A more specific term than bioadhesion is mucoadhesion. Most mucosal surfaces such as in the gut or nose are covered by a layer of mucus. Adhesion of a matter to this layer is hence called mucoadhesion. Mucoadhesive agents are usually polymers containing hydrogen bonding groups that can be used in wet formulations or in dry powders for drug delivery purposes. The mechanisms behind mucoadhesion have not yet been fully elucidated, but a generally accepted theory is that close contact must first be established between the mucoadhesive agent and the mucus, followed by interpenetration of the mucoadhesive polymer and the mucin and finishing with the formation of entanglements and chemical bonds between the macromolecules. In the case of a dry polymer powder, the initial adhesion is most likely achieved by water movement from the mucosa into the formulation, which has also been shown to lead to dehydration and strengthening of the mucus layer. The subsequent formation of van der Waals, hydrogen and, in the case of a positively charged polymer, electrostatic bonds between the mucins and the hydrated polymer promotes prolonged adhesion.