Researchers have created a potential alternative to invasive bone graft procedures in children.
For children born with cleft lip and palate, repairing gaps in the jawbone often means waiting until they are 10 to 12 years old before undergoing invasive bone graft surgery.
Now, University of Sydney researchers have developed a biodegradable ‘nanobone’ material that allows the body to harness its own healing properties to regrow bone.
It offers a potential alternative to procedures that have changed little in more than 50 years and, in the longer term, could allow treatment much earlier in childhood, reducing the need to wait years for bone grafting.
It has been developed by researchers at the University of Sydney School of Dentistry, Charles Perkins Centre and Sydney Nano, in collaboration with the University of Queensland.
Their study found that in a preclinical bone model, the material generated about 80% more new bone than a material control after eight weeks. It also activated a key bone-repair growth factor at around 10 times the level achieved using conventional methods.
Lead researcher Associate Professor Chun Xu, a Sydney Horizon Fellow in the Faculty of Medicine and Health, said: ‘The material activates dormant repair signals in the body, triggering a cascade of healing processes that attract bone-forming stem cells and stimulate new bone growth. One of the biggest challenges for children born with cleft lip and palate is repairing the jaw bone defect. While some children with minor defects are treated as infants, many patients need to wait until they are around 10 to 12 years old before surgeons can take bone from another part of the body and graft it into the defect. That means many kids live with difficulties for years. It can affect their breathing, eating and speech. Most heartbreaking of all, it can greatly affect their confidence and social development.
‘Our long-term goal is to develop materials that help the body regenerate bone naturally and reduce the need for these invasive and painful procedures. We hope this could allow treatment much earlier than is possible today.’
More than four million bone repair procedures are performed worldwide each year. Current approaches typically involve bone grafts taken from the patient, or animal-derived materials that largely act as structural fillers.
Rather than delivering manufactured growth factors, the new material – a calcium-aluminosilicate nanomaterial – activates a naturally occurring growth factor called latent Transforming Growth Factor β1 (TGF-β1), which already exists within the body. Once activated, it attracts bone-forming stem cells to the injury site and encourages them to develop into bone-producing cells. Over time, this process replaces the material with the body’s own tissue.
The material also promoted blood clotting within around 30 seconds, helping stabilise the injury site during the earliest stages of healing.
The study is the first to demonstrate a single nanomaterial platform that combines rapid blood clotting, activation of the body’s own latent growth factors, recruitment of bone-forming stem cells and enhanced bone regeneration.
While the technology remains in the preclinical stage and further testing is required before human trials can begin, the researchers believe it could have applications beyond cleft lip and palate, including traumatic injuries, tooth loss and other difficult-to-repair bone defects.
Associate Professor Xu and his team are also exploring how to incorporate the material into personalised 3D-printed scaffolds designed to match an individual patient’s bone defect.
He said: ‘In the future, we hope to combine these materials with advanced 3D-printing technologies so treatments can be tailored to the specific needs of each patient.’
The study was published in ACS Nano.


