[The Future of Dental Implants: A Narrative Review of Trends, Technologies]

नियंत्रित दवा वितरण के लिए प्रत्यारोपण एक चिकित्सा उपचार की चिकित्सीय प्रभावकारिता में सुधार करने में बहुत सहायक हो सकते हैं, और साथ ही विषाक्त दुष्प्रभावों के जोखिम को कम कर सकते हैं। इस लेख में, चार अलग-अलग रणनीतियों को उदाहरण के तौर पर प्रस्तुत किया गया है: हाइब्रिड हड्डी विकल्प जो हाइड्रॉक्सीपैटाइट और चिटोसन हाइड्रोजेल को जोड़ते हैं; बायो-इंस्पायर्ड पॉलीमर के साथ लेपित संवहनी स्टेंट; स्थानीय डेक्सामेथासोन वितरण के लिए कर्णावत प्रत्यारोपण; और पीरियोडोंटाइटिस उपचार के लिए इन-सीटू बनाने वाले प्रत्यारोपण। लेकिन यह केवल एक प्रतिबंधित चयन है, और दवा (या दवाओं का संयोजन) जारी करने वाले प्रत्यारोपणों पर आधारित कई अन्य दृष्टिकोण और अनुप्रयोग मौजूद हैं। पारंपरिक प्रत्यारोपण या फार्मास्युटिकल खुराक रूपों की तुलना में, वे निर्णायक लाभ प्रदान कर सकते हैं।

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प्रोजेस्टिन इम्प्लांट्स

<p class="p1">Progestin implants for contraception are highly effective, safe, and a convenient option for quite a few women. This article reviews the implants currently available on the market or in development, including their basic galenic and pharmacokinetic properties, as well as their contraceptive efficacy.</p> <p class="p1">The first progestin-only contraceptive implant placed on the market was Norplant, a multiunit system. Since then, several single- and double-rod implants have been developed, each using one of four different progestins: levonorgestrel, etonogestrel, nestorone and nomegestrol acetate. The Jadelle, a newer implant, is similar to the Norplant. <span class="s1">However, it utilizes only two elastic rods instead of six, making both insertion and removal procedures easier. Despite the design simplification of the Jadelle, both systems maintain bioequivalent serum levels of levonorgestrel and demonstrate identical clinical performance.</span></p> <p class="p1">Several single-rod implant systems are examined in this article. These are the Implanon with a 3-year duration; the Nestorone implants for breast feeding and non-breast feeding women lasting up to 2 years; and the Uniplant, which are effective for 1 year.</p> <p class="p1">The research also discusses the advantages and disadvantages of progestin implants, the importance of counseling for increasing user satisfaction, and the prospects for using this method of contraception in the future.</p>

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[ दवा पदार्थ वितरण के लिए इम्प्लांट्स ]

<p class="p1">Implants for controlled drug delivery have high potential to improve the therapeutic efficacy of a medical treatment. Moreover, they reduce the risk of toxic side effects. In this article, four different strategies are exemplarily presented: hybrid bone substitutes combining hydroxyapatite and chitosan hydrogels; vascular stents coated with a bio-inspired polymer; cochlear implants for local dexamethasone delivery; and in-situ forming implants for periodontitis treatment. However, this is only a restricted selection. There are numerous other approaches and applications based on implants releasing a drug (or a combination of drugs). Compared to conventional implants or pharmaceutical dosage forms, the implants for drug substance delivery might offer decisive advantages.</p>

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पॉलिमरिक इम्प्लांट्स में हालिया प्रगति

<p class="p1">Implantable drug delivery systems, including drug pumps and polymeric drug depots, have emerged as means of providing predetermined drug release profiles at the target site of action.</p> <p class="p1">While initial implants aimed at providing an enduring drug supply, developments in polymer chemistry and pharmaceutical technology and the growing need for refined drug delivery patterns have prompted the design of sophisticated drug delivery implants such as on-demand drug-eluting implants and personalized 3D printed-implants. The types of cargo loaded into these implants range from small drug molecules to hormones and even therapeutic cells.</p> <p class="p1">This review will critically examine recent advances in materials and composites used for polymeric implant fabrication, highlight innovative manufacturing approaches, and report <span class="s1">their transformative impact across key medical applications.</span></p>

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