doi.org/10.3390/children11030322
2. Hammond NL, Dixon MJ. Revisiting the embryogenesis of lip and palate development. Oral Dis. 2022; 28(5): 1306–1326. http://dx.doi.org/10.1111/odi.14174
3. Jagasia P, Alter N, Hiller A, Huang J, Pruthi S, Braun S, et al. Palatal Osteogenesis After Cleft Palatoplasty: Does the Bone Grow? Cleft Palate Craniofac J. 2025; 10556656251347737. http://dx.doi.org/10.1177/10556656251347737
4. Brouwer KM, Lundvig DM, Middelkoop E, Wagener FA, Von den Hoff JW. Mechanical cues in orofacial tissue engineering and regenerative medicine. Wound Repair Regen. 2015; 23(3): 302–311. http://dx.doi.org/10.1111/wrr.12283
5. Ozola L, Pilmane M. Characterization of factors associated with tissue immunity, cellular activity and angiogenesis in children with unilateral cleft lip and palate before and during primary dentition: a comparative cross-sectional study. J Clin Med. 2025;14(14):4952. http://dx.doi.org/10.3390/jcm14144952
6. Bhagat S, Patwekar S, Gajale M, Rajmane R. Innovative drug delivery with TiO2 nanotubes: targeted approaches and applications. Res J Pharm Technol. 2025; 18(7): 3385–3395. http://dx.doi.org/10.52711/0974-360X.2025.00489
7. Modi P, Patel H, Vaghela N, Patel U, Naik P. Review of the innovative medication delivery system: the cubosome. Res J Pharm Technol. 2024; 17(8): 4063–4067. http://dx.doi.org/10.52711/0974-360X.2024.00630
8. lqahtani AM, Moorehead R, Asencio IO. Guided tissue and bone regeneration membranes: a review of biomaterials and techniques for periodontal treatments. Polymers (Basel). 2023; 15(16): 3355. http://dx.doi.org/10.3390/polym15163355
9. Sun R, Chen H, Wang M, Yoshitomi T, Takeguchi M, Kawazoe N, Yang Y, Chen G. Smart composite scaffold to synchronize magnetic hyperthermia and chemotherapy for efficient breast cancer therapy. Biomaterials. 2024 Jun; 307: 122511. https://doi.org/10.1016/j.biomaterials.2024.122511
10. eng X, Gould M, Ali MA. A review of current advancements for wound healing: biomaterial applications and medical devices. J Biomed Mater Res B Appl Biomater. 2022; 110(11): 2542–2573. http://dx.doi.org/10.1002/jbm.b.35086
11. Huang X, Lou Y, Duan Y, Liu H, Tian J, Shen Y, et al. Biomaterial scaffolds in maxillofacial bone tissue engineering: a review of recent advances. Bioact Mater. 2024; 33: 129–156. http://dx.doi.org/10.1016/j.bioactmat.2023.10.031
12. Mattos SM, Cestari VRF, Moreira TMM. Scoping protocol review: PRISMA-ScR guide refinement. Rev Enferm UFPI. 2023; 12(1). https://doi.org/10.26694/reufpi.v12i1.3062
13. Prabhakar C, Krishna KB. A review on polymeric nanoparticles. Res J Pharm Technol. 2011; 4(4): 496–498. http://dx.doi.org/10.52711/0974-360X.2011.00093
14. Anoop A, Gobinath T, Ravichandran S. Physicochemical properties and structural characterization of chitosan synthesized from rare spined murex, Murex trapa (Roding, 1798) shell waste. Res J Pharm Technol. 2022; 15(12): 5729–5735. http://dx.doi.org/10.52711/0974-360X.2022.00966
15. Ha JH, Jeong Y, Koo YT, Jeon S, Chung J, Kim S. Effect of collagen matrix on postoperative palatal fistula in cleft palate repair. Sci Rep. 2020; 10(1): 15236. http://dx.doi.org/10.1038/s41598-020-72046-y
16. Ha JH, Jeong Y, Koo YT, et al. Effect of collagen matrix on postoperative palatal fistula in cleft palate repair. Sci Rep. 2020;10(1):15236. https://doi.org/10.1038/s41598-020-72046-y
17. Sun F, Sun X, Wang H, Li C, Zhao Y, Tian J, et al. Application of 3D-printed, PLGA-based scaffolds in bone tissue engineering. Int J Mol Sci. 2022; 23(10): 5831. http://dx.doi.org/10.3390/ijms23105831
18. Gharibshahian M, Salehi M, Beheshtizadeh N, Kamalabadi-Farahani M, Atashi A, Nourbakhsh MS, et al. Recent advances on 3D-printed PCL-based composite scaffolds for bone tissue engineering. Front Bioeng Biotechnol. 2023; 11: 1168504. http://dx.doi.org/10.3389/fbioe.2023.1168504
19. Shang S, Zhuang K, Chen J, Zhang M, Jiang S, Li W. A bioactive composite hydrogel dressing that promotes healing of both acute and chronic diabetic skin wounds. Bioact Mater. 2024; 34: 298–310. http://dx.doi.org/10.1016/j.bioactmat.2024.02.025
20. Sahoo A, Garud N, Chauhan R, Mourya H, Joshi R. Smart polymer matrices for on-demand drug release: recent progress and challenges. Res J Pharm Technol. 2025; 18(6): 2903–2909. http://dx.doi.org/10.52711/0974-360X.2025.00417
21. Barati D, Shariati SRP, Moeinzadeh S, Melero-Martin JM, Khademhosseini A, Jabbari E. Spatiotemporal release of BMP-2 and VEGF enhances osteogenic and vasculogenic differentiation of human mesenchymal stem cells and endothelial colony-forming cells co-encapsulated in a patterned hydrogel. J Control Release. 2016; 223: 126–136. http://dx.doi.org/10.1016/j.jconrel.2015.12.031
22. Chen L, Shao L, Wang F, Huang Y, Gao F. Enhancement in sustained release of antimicrobial peptide and BMP-2 from degradable three-dimensional-printed PLGA scaffold for bone regeneration. RSC Adv. 2019; 9(19): 10494–10507. http://dx.doi.org/10.1039/C8RA08788A
23. Florczyk A, Krajcer A, Wójcik K, Lewandowska-Łańcucka J. Innovative vancomycin-loaded hydrogel-based systems – new opportunities for the antibiotic therapy. Int J Nanomedicine. 2024;19:3991–4005. http://dx.doi.org/10.2147/IJN.S443051
24. Musuc AM, Mititelu M, Chelu M. Hydrogel for sustained delivery of therapeutic agents. Gels. 2024; 10(11): 761. http://dx.doi.org/10.3390/gels10110761
25. Saberi A, Kouhjani M, Mohammadi M, Hosta-Rigau L. Novel scaffold platforms for simultaneous induction of osteogenesis and angiogenesis in bone tissue engineering: a cutting-edge approach. J Nanobiotechnology. 2023; 21(1): 351. http://dx.doi.org/10.1186/s12951-023-02007-1
26. Arias-Betancur A, Badilla-Wenzel N, Astete-Sanhueza Á, Farfán-Beltrán N, Dias FJ. Carrier systems for bone morphogenetic proteins: an overview of biomaterials used for dentoalveolar and maxillofacial bone regeneration. Jpn Dent Sci Rev. 2022; 58: 316–327. http://dx.doi.org/10.1016/j.jdsr.2022.10.001
27. Oliver JD, Jia S, Halpern LR, et al. Innovative molecular and cellular therapeutics in cleft palate tissue engineering. Tissue Eng Part B Rev. 2021; 27(3): 215-37. https://doi.org/10.1089/ten.teb.2020.0181
28. Mardani M, Sadeghzadeh A, Tanideh N, Andisheh-Tadbir A, Lavaee F, Zarei M, et al. The effects of adipose tissue-derived stem cells seeded onto the curcumin-loaded collagen scaffold in healing of experimentally-induced oral mucosal ulcers in rat. Iran J Basic Med Sci. 2020; 23(12): 1618–1624. http://dx.doi.org/10.22038/ijbms.2020.47838.10875
29. Natarajan PM, Jaber MA, Vidhyarekha U, Bhuminathan S, Nandini M, Desai VB, et al. Phytochemicals in periodontal bone regeneration. Res J Pharm Technol. 2024; 17(2): 686–692. http://dx.doi.org/10.52711/0974-360X.2024.00106
30. Saghazadeh S, Rinoldi C, Schot M, Kashaf SS, Sharifi F, Jalilian E, et al. Drug delivery systems and materials for wound healing applications. Adv Drug Deliv Rev. 2018; 127: 138–166. http://dx.doi.org/10.1016/j.addr.2018.04.008
31. Hamdy J, Yacoub H. Management of velopharyngeal insufficiency by a new modification of sphincter pharyngoplasty technique in cleft palate patients: clinical and radiographical prospective study. Ann Med Surg (Lond). 2024; 86(11): 6531–6536. http://dx.doi.org/10.1097/MS9.0000000000000062
32. Mansour A, Romani M, Acharya AB, et al. Drug delivery systems in regenerative medicine: an updated review. Pharmaceutics. 2023; 15(2):695. https://doi.org/10.3390/pharmaceutics15020695
33. Ha JH, Jeong Y, Koo YT, Jeon S, Chung J, Kim S. Effect of collagen matrix on postoperative palatal fistula in cleft palate repair. Sci Rep. 2020; 10(1): 15236. http://dx.doi.org/10.1038/s41598-020-72046-y
34. Wu DT, Munguia-Lopez JG, Cho YW, Ma X, Song V, Zhu Z, et al. Polymeric scaffolds for dental, oral, and craniofacial regenerative medicine. Molecules. 2021; 26(22): 7043. http://dx.doi.org/10.3390/molecules26227043
35. Muzzio N, Moya S, Romero G. Multifunctional scaffolds and synergistic strategies in tissue engineering and regenerative medicine. Pharmaceutics. 2021; 13(6): 792. http://dx.doi.org/10.3390/pharmaceutics13060792
36. Ahmed MS, Yun S, Kim H-Y, Ko S, Islam M, Nam K-W. Hydrogels and microgels: driving revolutionary innovations in targeted drug delivery, strengthening infection management, and advancing tissue repair and regeneration. Gels. 2025; 11(3): 179. http://dx.doi.org/10.3390/gels11030179
37. Li Y, Xu C, Lei C. The delivery and activation of growth factors using nanomaterials for bone repair. Pharmaceutics. 2023; 15(3): 1017. http://dx.doi.org/10.3390/pharmaceutics15031017
38. Fountain S, Windolf M, Henkel J, Tavakoli A, Schuetz MA, Hutmacher DW, et al. Monitoring healing progression and characterizing the mechanical environment in preclinical models for bone tissue engineering. Tissue Eng Part B Rev. 2016; 22(1): 47–57. http://dx.doi.org/10.1089/ten.TEB.2015.0123
39. Flores MJ, Brown KE, Morshed S, Shearer DW. Evidence for local antibiotics in the prevention of infection in orthopaedic trauma. J Clin Med. 2022; 11(24): 7461. http://dx.doi.org/10.3390/jcm11247461
40. Chen S, Shi Y, Zhang X, Ma J. Evaluation of BMP-2 and VEGF loaded 3D printed hydroxyapatite composite scaffolds with enhanced osteogenic capacity in vitro and in vivo. Mater Sci Eng C. 2020; 112: 110893. http://dx.doi.org/10.1016/j.msec.2020.110893
41. Youssef Arkoubi A. Investigating the effectiveness of buccal flap for velopharyngeal insufficiency: a systematic review article. J Clin Med. 2025; 14(8): 2593. http://dx.doi.org/10.3390/jcm14082593
42. Lorenz HP, Longaker MT. Wounds: biology, pathology, and management. In: Surgery: Basic Science and Clinical Evidence. Springer; 2008. p. 221–239. http://dx.doi.org/10.1007/978-0-387-68113-9
43. Liao J, Shi K, Ding Q, Qu Y, Luo F, Qian Z. Recent developments in scaffold-guided cartilage tissue regeneration. J Biomed Nanotechnol. 2014; 10(10): 3085–3104. http://dx.doi.org/10.1166/jbn.2014.1934
44. Parvin N, Joo SW, Mandal TK. Injectable biopolymer-based hydrogels: a next-generation platform for minimally invasive therapeutics. Gels. 2025; 11(6): 383. http://dx.doi.org/10.3390/gels11060383
45. Desai N, Rana D, Patel M, Bajwa N, Prasad R, Vora LK. Nanoparticle therapeutics in clinical perspective: classification, marketed products, and regulatory landscape. Small. 2025; 21(2): 2502315. http://dx.doi.org/10.1002/smll.202502315
46. Liu X, Ma L, Mao Z, Gao C. Chitosan-based biomaterials for tissue repair and regeneration. In: Chitosan for Biomaterials II. Springer; 2011. p. 81–127. http://dx.doi.org/10.1007/978-3-642-23108-0_4
47. Perez RA, Won J-E, Knowles JC, Kim H-W. Naturally and synthetic smart composite biomaterials for tissue regeneration. Adv Drug Deliv Rev. 2013; 65(4): 471–496. http://dx.doi.org/10.1016/j.addr.2012.08.014
48. Xue P-P, Yuan J-D, Yao Q, Zhao Y-Z, Xu H-L. Bioactive factors-imprinted scaffold vehicles for promoting bone healing: the potential strategies and the confronted challenges for clinical production. Bio Integr. 2020; 1(1): 37–54. http://dx.doi.org/10.15212/bioi-2020-0010
49. Xu H, Cui Y, Tian Y, Dou M, Sun S, Wang J, et al. Nanoparticle-based drug delivery systems for enhancing bone regeneration. ACS Biomater Sci Eng. 2024; 10(3): 1302–1322. http://dx.doi.org/10.1021/acsbiomaterials.3c01643
50. Sufiyan M, Kushwaha P, Ahmad M, Mandal P, Vishwakarma KK. Scaffold-mediated drug delivery for enhanced wound healing: a review. AAPS PharmSciTech. 2024; 25(5): 137. http://dx.doi.org/10.1208/s12249-024-02855-1
51. Percival KM, Paul V, Husseini GA. Recent advancements in bone tissue engineering: integrating smart scaffold technologies and bio-responsive systems for enhanced regeneration. Int J Mol Sci. 2024; 25(11): 6012. http://dx.doi.org/10.3390/ijms25116012
52. Huang G, Li F, Zhao X, Ma Y, Li Y, Lin M, et al. Functional and biomimetic materials for engineering of the three-dimensional cell microenvironment. Chem Rev. 2017; 117(20): 12764–12850. http://dx.doi.org/10.1021/acs.chemrev.7b00094
53. Bolívar-Monsalve EJ, Alvarez MM, Hosseini S, Espinosa-Hernandez MA, Ceballos-González CF, Sanchez-Dominguez M, et al. Engineering bioactive synthetic polymers for biomedical applications: a review with emphasis on tissue engineering and controlled release. Mater Adv. 2021; 2(14): 4447–4489. http://dx.doi.org/10.1039/D1MA00092F
54. Costela-Ruiz VJ, Melguizo-Rodríguez L, Bellotti C, Illescas-Montes R, Stanco D, Arciola CR, et al. Different sources of mesenchymal stem cells for tissue regeneration: a guide to identifying the most favorable one in orthopedics and dentistry applications. Int J Mol Sci. 2022; 23(11): 6356. http://dx.doi.org/10.3390/ijms23116356
55. Reyna-Urrutia VA, González-González AM, Rosales-Ibáñez R. Compositions and structural geometries of scaffolds used in the regeneration of cleft palates: a review of the literature. Polymers. 2022; 14(3): 547. https://doi.org/10.3390/polym14030547