Barrier Membranes for Guided Bone Regeneration (GBR): A Focus on Recent Advances in Collagen Membranes

Guided bone regeneration (GBR) has become a clinically standard modality for the treatment of localized jawbone defects. Barrier membranes play an important role in this process by preventing soft tissue invasion outgoing from the mucosa and creating an underlying space to support bone growth. Different membrane types provide different biological mechanisms due to their different origins, preparation methods and structures. Among them, collagen membranes have attracted great interest due to their excellent biological properties and desired bone regeneration results to non-absorbable membranes even without a second surgery for removal. This work provides a comparative summary of common barrier membranes used in GBR, focusing on recent advances in collagen membranes and their biological mechanisms. In conclusion, the review article highlights the biological and regenerative properties of currently available barrier membranes with a particular focus on bioresorbable collagen-based materials. In addition, the advantages and disadvantages of these biomaterials are highlighted, and possible improvements for future material developments are summarized. © 2022 by the authors.

Authors
Ren Y. , Fan L. , Alkildani S. , Liu L. , Emmert S. , Najman S. , Rimashevskiy D. , Schnettler R. , Jung O. , Xiong X. , Barbeck M.
Publisher
MDPI AG
Number of issue
23
Language
English
Status
Published
Number
14987
Volume
23
Year
2022
Organizations
  • 1 Clinic and Policlinic for Dermatology and Venereology, University Medical Center Rostock, Rostock, 18057, Germany
  • 2 BerlinAnalytix GmbH, Berlin, 12109, Germany
  • 3 NMI Natural and Medical Sciences Institute, University of Tübingen, Reutlingen, 72770, Germany
  • 4 Beijing Advanced Innovation Center for Soft Matter Science and Engineering, College of Life Science and Technology, Beijing University of Chemical Technology, Beijing, 100013, China
  • 5 Scientific Research Center for Biomedicine, Department for Cell and Tissue Engineering, Faculty of Medicine, University of Niš, Niš, 18000, Serbia
  • 6 Department of Biology and Human Genetics, Faculty of Medicine, University of Niš, Niš, 18000, Serbia
  • 7 Department of Traumatology and Orthopedics, Peoples’ Friendship University of Russia, Moscow, 117198, Russian Federation
  • 8 University Medical Centre, Justus Liebig University of Giessen, Giessen, 35390, Germany
Keywords
absorbable membrane; bioactive factor; collagen sources; crosslinking; immune response; macrophages; polytetrafluoroethylene (PTFE); titanium; vascularization
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