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用于骨缺损中引导骨再生的可合成生物降解聚合物膜

A Synthetic Biodegradable Polymer Membrane for Guided Bone Regeneration in Bone Defect.

出版信息

J Biomed Nanotechnol. 2021 Mar 1;17(3):456-465. doi: 10.1166/jbn.2021.3044.

Abstract

Guided bone regeneration (GBR) technique is most commonly used to treat alveolar bone defect. Polylactic acid (PLA) attracts much attention to utilize as a GBR membrane because it has relatively high mechanical strength and biodegradability. However, randomized controlled trials of PLA as a GBR membrane in animals were rare. The aim of this work is to observe the efficacy of polylactic acid membrane in guiding bone regeneration in Beagle canine alveolar bone defect restoration and to compare efficacy with the collagen membrane, providing an experimental basis for further clinical use of the polylactic acid membrane. The tests of physical and chemical properties showed that the PLA membrane has well mechanical strength to maintenance the space for the new bone, and has proper aperture for the attachment of osteoblasts. Through X-ray and histopathological examination of the different time points, the bone grafting material covered with PLA membrane can form similar mature bone compared to collagen membrane ones. Meanwhile, biodegradable speed of the PLA membrane was slower. Thus, this study showed that polylactic acid membrane as synthetic biodegradable polymer was reliably effective in guiding bone regeneration of alveolar bone defects, showed the favorable osteogenic capability and forecasts well applications in bone augmentation.

摘要

引导骨再生(GBR)技术最常用于治疗牙槽骨缺损。聚乳酸(PLA)因其具有相对较高的机械强度和生物降解性而引起了广泛关注,可用作 GBR 膜。然而,PLA 作为 GBR 膜在动物中的随机对照试验很少。本研究旨在观察聚乳酸膜在引导比格犬牙槽骨缺损修复中骨再生的效果,并与胶原膜进行比较,为进一步临床应用聚乳酸膜提供实验依据。理化性能测试表明,PLA 膜具有良好的机械强度,可维持新骨的空间,且孔径适宜成骨细胞附着。通过不同时间点的 X 射线和组织病理学检查,与胶原膜相比,覆盖 PLA 膜的骨移植材料可形成类似成熟的骨。同时,PLA 膜的生物降解速度较慢。因此,本研究表明,作为合成可生物降解聚合物的聚乳酸膜在引导牙槽骨缺损骨再生方面是可靠有效的,具有良好的成骨能力,有望在骨增量中得到应用。

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