Ling Kung Ee, Roslan Siti Mardhiah, Taib Haslina, Berahim Zurairah
Dental Clinic, School of Dental Sciences, Universiti Sains Malaysia, Kota Bharu, MYS.
Unit of Periodontics, School of Dental Sciences, Universiti Sains Malaysia, Kota Bharu, MYS.
Cureus. 2023 Sep 17;15(9):e45394. doi: 10.7759/cureus.45394. eCollection 2023 Sep.
Background In the periodontal regenerative procedure, the membrane used should possess good mechanical stability with suitable resorption time to allow restoration of the lost periodontium. Amniotic membrane (AM) has regenerative potential as a scaffold or barrier membrane due to its various beneficial properties. However, its degradation rate is not clearly reported. Methodology This study aimed to evaluate the resorption capacity of AM and its surface architecture after being subjected to hydrolytic degradation analysis in phosphate buffer solution (PBS). AM was cut into sizes of 10 × 10 mm for three replicates. The membranes were weighed before and at different time intervals (days 7, 14, 21, and 28) after immersion in PBS. The degradation rate was determined by the percentage of mean weight loss from the initial weight at different time intervals. The AM surface profile was observed under scanning electron microscopy (SEM) before and after 28 days of immersion. Results The result shows a 92% loss of weight over 28 days with the highest attained in the first seven days (67%), followed by 7%, 17%, and 1% after days 14, 21, and 28, respectively. SEM of the AM surface before the degradation test showed a polygonal shape forming a well-arranged mosaic pattern covered with microvilli. At day 28, the remaining AM appears as porous surface architecture, irregularly arranged fibers, and no microvilli seen. Conclusions This study demonstrated that over four weeks of degradation analysis, AM was not entirely degraded but had lost some of the microstructure. The biodegradability of AM should be further evaluated to elucidate its stability within adequate time parallel with the tissue healing process in periodontal tissue regeneration.
背景 在牙周再生手术中,所使用的膜应具有良好的机械稳定性和合适的吸收时间,以利于缺失牙周组织的修复。羊膜(AM)因其多种有益特性,具有作为支架或屏障膜的再生潜力。然而,其降解速率尚未有明确报道。
方法 本研究旨在评估羊膜在磷酸盐缓冲溶液(PBS)中进行水解降解分析后的吸收能力及其表面结构。将羊膜切成10×10 mm大小,共三份。在浸入PBS之前及不同时间间隔(第7、14、21和28天)对膜进行称重。通过不同时间间隔下平均重量损失占初始重量的百分比来确定降解速率。在浸入28天前后,通过扫描电子显微镜(SEM)观察羊膜表面轮廓。
结果 结果显示,在28天内重量损失了92%,其中在前七天损失最大(67%),随后在第14、21和28天分别损失7%、17%和1%。降解测试前羊膜表面的SEM显示为多边形,形成排列良好的镶嵌图案,覆盖有微绒毛。在第28天,剩余的羊膜呈现出多孔表面结构、不规则排列的纤维,且未见微绒毛。
结论 本研究表明,经过四周的降解分析,羊膜并未完全降解,但失去了一些微观结构。应进一步评估羊膜的生物降解性,以阐明其在与牙周组织再生中的组织愈合过程平行的适当时间内的稳定性。