On the road to sustainability - application of metallic nanoparticles obtained by green synthesis in dentistry: a scoping review.

The growing interest in green-synthesized metallic nanoparticles reflects a global shift toward sustainable, eco-friendly technologies in biomedical innovation, particularly in dentistry. This scoping review examines the rising focus on these nanoparticles regarding their antimicrobial, regenerative, and therapeutic potential in dental applications. Among the metals studied, silver and zinc oxide nanoparticles dominate because of their broad-spectrum antimicrobial activity and enhanced biocompatibility, achieved through phytochemically mediated synthesis. Conventional nanoparticle production often relies on toxic reagents and energy-intensive processes, posing environmental and clinical challenges. In contrast, green synthesis, using plant extracts, fungi, or bacteria, offers a sustainable alternative by leveraging natural reducing agents like polyphenols and flavonoids. These bioactive compounds not only facilitate nanoparticle formation but also improve stability and biological efficacy, making them ideal for dental applications such as caries prevention, endodontic disinfection, and periodontal regeneration. Our analysis of 98 studies reveals India as the leading contributor (78.6%), driven by its rich biodiversity and strong research infrastructure. Key plant families including Lamiaceae and Fabaceae were frequently employed due to their high phenolic content. Despite promising results, gaps remain, such as the predominance of in vitro studies (68.7%) and insufficient cytotoxicity assessments (47.8%), underscoring the need for translational research. This review highlights the transformative potential of green-synthesized nanoparticles in dentistry, merging technological advancement with ecological responsibility. Future work should prioritize clinical trials, long-term safety evaluations, and standardized protocols to fully realize their therapeutic benefits.