Guided bone regeneration: materials and biological mechanisms revisited
Guided bone regeneration (GBR) is commonly used in combination with the installment of titanium implants. The application of a membrane to exclude non‐osteogenic tissues from interfering with bone regeneration is a key principle of GBR. Membrane materials possess a number of properties which are ame...
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| Vydáno v: | European journal of oral sciences Ročník 125; číslo 5; s. 315 - 337 |
|---|---|
| Hlavní autoři: | , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
| Vydáno: |
England
Wiley Subscription Services, Inc
01.10.2017
John Wiley and Sons Inc |
| Témata: | |
| ISSN: | 0909-8836, 1600-0722, 1600-0722 |
| On-line přístup: | Získat plný text |
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| Abstract | Guided bone regeneration (GBR) is commonly used in combination with the installment of titanium implants. The application of a membrane to exclude non‐osteogenic tissues from interfering with bone regeneration is a key principle of GBR. Membrane materials possess a number of properties which are amenable to modification. A large number of membranes have been introduced for experimental and clinical verification. This prompts the need for an update on membrane properties and the biological outcomes, as well as a critical assessment of the biological mechanisms governing bone regeneration in defects covered by membranes. The relevant literature for this narrative review was assessed after a MEDLINE/PubMed database search. Experimental data suggest that different modifications of the physicochemical and mechanical properties of membranes may promote bone regeneration. Nevertheless, the precise role of membrane porosities for the barrier function of GBR membranes still awaits elucidation. Novel experimental findings also suggest an active role of the membrane compartment per se in promoting the regenerative processes in the underlying defect during GBR, instead of being purely a passive barrier. The optimization of membrane materials by systematically addressing both the barrier and the bioactive properties is an important strategy in this field of research. |
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| AbstractList | Guided bone regeneration (GBR) is commonly used in combination with the installment of titanium implants. The application of a membrane to exclude non‐osteogenic tissues from interfering with bone regeneration is a key principle of GBR. Membrane materials possess a number of properties which are amenable to modification. A large number of membranes have been introduced for experimental and clinical verification. This prompts the need for an update on membrane properties and the biological outcomes, as well as a critical assessment of the biological mechanisms governing bone regeneration in defects covered by membranes. The relevant literature for this narrative review was assessed after a MEDLINE/PubMed database search. Experimental data suggest that different modifications of the physicochemical and mechanical properties of membranes may promote bone regeneration. Nevertheless, the precise role of membrane porosities for the barrier function of GBR membranes still awaits elucidation. Novel experimental findings also suggest an active role of the membrane compartment per se in promoting the regenerative processes in the underlying defect during GBR, instead of being purely a passive barrier. The optimization of membrane materials by systematically addressing both the barrier and the bioactive properties is an important strategy in this field of research. Guided bone regeneration (GBR) is commonly used in combination with the installment of titanium implants. The application of a membrane to exclude non-osteogenic tissues from interfering with bone regeneration is a key principle of GBR. Membrane materials possess a number of properties which are amenable to modification. A large number of membranes have been introduced for experimental and clinical verification. This prompts the need for an update on membrane properties and the biological outcomes, as well as a critical assessment of the biological mechanisms governing bone regeneration in defects covered by membranes. The relevant literature for this narrative review was assessed after a MEDLINE/PubMed database search. Experimental data suggest that different modifications of the physicochemical and mechanical properties of membranes may promote bone regeneration. Nevertheless, the precise role of membrane porosities for the barrier function of GBR membranes still awaits elucidation. Novel experimental findings also suggest an active role of the membrane compartment per se in promoting the regenerative processes in the underlying defect during GBR, instead of being purely a passive barrier. The optimization of membrane materials by systematically addressing both the barrier and the bioactive properties is an important strategy in this field of research.Guided bone regeneration (GBR) is commonly used in combination with the installment of titanium implants. The application of a membrane to exclude non-osteogenic tissues from interfering with bone regeneration is a key principle of GBR. Membrane materials possess a number of properties which are amenable to modification. A large number of membranes have been introduced for experimental and clinical verification. This prompts the need for an update on membrane properties and the biological outcomes, as well as a critical assessment of the biological mechanisms governing bone regeneration in defects covered by membranes. The relevant literature for this narrative review was assessed after a MEDLINE/PubMed database search. Experimental data suggest that different modifications of the physicochemical and mechanical properties of membranes may promote bone regeneration. Nevertheless, the precise role of membrane porosities for the barrier function of GBR membranes still awaits elucidation. Novel experimental findings also suggest an active role of the membrane compartment per se in promoting the regenerative processes in the underlying defect during GBR, instead of being purely a passive barrier. The optimization of membrane materials by systematically addressing both the barrier and the bioactive properties is an important strategy in this field of research. Guided bone regeneration ( GBR ) is commonly used in combination with the installment of titanium implants. The application of a membrane to exclude non‐osteogenic tissues from interfering with bone regeneration is a key principle of GBR . Membrane materials possess a number of properties which are amenable to modification. A large number of membranes have been introduced for experimental and clinical verification. This prompts the need for an update on membrane properties and the biological outcomes, as well as a critical assessment of the biological mechanisms governing bone regeneration in defects covered by membranes. The relevant literature for this narrative review was assessed after a MEDLINE /PubMed database search. Experimental data suggest that different modifications of the physicochemical and mechanical properties of membranes may promote bone regeneration. Nevertheless, the precise role of membrane porosities for the barrier function of GBR membranes still awaits elucidation. Novel experimental findings also suggest an active role of the membrane compartment per se in promoting the regenerative processes in the underlying defect during GBR , instead of being purely a passive barrier. The optimization of membrane materials by systematically addressing both the barrier and the bioactive properties is an important strategy in this field of research. |
| Author | Omar, Omar Dahlin, Christer Thomsen, Peter Elgali, Ibrahim |
| AuthorAffiliation | 2 BIOMATCELL VINN Excellence Center of Biomaterials and Cell Therapy University of Gothenburg Gothenburg Sweden 3 Department of Oral Maxillofacial Surgery/ENT NU‐Hospital organisation Trollhättan Sweden 1 Department of Biomaterials Institute of Clinical Sciences Sahlgrenska Academy University of Gothenburg Gothenburg Sweden |
| AuthorAffiliation_xml | – name: 2 BIOMATCELL VINN Excellence Center of Biomaterials and Cell Therapy University of Gothenburg Gothenburg Sweden – name: 1 Department of Biomaterials Institute of Clinical Sciences Sahlgrenska Academy University of Gothenburg Gothenburg Sweden – name: 3 Department of Oral Maxillofacial Surgery/ENT NU‐Hospital organisation Trollhättan Sweden |
| Author_xml | – sequence: 1 givenname: Ibrahim surname: Elgali fullname: Elgali, Ibrahim organization: University of Gothenburg – sequence: 2 givenname: Omar surname: Omar fullname: Omar, Omar organization: University of Gothenburg – sequence: 3 givenname: Christer surname: Dahlin fullname: Dahlin, Christer organization: NU‐Hospital organisation – sequence: 4 givenname: Peter orcidid: 0000-0003-3910-6665 surname: Thomsen fullname: Thomsen, Peter email: peter.thomsen@biomaterials.gu.se organization: University of Gothenburg |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28833567$$D View this record in MEDLINE/PubMed https://gup.ub.gu.se/publication/258601$$DView record from Swedish Publication Index (Göteborgs universitet) |
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| Issue | 5 |
| Keywords | guided bone regeneration biocompatible materials membrane growth factors osseointegration |
| Language | English |
| License | Attribution-NonCommercial-NoDerivs 2017 The Authors. Eur J Oral Sci published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
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| PublicationDate | October 2017 |
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| SubjectTerms | alveolar ridge augmentation Animals anorganic bovine asymmetric porous beta-tricalcium phosphate Biocompatibility biocompatible materials Biocompatible Materials - pharmacology Biological properties Biomaterials Science Biomaterialvetenskap Biomedical materials bone Bone growth Bone Regeneration - physiology calcium-sulfate barrier controlled clinical-trial Data processing Dental Implants growth factors guided bone regeneration Guided Tissue Regeneration - methods Humans Literature reviews Mechanical properties membrane Membranes Membranes, Artificial occlusive titanium barrier Odontologi Odontology Optimization osseointegration Osseointegration - physiology platelet-rich fibrin randomized controlled-trial Regeneration Regeneration (physiology) resorbable polymeric membranes Review structure Surgical implants Tissues Titanium Titanium - chemistry |
| Title | Guided bone regeneration: materials and biological mechanisms revisited |
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