• Hydrogel-based delivery platforms enhance the therapeutic efficacy of bioactive molecules for bone regeneration by prolonging retention, extending half-lives, and reducing side effects.
• Integration of nano-/microscale carriers (e.g., nanoparticles, nanosheets, microspheres) with hydrogels enables controlled and stimuli-responsive release of bioactive molecules.
• The review covers applications in cranial and femoral defect repair, periodontal bone regeneration, and bone regeneration under diseased conditions, highlighting versatility.
• Challenges and future directions include clinical translation, scalability, and development of multi-functional delivery systems for improved bone repair outcomes.
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