Biological effects of a porcine-derived collagen membrane on intrabony defects
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Purpose: To prolong the degradation time of collagen membranes, various cross-linking techniques have been developed. For cross-linking, chemicals such as formaldehyde and glutaraldehyde are added to collagen membranes, but these chemicals could adversely affect surrounding tissues. The aim of this study is to evaluate the ability of porous non-chemical cross-linking porcine-derived collagen nanofibrous membrane to enhance bone and associated tissue regeneration in one-wall intrabony defects in beagle dogs. Methods: The second and third mandibular premolars and the first molars of 2 adult beagles were extracted bilaterally and the extraction sites were allowed to heal for 10 weeks. One-wall intrabony defects were prepared bilaterally on the mesial and distal side of the fourth mandibular premolars. Among eight defects, four defects were not covered with membrane as controls and the other four defects were covered with membrane as the experimental group. The animals were sacrificed 10 weeks after surgery. Results: Wound healing was generally uneventful. For all parameters evaluating bone regeneration, the experimental group showed significantly superior results compared to the control. In new bone height (NBh), the experimental group exhibited a greater mean value than the control (3.04 ± 0.23 mm/1.57 ± 0.59, P = 0.003). Also, in new bone area (NBa) and new bone volume (NBv), the experimental group showed superior results compared to the control (NBa, 34.48 ± 10.21% vs. 5.09 ± 5.76%, P = 0.014;and NBv, 28.04 ± 12.96 vs. 1.55 ± 0.57, P = 0.041). On the other hand, for parameters evaluating periodontal tissue regeneration, including junctional epithelium migration and new cementum height, there were no statistically significant differences between two groups. Conclusions: Within the limitations of this study, this collagen membrane enhanced bone regeneration at one-wall intrabony defects. On the other hand, no influence of this membrane on periodontal tissue regeneration could be ascertained in this study.
Abstract
Purpose: To prolong the degradation time of collagen membranes, various cross-linking techniques have been developed. For cross-linking, chemicals such as formaldehyde and glutaraldehyde are added to collagen membranes, but these chemicals could adversely affect surrounding tissues. The aim of this study is to evaluate the ability of porous non-chemical cross-linking porcine-derived collagen nanofibrous membrane to enhance bone and associated tissue regeneration in one-wall intrabony defects in beagle dogs. Methods: The second and third mandibular premolars and the first molars of 2 adult beagles were extracted bilaterally and the extraction sites were allowed to heal for 10 weeks. One-wall intrabony defects were prepared bilaterally on the mesial and distal side of the fourth mandibular premolars. Among eight defects, four defects were not covered with membrane as controls and the other four defects were covered with membrane as the experimental group. The animals were sacrificed 10 weeks after surgery. Results: Wound healing was generally uneventful. For all parameters evaluating bone regeneration, the experimental group showed significantly superior results compared to the control. In new bone height (NBh), the experimental group exhibited a greater mean value than the control (3.04 ± 0.23 mm/1.57 ± 0.59, P = 0.003). Also, in new bone area (NBa) and new bone volume (NBv), the experimental group showed superior results compared to the control (NBa, 34.48 ± 10.21% vs. 5.09 ± 5.76%, P = 0.014;and NBv, 28.04 ± 12.96 vs. 1.55 ± 0.57, P = 0.041). On the other hand, for parameters evaluating periodontal tissue regeneration, including junctional epithelium migration and new cementum height, there were no statistically significant differences between two groups. Conclusions: Within the limitations of this study, this collagen membrane enhanced bone regeneration at one-wall intrabony defects. On the other hand, no influence of this membrane on periodontal tissue regeneration could be ascertained in this study.
참고문헌 (34)
- Ramfjord SP, "Results following three modalities of periodontal therapy", J Periodontol, 46, pp.522~526 (1975)
- Kaldahl WB, "Long-term evaluation of periodontal therapy: I. Response to 4 therapeutic modalities", J Periodontol, 67, pp.93~102 (1996)
- Becker W, "A longitudinal study comparing scaling,osseous surgery, and modified Widman procedures: results after 5 years", J Periodontol, 72, pp.1675~1684 (2001)
- Caton J, "Histometric evaluation of periodontal surgery. I. The modified Widman flap procedure", J Clin Periodontol, 7, pp.212~223 (1980)
- Caton J, "Histometric evaluation of periodontal surgery. II. Connective tissue attachment levels after four regenerative procedures", J Clin Periodontol, 7, pp.224~231 (1980)
- Bowers GM, "Histologic evaluation of new attachment apparatus formation in humans. Part I", J Periodontol, 60, pp.664~674 (1989)
- Gottlow J, "New attachment formation as the result of controlled tissue regeneration", J Clin Periodontol, 11, pp.494~503 (1984)
- Garrett S, "Periodontal regeneration around natural teeth", Ann Periodontol, 1, pp.621~666 (1996)
- Buser D, "Localized ridge augmentation using guided bone regeneration. 1.Surgical procedure in the maxilla", Int J Periodontics Restorative Dent, 13, pp.29~45 (1993)
- Dahlin C, "Generation of new bone around titanium implants using a membrane technique: an experimental study in rabbits", Int J Oral Maxillofac Implants, 4, pp.19~25 (1989)
- Simion M, "Guided bone regeneration using resorbable and nonresorbable mem branes: a comparative histologic study in humans", Int J Oral Maxillofac Implants, 11, pp.735~742 (1996)
- Schliephake H, "Guided bone regeneration around endosseous implants using a resorbable membrane vs a PTFE membrane", Clin Oral Implants Res, 11, pp.230~241 (2000)
- Polimeni G, "Prognostic factors for alveolar regeneration:effect of a space-providing biomaterial on guided tissue regeneration", J Clin Periodontol, 31, pp.725~729 (2004)
- Ling LJ, "The influence of membrane exposure on the outcomes of guided tissue regeneration: clinical and microbiological aspects", J Periodontal Res, 38, pp.57~63 (2003)
- Parrish LC, "Non-bioabsorbable vs. bioabsorbable membrane: assessment of their clinical efficacy in guided tissue regeneration technique. A systematic review", J Oral Sci, 51, pp.383~400 (2009)
- Locci P, "Phenotype expression of gingival fibroblasts cultured on membranes used in guided tissue regeneration", J Periodontol, 68, pp.857~863 (1997)
- Quteish D, "Light and electron microscopic evaluation of biocompatibility, resorption and penetration characteristics of human collagen graft material", J Clin Periodontol, 18, pp.305~311 (1991)
- Polimeni G, "Histopathological observations of a polylactic acid-based device intended for guided bone", tissue regeneration, 2008, pp.10, 99~105
- Minabe M, "Different cross-linked types of collagen implanted in rat palatal gingiva", J Periodontol, 60, pp.35~43 (1989)
- Speer DP, "Biological effects of residual glutaraldehyde in glutaraldehyde-tanned collagen biomaterials", J Biomed Mater Res, 14, pp.753~764 (1980)
- Kim CS, "Periodontal repair in surgically created intrabony defects in dogs: influence of the number of bone walls on healing response", J Periodontol, 75, pp.229~235 (2004)
- Wikesjo UM, "Periodontal repair in dogs: a bioabsorbable calcium carbonate coral implant enhances space provision for alveolar bone regeneration in conjunction with guided tissue regeneration", J Periodontol, 74, pp.957~964 (2003)
- Blumenthal NM, "Defect-determined regenerative options for treating periodontal intrabony defects in baboons", J Periodontol, 74, pp.10~24 (2003)
- Sculean A, "Regeneration of periodontal tissues: combinations of barrier membranes and grafting materials - biological foundation and preclinical evidence: a systematic review", J Clin Periodontol, 35, pp.106~116 (2008)
- Muller R, "Morphometric analysis of noninvasively assessed bone biopsies:comparison of high-resolution computed tomography and histologic sections", Bone, 18, pp.215~220 (1996)
- Butz F, "Three-dimensional bone-implant integration profiling using microcomputed tomography", Int J Oral Maxillofac Implants, 21, pp.687~695 (2006)
- Cowan CM, "MicroCT evaluation of three-dimensional mineralization in response to BMP-2 doses in vitro and in critical sized rat calvarial defects", Tissue Eng, 13, pp.501~512 (2007)
- Marechal M, "Histomorphometry and micro-computed tomography of bone augmentation under a titanium membrane", Clin Oral Implants Res, 16, pp.708~714 (2005)
- Kochi G, "A comparative study of microfocus CT and histomorphometry in the evaluation of bone augmentation in rat calvarium", J Oral Sci, 52, pp.203~211 (2010)
- Song WS, "The effects of a bioabsorbable barrier membrane containing safflower seed extracts on periodontal healing of 1-wall intrabony defects in beagle dogs", J Periodontol, 76, pp.22~33 (2005)
- Yeo YJ, "Effects of chitosan nonwoven membrane on periodontal healing of surgically created one-wall intrabony defects in beagle dogs", J Biomed Mater Res B Appl Biomater, 72, pp.86~93 (2005)
- Stoller NH, "Periodontal regeneration of a class II furcation defect utilizing a bioabsorbable barrier in a human. A case study with histology", J Periodontol, 72, pp.238~242 (2001)
- Sculean A, "GTR with bioresorbable membranes in the treatment of intrabony defects: a clinical and histologic study", Int J Periodontics Restorative Dent, 19, pp.501~509 (1999)
- Sculean A, "Healing of human intrabony defects following treatment with enamel matrix proteins or guided tissue regeneration", J Periodontal Res, 34, pp.310~322 (1999)
