Tissue engineering driven regeneration in oral squamous cell carcinoma: from biomaterials to precision gene editing

Oral cancer is a significant global health challenge, ranking as the sixth most prevalent cancer worldwide, with approximately 377,000 new cases diagnosed annually. The high morbidity and mortality rates are largely attributed to tobacco and alcohol use. While conventional treatments such as surgery, radiation, and chemotherapy have improved survival rates, they often lead to unfavourable aesthetic and functional outcomes. Tissue engineering offers a promising alternative, providing regenerative solutions aimed at restoring both oral function and appearance. By integrating biomaterials, biological systems, and engineering principles, tissue engineering enables the creation of functional tissue replacements. The current review examines different t pathways the potential applications of autologous tissue, oral cancer cell lines, CRISPR, gene-editing technologies, and epigenetic modifications for tissue regeneration. Advanced scaffold technologies that mimic the natural extracellular matrix, along with stem cell-based therapies and bioactive molecules, are employed to support tissue growth and differentiation. Mesenchymal stem cells (MSCs) and induced pluripotent stem cells (iPSCs) show significant potential in regenerating hard and soft oral tissues, while also targeting cancer stem cells (CSCs) to prevent recurrence. Furthermore, innovative technologies like 3D bio printing, combined with vascularization strategies, hold promise for developing patient-specific tissue constructs for reconstructive procedures. In conclusion, tissue engineering offers transformative potential for oral cancer treatment, presenting regenerative therapies that can significantly enhance patient outcomes and quality of life.