可吸收生物膜在牙周引导组织再生中的研究进展
Progress in Resorbable Biomimetic Membranes for Periodontal Guided Tissue Regeneration
DOI: 10.12677/jcpm.2025.41088, PDF,   
作者: 晏星瑞, 张红梅, 陈家俊*:重庆医科大学附属口腔医院,口腔疾病研究重庆市重点实验室,重庆市高校市级口腔生物医学工程重点实验室,重庆
关键词: 牙周引导组织再生术可吸收生物膜生物材料组织工程Guided Tissue Regeneration Resorbable Membranes Biomaterials Tissue Engineering
摘要: 牙周组织缺损是牙周炎治疗的难点,传统治疗方法难以有效恢复牙周组织的结构和功能。引导组织再生术(Guided Tissue Regeneration, GTR)作为一种再生医学技术,利用生物屏障膜隔离牙周缺损区域,为牙周组织再生创造有利空间,从而促进牙周功能的恢复。可吸收生物膜因其无需二次手术取出、生物相容性好、可控降解等优势,成为GTR的理想材料。本文综述了不同种类可吸收生物膜在GTR中的研究进展,重点关注其理化特性、生物学效应以及临床应用效果,并探讨了该领域目前存在的挑战及未来研究方向,旨在为GTR的临床实践提供指导并推动治疗方式优化。
Abstract: Periodontal tissue defects, characterized by gingival recession and alveolar bone loss, pose significant challenges in periodontitis treatment, as conventional therapies often fail to fully restore tissue structure and function. Guided tissue regeneration (GTR) offers a regenerative medicine approach, employing barrier membranes to isolate the defect site and foster a conducive environment for periodontal tissue regeneration, ultimately promoting functional recovery. Resorbable membranes, owing to their advantages of eliminating the need for a second surgical procedure, coupled with favorable biocompatibility and controlled degradation profiles, have emerged as ideal GTR materials. This review summarizes the research progress of various resorbable membranes in GTR, focusing on their physicochemical properties, biological effects, and clinical outcomes. Furthermore, it explores current challenges and future research directions in this field, aiming to inform and enhance clinical practice in GTR.
文章引用:晏星瑞, 张红梅, 陈家俊. 可吸收生物膜在牙周引导组织再生中的研究进展[J]. 临床个性化医学, 2025, 4(1): 606-613. https://doi.org/10.12677/jcpm.2025.41088

参考文献

[1] Caton, J.G., Armitage, G., Berglundh, T., Chapple, I.L.C., Jepsen, S., Kornman, K.S., et al. (2018) A New Classification Scheme for Periodontal and Peri-Implant Diseases and Conditions—Introduction and Key Changes from the 1999 Classification. Journal of Clinical Periodontology, 45, S1-S8. [Google Scholar] [CrossRef] [PubMed]
[2] Genco, R.J. and Sanz, M. (2020) Clinical and Public Health Implications of Periodontal and Systemic Diseases: An Overview. Periodontology 2000, 83, 7-13. [Google Scholar] [CrossRef] [PubMed]
[3] Mizraji, G., Davidzohn, A., Gursoy, M., Gursoy, U.K., Shapira, L. and Wilensky, A. (2023) Membrane Barriers for Guided Bone Regeneration: An Overview of Available Biomaterials. Periodontology 2000, 93, 56-76. [Google Scholar] [CrossRef] [PubMed]
[4] Yilmaz, C., Ersanli, S., Karabagli, M., Olgac, V. and Bolukbasi Balcioglu, N. (2021) May Autogenous Grafts Increase the Effectiveness of Hyalonect Membranes in Intraosseous Defects: An Experimental in Vivo Study. Medicina, 57, Article 430. [Google Scholar] [CrossRef] [PubMed]
[5] Rezvani Ghomi, E., Nourbakhsh, N., Akbari Kenari, M., Zare, M. and Ramakrishna, S. (2021) Collagen-Based Biomaterials for Biomedical Applications. Journal of Biomedical Materials Research Part B: Applied Biomaterials, 109, 1986-1999. [Google Scholar] [CrossRef] [PubMed]
[6] Kasaj, A., Reichert, C., Götz, H., Röhrig, B., Smeets, R. and Willershausen, B. (2008) In Vitro Evaluation of Various Bioabsorbable and Non-Resorbable Barrier Membranes for Guided Tissue Regeneration. Head & Face Medicine, 4, Article No. 22. [Google Scholar] [CrossRef] [PubMed]
[7] Ghanaati, S. (2012) Non-Cross-Linked Porcine-Based Collagen I-III Membranes Do Not Require High Vascularization Rates for Their Integration within the Implantation Bed: A Paradigm Shift. Acta Biomaterialia, 8, 3061-3072. [Google Scholar] [CrossRef] [PubMed]
[8] Peng, F., Zhang, X., Wang, Y., Zhao, R., Cao, Z., Chen, S., et al. (2023) Guided Bone Regeneration in Long-Bone Defect with a Bilayer Mineralized Collagen Membrane. Collagen and Leather, 5, Article No. 36. [Google Scholar] [CrossRef
[9] Rossato, A., Mathias-Santamaria, I., Ferraz, L., Bautista, C., Miguel, M. and Santamaria, M. (2022) Xenogeneic Acellular Dermal Matrix for the Treatment of Multiple Gingival Recessions Associated with Partially Restored Noncarious Cervical Lesions. The International Journal of Periodontics & Restorative Dentistry, 42, 817-824. [Google Scholar] [CrossRef] [PubMed]
[10] Elango, J., Bu, Y., Bin, B., Geevaretnam, J., Robinson, J.S. and Wu, W. (2017) Effect of Chemical and Biological Cross-Linkers on Mechanical and Functional Properties of Shark Catfish Skin Collagen Films. Food Bioscience, 17, 42-51. [Google Scholar] [CrossRef
[11] Sanz, M., Dahlin, C., Apatzidou, D., Artzi, Z., Bozic, D., Calciolari, E., et al. (2019) Biomaterials and Regenerative Technologies Used in Bone Regeneration in the Craniomaxillofacial Region: Consensus Report of Group 2 of the 15th European Workshop on Periodontology on Bone Regeneration. Journal of Clinical Periodontology, 46, 82-91. [Google Scholar] [CrossRef] [PubMed]
[12] Li, T., Long, H., Niu, W. and Feng, B. (2023) The Repair and Regeneration Mechanism of Platelet-Rich Fibrin-Promoting Tissue after Alveolar Bone Defect through the Notch Pathway. Cellular and Molecular Biology, 69, 85-90. [Google Scholar] [CrossRef] [PubMed]
[13] 何杨, 肖帅, 李逦, 等. 富血小板纤维蛋白对人牙周膜细胞成骨能力、炎症因子表达和Wnt/β-catenin信号通路的影响[J]. 现代生物医学进展, 2022, 22(6): 1180-1185+1097.
[14] Tavelli, L., McGuire, M.K., Zucchelli, G., Rasperini, G., Feinberg, S.E., Wang, H., et al. (2019) Extracellular Matrix-Based Scaffolding Technologies for Periodontal and Peri-Implant Soft Tissue Regeneration. Journal of Periodontology, 91, 17-25. [Google Scholar] [CrossRef] [PubMed]
[15] Fujioka-Kobayashi, M., Miron, R.J., Hernandez, M., Kandalam, U., Zhang, Y. and Choukroun, J. (2017) Optimized Platelet-Rich Fibrin with the Low-Speed Concept: Growth Factor Release, Biocompatibility, and Cellular Response. Journal of Periodontology, 88, 112-121. [Google Scholar] [CrossRef] [PubMed]
[16] Di Martino, A., Sittinger, M. and Risbud, M.V. (2005) Chitosan: A Versatile Biopolymer for Orthopaedic Tissue-Engineering. Biomaterials, 26, 5983-5990. [Google Scholar] [CrossRef] [PubMed]
[17] Phuangkaew, T., Booranabunyat, N., Kiatkamjornwong, S., Thanyasrisung, P. and Hoven, V.P. (2022) Amphiphilic Quaternized Chitosan: Synthesis, Characterization, and Anti-Cariogenic Biofilm Property. Carbohydrate Polymers, 277, Article 118882. [Google Scholar] [CrossRef] [PubMed]
[18] Niu, X., Wang, L., Xu, M., Qin, M., Zhao, L., Wei, Y., et al. (2021) Electrospun Polyamide-6/Chitosan Nanofibers Reinforced Nano-Hydroxyapatite/Polyamide-6 Composite Bilayered Membranes for Guided Bone Regeneration. Carbohydrate Polymers, 260, Article 117769. [Google Scholar] [CrossRef] [PubMed]
[19] He, Y., Jin, Y., Wang, X., Yao, S., Li, Y., Wu, Q., et al. (2018) An Antimicrobial Peptide-Loaded Gelatin/Chitosan Nanofibrous Membrane Fabricated by Sequential Layer-by-Layer Electrospinning and Electrospraying Techniques. Nanomaterials, 8, Article 327. [Google Scholar] [CrossRef] [PubMed]
[20] Lasprilla, A.J.R., Martinez, G.A.R., Lunelli, B.H., Jardini, A.L. and Filho, R.M. (2012) Poly-Lactic Acid Synthesis for Application in Biomedical Devices—A Review. Biotechnology Advances, 30, 321-328. [Google Scholar] [CrossRef] [PubMed]
[21] Lu, J., Sun, C., Yang, K., Wang, K., Jiang, Y., Tusiime, R., et al. (2019) Properties of Polylactic Acid Reinforced by Hydroxyapatite Modified Nanocellulose. Polymers, 11, Article 1009. [Google Scholar] [CrossRef] [PubMed]
[22] Sharif, F., Tabassum, S., Mustafa, W., Asif, A., Zarif, F., Tariq, M., et al. (2018) Bioresorbable Antibacterial PCL-PLA-nHA Composite Membranes for Oral and Maxillofacial Defects. Polymer Composites, 40, 1564-1575. [Google Scholar] [CrossRef
[23] da Silva, D., Kaduri, M., Poley, M., Adir, O., Krinsky, N., Shainsky-Roitman, J., et al. (2018) Biocompatibility, Biodegradation and Excretion of Polylactic Acid (PLA) in Medical Implants and Theranostic Systems. Chemical Engineering Journal, 340, 9-14. [Google Scholar] [CrossRef] [PubMed]
[24] Chen, S., Hao, Y., Cui, W., Chang, J. and Zhou, Y. (2013) Biodegradable Electrospun PLLA/Chitosan Membrane as Guided Tissue Regeneration Membrane for Treating Periodontitis. Journal of Materials Science, 48, 6567-6577. [Google Scholar] [CrossRef
[25] Low, Y.J., Andriyana, A., Ang, B.C. and Zainal Abidin, N.I. (2020) Bioresorbable and Degradable Behaviors of PGA: Current State and Future Prospects. Polymer Engineering & Science, 60, 2657-2675. [Google Scholar] [CrossRef
[26] Lin, C. and Chiu, J. (2021) Glycerol-modified Γ-PGA and Gellan Composite Hydrogel Materials with Tunable Physicochemical and Thermal Properties for Soft Tissue Engineering Application. Polymer, 230, Article 124049. [Google Scholar] [CrossRef
[27] Malikmammadov, E., Tanir, T.E., Kiziltay, A., Hasirci, V. and Hasirci, N. (2017) PCL and PCL-Based Materials in Biomedical Applications. Journal of Biomaterials Science, Polymer Edition, 29, 863-893. [Google Scholar] [CrossRef] [PubMed]
[28] Lee, S.J., Lee, D., Yoon, T.R., Kim, H.K., Jo, H.H., Park, J.S., et al. (2016) Surface Modification of 3d-Printed Porous Scaffolds via Mussel-Inspired Polydopamine and Effective Immobilization of Rhbmp-2 to Promote Osteogenic Differentiation for Bone Tissue Engineering. Acta Biomaterialia, 40, 182-191. [Google Scholar] [CrossRef] [PubMed]
[29] Yin, S., Zhang, W., Zhang, Z. and Jiang, X. (2019) Recent Advances in Scaffold Design and Material for Vascularized Tissue-Engineered Bone Regeneration. Advanced Healthcare Materials, 8, Article 1801433. [Google Scholar] [CrossRef] [PubMed]
[30] Chen, X., Lin, Z., Feng, Y., Tan, H., Xu, X., Luo, J., et al. (2019) Zwitterionic PMCP-Modified Polycaprolactone Surface for Tissue Engineering: Antifouling, Cell Adhesion Promotion, and Osteogenic Differentiation Properties. Small, 15, Article 1903784. [Google Scholar] [CrossRef] [PubMed]
[31] Lian, M., Sun, B., Qiao, Z., Zhao, K., Zhou, X., Zhang, Q., et al. (2019) Bi-Layered Electrospun Nanofibrous Membrane with Osteogenic and Antibacterial Properties for Guided Bone Regeneration. Colloids and Surfaces B: Biointerfaces, 176, 219-229. [Google Scholar] [CrossRef] [PubMed]
[32] Masoudi Rad, M., Nouri Khorasani, S., Ghasemi-Mobarakeh, L., Prabhakaran, M.P., Foroughi, M.R., Kharaziha, M., et al. (2017) Fabrication and Characterization of Two-Layered Nanofibrous Membrane for Guided Bone and Tissue Regeneration Application. Materials Science and Engineering: C, 80, 75-87. [Google Scholar] [CrossRef] [PubMed]
[33] Zhang, S., Huang, L., Bian, M., Xiao, L., Zhou, D., Tao, Z., et al. (2024) Multifunctional Bone Regeneration Membrane with Flexibility, Electrical Stimulation Activity and Osteoinductive Activity. Small, 20, Article 2405311. [Google Scholar] [CrossRef] [PubMed]
[34] Ku, Y., Shim, I.K., Lee, J.Y., Park, Y.J., Rhee, S., Nam, S.H., et al. (2008) Chitosan/Poly(l-Lactic Acid) Multilayered Membrane for Guided Tissue Regeneration. Journal of Biomedical Materials Research Part A, 90, 766-772. [Google Scholar] [CrossRef] [PubMed]