Comparative evaluation of resorbable and non-resorbable reinforced space-maintaining membranes for guided bone regeneration
1 University of Miami Miller School of Medicine, Miami, FL 33136, USA
2 Department of Biochemistry and Molecular Biology, University of Miami Miller School of Medicine, Miami, FL 33136, USA
3 Dr. John T. Macdonald Foundation Biomedical Nanotechnology Institute (BioNIUM), University of Miami, Miami, FL 33136, USA
4 DeWitt Daughtry Family Department of Surgery, Division of Plastic Surgery, University of Miami Miller School of Medicine, Miami, FL 33136, USA
5 Department of Prosthodontics and Periodontology, University of São Paulo-Bauru School of Dentistry, 17012-901 Bauru, São Paulo, Brazil
6 Department of Surgery, University of Miami Miller School of Medicine, Miami, FL 33136, USA
7 Department of Interventional Radiology, UMHC-SCC, Miami, FL 33136, USA
8 Private Practice, Boynton Beach, FL 33436, USA
9 Biomaterials and Regenerative Biology Division, NYU College of Dentistry, New York, NY 10010, USA
10 Department of Biomedical Engineering, NYU Tandon School of Engineering, Brooklyn, NY 11201, USA
11 Hansjörg Wyss Department of Plastic Surgery, NYU Grossman School of Medicine, New York, NY 10016, USA
12 Department of Oral and Maxillofacial Surgery, NYU College of Dentistry, New York, NY 10010, USA
13 Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, FL 33136, USA
Abstract
Background: Alveolar ridge preservation following tooth extraction remains a clinical challenge, necessitating guided bone regeneration (GBR). The aim of this study was to compare the biocompatibility and tissue response of an experimental resorbable collagen (rCOL) membrane reinforced by poly-lactic-co-glycolic acid to a commercially available non-resorbable titanium (Ti)-reinforced polytetrafluorethylene (rPTFE) membrane in a large translational (beagle) mandibular model. Materials and Methods: Beagles (N = 7) underwent bilateral extraction of mandibular premolars, with full-thickness flaps raised to expose the mandibular bone. Bilateral fourwalled semi-saddle defects (2 defects per animal) were created using a low-speed cylindrical burr under copious irrigation. Defects were filled with porcine xenograft (Xe) putty and covered with either an experimental rCOL, or commercially-available rPTFE (Cytoplast® Ti-150, Osteogenics Biomedical, Inc., Lubbock, TX, USA) membrane. Animals were allowed to heal for 6 weeks and defects were evaluated by microcomputed tomography (μCT) and histological analysis. Results: μCT demonstrated gradual bone ingrowth and bone graft bridging within the defects in both membrane groups. However, bone formation within the defects was significantly greater in defects treated with rCOL (27.15 ± 6.22 %) relative to rPTFE (17.84 ± 6.22 %) (p = 0.041). Histological evaluation demonstrated that the rPTFE group presented with inflammatory infiltrate and granulation tissue between the defect and membrane surface. In contrast, the defects covered by the rCOL membrane evidenced direct contact with newly formed osseous and connective tissue layers. Conclusions: rCOL membranes demonstrated superior healing outcomes characterized by minimal inflammation and higher levels of bone ingrowth within the defect site, compared to rPTFE counterparts.
Graphical Abstract

Keywords
- Guided bone regeneration
- resorbable membranes
- alveolar ridge
- non-resorbable membranes
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