- Review
58 Pages
Oral diseases have affected a large population worldwide. Phytochemicals have shown antioxidant, antibacterial, and anti-cancer properties, suggesting their potential for managing oral diseases. Conventional dosage forms containing phytochemicals are commercially available and have demonstrated promising effects in oral conditions. Recently, numerous phytochemical-based novel delivery systems (liposomes, niosomes, nanoparticles, nanofibers, hydrogels, etc.) have also been prepared to improve the efficacy of phytochemicals in managing the conditions discussed here. These novel delivery systems can improve local retention, protect phytochemicals from degradation, enhance penetration and bioavailability, and provide controlled or sustained release. This review therefore offers a delivery-system-focused perspective. Research articles from 2013 to 2026 were systematically reviewed. Preclinical and clinical applications of phenolic compounds (catechins, curcumin, quercetin, and resveratrol), carotenoids (lycopene, astaxanthin, and β-carotene), and alkaloids (berberine and piperine) for managing periodontal diseases, oral cancers, potentially malignant oral disorders, dental caries, oral candidiasis, and oral ulcers are summarized. The article provides an overview of oral diseases, classification, common phytochemicals, mechanisms, and clinical improvements. Finally, conventional and novel drug delivery systems loaded with phytochemicals are discussed. This work explores challenges and outlines future directions, with special attention to the role of artificial intelligence.
Biomolecules
5 November 2026



![Exercise-related neurovascular responses and distinct routes relevant to Aβ disposition. (a) Barrier support and blood–brain barrier transport. Exercise-associated brain extracellular vesicles carrying miR-532-5p are linked to EPHA4 suppression and barrier-support phenotypes in pericytes and endothelial cells. Separate experiments measured the increased plasma recovery of brain-administered Aβ42 [12]. These observations are displayed separately from the mechanistic context of polarized endothelial transport, including brain-facing LRP1-mediated uptake, PICALM-associated intracellular trafficking, blood-facing ABCB1/P-glycoprotein-associated efflux, and RAGE-mediated transport in the opposite direction [7,16,17,18,19,20]. The molecular handoff toward ABCB1/P-glycoprotein and the final release step remain unresolved. The transporter responsible for the exercise-associated Aβ42 tracer response has not been established. (b) Intramural periarterial drainage and vessel-wall retention. IPAD is depicted from brain interstitial fluid along capillary basement membranes and basement membranes within arterial walls toward larger surface arteries, counter to luminal blood flow [9,25]. Low-frequency vasomotion is indicated as a candidate driving mechanism, distinct from resting perfusion and stimulus-evoked vascular reactivity [8,25]. Vessel-wall Aβ retention and CAA are shown as a separate outcome rather than an obligatory endpoint of drainage. This panel provides anatomical and mechanistic context; exercise-enhanced IPAD is not established by the illustrated observations. (c) CSF–ISF exchange. AQP4 at astrocytic endfeet facilitates transmembrane water movement. Water droplets passing through AQP4 are distinguished from extracellular solute symbols, which represent tracer distribution in CSF/periarterial and interstitial spaces [10,26,39,40]. The orange diamonds denote extracellular solutes rather than Aβ passing through AQP4. Changes in CSF-tracer distribution characterize fluid exchange and do not by themselves establish the net removal of interstitial Aβ. (d) Meningeal-lymphatic drainage. Brain-administered Aβ42 tracing and CSF-administered nanoparticle measurements are presented as separate experimental approaches [34,35]. Tracer detection in meningeal-lymphatic vessels or deep cervical lymph nodes identifies sampled downstream compartments, while the upstream delivery route and subsequent peptide fate remain unresolved. The ligation symbol marks experimental interruption of the afferent lymphatic vessels entering the nodes, with the interrupted connection indicating blockade at this site. Nanoparticle drainage is a fluid-transport surrogate rather than an Aβ-specific fate measurement. Teal connectors identify exercise-linked evidence, solid slate connectors indicate mechanistic context, and dashed connectors mark relationships requiring direct testing. These categories identify the basis of a connection rather than assigning the same causal strength to every observation. The panels summarize evidence from different experiments and do not constitute a single demonstrated pathway. Abbreviations: Aβ, amyloid-β; ABCB1/P-gp, ATP-binding cassette subfamily B member 1/P-glycoprotein; AQP4, aquaporin-4; BBB, blood–brain barrier; CAA, cerebral amyloid angiopathy; CSF, cerebrospinal fluid; dCLNs, deep cervical lymph nodes; EPHA4, ephrin type-A receptor 4; EVs, extracellular vesicles; IPAD, intramural periarterial drainage; ISF, interstitial fluid; LRP1, low-density lipoprotein receptor-related protein 1; PICALM, phosphatidylinositol-binding clathrin assembly protein; RAGE, receptor for advanced glycation end products.](https://mdpi-res.com/biomolecules/biomolecules-16-01613/article_deploy/html/images/biomolecules-16-01613-ag-550.jpg)




![NTD-ganglioside-induced conformational change in the Spike trimer. The three subunits of the Spike trimer are colored cyan, yellow, and purple. Each NTD is located at the periphery of the trimer. Following the binding of one NTD to a lipid raft enriched in gangliosides, a conformational change propagates throughout the involved subunit (the one in cyan in this example) until it reaches the neighboring subunit (colored yellow). Areas of the NTD whose conformation has been modified after interaction with the raft are indicated in red. Note that the conformational rearrangements affect distant domains of the NTD, including the contact zone with the neighboring subunit. This triggers the unmasking of the RBD of the yellow subunit, now able to bind the ACE-2 receptor. Overall, this process is functionally reminiscent of interfacial activation [60]. Trimeric structures in the closed pre-fusion conformation were constructed with Swiss-PdbViewer [61] by homology with a reference model (pdb: 6VSB) [62]. ACE2 and the spike trimer in the open conformation were from pdb 7DK3 [37]. Protein structures were generated with Molegro Molecular Viewer 2.5 (MMV, http://molexus.io/molegro-molecular-viewer/ accessed on 3 March 2025).](https://mdpi-res.com/biomolecules/biomolecules-16-00111/article_deploy/html/images/biomolecules-16-00111-g001-550.jpg)

