Biodegradable magnesium barrier membrane used for guided bone regeneration in dental surgery

阻隔膜 生物医学工程 材料科学 再生(生物学) 吸收 化学 牙科 冶金 医学 病理 生物化学 细胞生物学 生物
作者
Patrick Rider,Željka Perić Kačarević,Akiva Elad,Dražen Tadić,Daniel Rothamel,Gerrit Sauer,Fabien Bornert,Péter Windisch,Dávid Botond Hangyási,Bálint Molnár,Emely Bortel,Bernhard Hesse,Frank Witte
出处
期刊:Bioactive Materials [Elsevier]
卷期号:14: 152-168 被引量:77
标识
DOI:10.1016/j.bioactmat.2021.11.018
摘要

Barrier membranes are commonly used as part of the dental surgical technique guided bone regeneration (GBR) and are often made of resorbable collagen or non-resorbable materials such as PTFE. While collagen membranes do not provide sufficient mechanical protection of the covered bone defect, titanium reinforced membranes and non-resorbable membranes need to be removed in a second surgery. Thus, biodegradable GBR membranes made of pure magnesium might be an alternative. In this study a biodegradable pure magnesium (99.95%) membrane has been proven to have all of the necessary requirements for an optimal regenerative outcome from both a mechanical and biological perspective. After implantation, the magnesium membrane separates the regenerating bone from the overlying, faster proliferating soft tissue. During the initial healing period, the membrane maintained a barrier function and space provision, whilst retaining the positioning of the bone graft material within the defect space. As the magnesium metal corroded, it formed a salty corrosion layer and local gas cavities, both of which extended the functional lifespan of the membrane barrier capabilities. During the resorption of the magnesium metal and magnesium salts, it was observed that the membrane became surrounded and then replaced by new bone. After the membrane had completely resorbed, only healthy tissue remained. The in vivo performance study demonstrated that the magnesium membrane has a comparable healing response and tissue regeneration to that of a resorbable collagen membrane. Overall, the magnesium membrane demonstrated all of the ideal qualities for a barrier membrane used in GBR treatment.
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