Guided bone regeneration (GBR) is a principle adopted from guided tissue regeneration (GTR). Wherein, GBR is used for the healing of peri-implant bony dehiscences, for the immediate placement of implants into extraction sockets and for the augmentation of atrophic alveolar ridges. This procedure is done by the placement of a resorbable or non-resorbable membrane that will exclude undesirable types of tissue growth between the extraction socket and the soft tissue to allow only bone cells to regenerate in the surgically treated lesion. Here, we investigated the biodegradable effect of polylactic-co-glycolic acid (PLGA) membrane in the alveolar bone on Beagle dogs. Results show that both collagen and PLGA membrane had been fully resorbed, biodegraded, at four weeks post-operative reentry into the alveolar bone. Histological results under light microscopy revealed formation of new bone trabeculae in the extraction sites on both collagen and PLGA membrane. In conclusion, PLGA membrane could be a potential biomaterials for use on GBR and GTR. Nevertheless, further studies will be necessary to elucidate the efficiency and cost effectiveness of PLGA as GBR membrane in clinical.

译文

引导骨再生 (GBR) 是引导组织再生 (GTR) 的原则。其中,GBR用于修复种植体周围的骨开裂,将植入物立即放置到拔牙窝中以及增加萎缩性牙槽脊。此过程是通过放置可吸收或不可吸收的膜来完成的,该膜将排除拔牙窝和软组织之间不希望的组织生长类型,从而仅允许骨细胞在手术治疗的病变中再生。在这里,我们研究了聚乳酸-乙醇酸 (PLGA) 膜在比格犬牙槽骨中的可生物降解作用。结果表明,胶原蛋白和PLGA膜在术后四周均被完全吸收,生物降解,再次进入牙槽骨。光学显微镜下的组织学结果显示,在胶原蛋白和PLGA膜的提取部位均形成了新的骨小梁。总之,PLGA膜可能是用于GBR和GTR的潜在生物材料。然而,需要进一步的研究来阐明PLGA作为GBR膜在临床中的效率和成本效益。

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