Effects of various membranes on periodontal tissue regeneration: a meta-analysis of the histomorphometry.
10.5051/jkape.2007.37.3.465
- Author:
Jung Seok LEE
1
;
Hyun Chang LIM
;
Gyung Joon CHAE
;
Ui Won JUNG
;
Chang Sung KIM
;
Yong Keun LEE
;
Kyoo Sung CHO
;
Jung Kiu CHAI
;
Chong Kwan KIM
;
Seong Ho CHOI
Author Information
1. Department of Periodontology, Oral Science Research Center, College of Dentistry, Yonsei University, Seoul, Korea. shchoi726@yumc.yonsei.ac.kr
- Publication Type:Meta-Analysis ; Original Article
- Keywords:
membrane;
chitosan;
calcium sulfate;
PLGA;
GTR;
1-Wall defect
- MeSH:
Calcium Sulfate;
Chitosan;
Dental Cementum;
Guided Tissue Regeneration;
Membranes*;
Models, Theoretical;
Osteogenesis;
Regeneration*;
Space Maintenance, Orthodontic;
Transplants
- From:The Journal of the Korean Academy of Periodontology
2007;37(3):465-478
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Various periodontal barrier membranes used in many clinical and experimental fields, and many recent studies of membranes have reported good results. To improve clinical results, selection of barrier membranes is an important factor. So, we need not only to evaluate various barrier membranes, but also to understand the property of barrier membranes appropriate to defect characteristics. For this purpose, this study reviewed available literature, evaluated comparable experimental models, and compared various barrier membranes. From above mentioned methods, the following conclusions are deduced. 1. In 1-wall periodontal defect models, new bone formation showed a consistent result, almost 30% of the defect size. New cementum formations measured mostly 40% of the defect size, but showed more variations than new bone formations. This seems to be resulted form difference in experimental methods, so standardization in experimental methods is needed for future studies. 2. Application PLGA barrier membrane to periodontal defect demonstrated improved healing in new bone and new cementum. 3. There was a minimal periodontal regeneration with calcium sulfate barrier membrane only. But, there was better healing pattern in combination of calcium sulfate membrane with bone graft material, such as DFDBA. 4. There was no significant difference between the experimental group that used chitosan membrane only and the control group. But, in combination with bone graft material for space maintanence, periodontal regeneration was improved. Overall, Space maintenance is a critical factor for Guided tissue regeneration using barrier membranes. Also, a barrier membrane itself that has difficulty in maintaining space, achieved better result when used with graft material.
