Advancement of Guided Tissue Regeneration (GTR) Membranes for Dental Applications

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Advancement of Guided Tissue Regeneration (GTR) Membranes for Dental Applications

Nayab Amin, Usama Siddiqui, Nawshad Muhammad, Saad Liaqat, Muhammad Adnan Khan, Abdur Rahim

Periodontal disease leads to inflammation and consequently destruction of periodontium. The main aim of periodontal therapy is to minimize the inflammation by regeneration of defects. Over the past several decades, various materials as well as clinical techniques have been studied for repair and regeneration of periodontal defects. The tissue regeneration should permit proliferation of different cells in separate compartments, as four types of tissues constitute periodontium. Guided tissue regeneration (GTR) was introduced to restrict the growth of epithelium in alveolar bone space. Several barrier membranes were developed to aid in this technique which included both natural and synthetic materials. To achieve essential function of space maintenance, non-resorbable membranes were used previously with bone graft materials. Although these membranes were widely used, however they had many disadvantages which led to development of second generation (resorbable) and third generation (functional) membranes. This chapter focuses on advanced developments of biodegradable polymers for use in GTR treatment. Moreover, non-resorbable and resorbable polymeric membranes, classifications, advanced experimental research, clinical applications, and their challenges are also discussed. The composite periodontal membranes are also under research. Despite the biocompatibility and biodegradability of unreinforced barrier membranes, these are deficient in anti-bacterial properties. Therefore, barrier membranes blended with functional materials have been fabricated which exhibited more benefits. The comparison of past and recent trends of barrier membranes can guide correctly for periodontal regeneration therapy.

Keywords
Barrier Membranes, Guided Tissue Regeneration, Periodontal Biomaterials, Periodontal Regeneration

Published online 4/20/2022, 20 pages

Citation: Nayab Amin, Usama Siddiqui, Nawshad Muhammad, Saad Liaqat, Muhammad Adnan Khan, Abdur Rahim, Advancement of Guided Tissue Regeneration (GTR) Membranes for Dental Applications, Materials Research Foundations, Vol. 123, pp 155-174, 2022

DOI: https://doi.org/10.21741/9781644901892-6

Part of the book on Applications of Polymers in Surgery

References
[1] Satpathy A, Mohanty R, Rautray TR. Thin membrane with biomimetic hexagonal patterned surface for guided bone regeneration. Int. J. Nano Biomater. 7 (2018) 275-281. https://doi.org/10.1504/IJNBM.2018.10016280
[2] Novaes Jr AB, Palioto DB, Andrade PFd, Marchesan JT. Regeneration of class II furcation defects: determinants of increased success. Braz Dent J. 16 (2005) 87-97. https://doi.org/10.1590/S0103-64402005000200001
[3] Bottino MC, Thomas V, Schmidt G, Vohra YK, Chu T-MG, Kowolik MJ, et al. Recent advances in the development of GTR/GBR membranes for periodontal regeneration-a materials perspective. Dent. Mater. 28 (2012) 703-721. https://doi.org/10.1016/j.dental.2012.04.022
[4] Bottino MC, Thomas V. Membranes for periodontal regeneration-a materials perspective. J. Funct. Biomater. 17 (2015) 90-100. https://doi.org/10.1159/000381699
[5] Iviglia G, Kargozar S, Baino F. Biomaterials, current strategies, and novel nano-technological approaches for periodontal regeneration. J. Funct. Biomater. 10 (2019) 2-36. https://doi.org/10.3390/jfb10010003
[6] Rodriguez I, Selders G, Fetz A, Gehrmann C, Stein S, Evensky J, et al. Barrier membranes for dental applications: A review and sweet advancement in membrane developments. Mouth Teeth. 2 (2018) 1-9. https://doi.org/10.15761/MTJ.1000108
[7] Melcher A. On the repair potential of periodontal tissues. J. Periodontol. 47 (1976) 256-260. https://doi.org/10.1902/jop.1976.47.5.256
[8] Alfassi G, Rein DM, Shpigelman A, Cohen Y. Partially Acetylated Cellulose Dissolved in Aqueous Solution: Physical Properties and Enzymatic Hydrolysis. Polymers. 11 (2019) 1734. https://doi.org/10.3390/polym11111734
[9] Oprea M, Voicu SI. Recent advances in applications of cellulose derivatives-based composite membranes with hydroxyapatite. Materials. 13 (2020) 2481. https://doi.org/10.3390/ma13112481
[10] Ausenda F, Rasperini G, Acunzo R, Gorbunkova A, Pagni G. New perspectives in the use of biomaterials for periodontal regeneration. Materials. 12 (2019) 2197. https://doi.org/10.3390/ma12132197
[11] Liu J, Kerns DG. Suppl 1: Mechanisms of guided bone regeneration: A review. Open Dent. J. 8 (2014) 56. https://doi.org/10.2174/1874210601408010056
[12] Zhang Y, Zhang X, Shi B, Miron R. Membranes for guided tissue and bone regeneration. Ann. Maxillofac. Surg. 1 (2013)10. https://doi.org/10.13172/2052-7837-1-1-451
[13] Madhuri SV. membranes for Periodontal Regeneration. Int. J. Pharm. Sci. Invent. 5 (2016) 19-24.
[14] Marouf HA, El-Guindi HM. Efficacy of high-density versus semipermeable PTFE membranes in an elderly experimental model. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. and Endod. 89 (2000) 164-170. https://doi.org/10.1067/moe.2000.98922
[15] Hoffmann O, Bartee BK, Beaumont C, Kasaj A, Deli G, Zafiropoulos GG. Alveolar bone preservation in extraction sockets using non‐resorbable dPTFE membranes: a retrospective non‐randomized study. J. Periodontol. 79 (2008) 1355-1369. https://doi.org/10.1902/jop.2008.070502
[16] Rakhmatia YD, Ayukawa Y, Furuhashi A, Koyano K. Current barrier membranes: titanium mesh and other membranes for guided bone regeneration in dental applications. J. Prosthodont. Res. 57 (2013) 3-14. https://doi.org/10.1016/j.jpor.2012.12.001
[17] Toygar HU, Guzeldemir E, Cilasun U, Akkor D, Arpak N. Long‐term clinical evaluation and SEM analysis of the e‐PTFE and titanium membranes in guided tissue regeneration. J. Biomed. Mater. Res. 91 (2009) 772-779. https://doi.org/10.1002/jbm.b.31454
[18] Li J, Hua L, Wang W, Gu C, Du J, Hu C. Flexible, high‐strength titanium nanowire for scaffold biomimetic periodontal membrane. Biosurf and Biotribol. 7 (2021) 23-29. https://doi.org/10.1049/bsb2.12010
[19] Cucchi A, Ghensi P. Vertical guided bone regeneration using titanium-reinforced d-PTFE membrane and prehydrated corticocancellous bone graft. Open Dent. J. 8 (2014) 194. https://doi.org/10.2174/1874210601408010194
[20] Windisch P, Orban K, Salvi GE, Sculean A, Molnar B. Vertical-guided bone regeneration with a titanium-reinforced d-PTFE membrane utilizing a novel split-thickness flap design: a prospective case series. Clin. Oral Investig. 25 (2021) 2969-2980. https://doi.org/10.1007/s00784-020-03617-6
[21] Soldatos NK, Stylianou P, Koidou VP, Angelov N, Yukna R, Romanos GE. Limitations and options using resorbable versus nonresorbable membranes for successful guided bone regeneration. Quintessence Int. 48 (2017) 131-147.
[22] Naung NY, Shehata E, Van Sickels JE. Resorbable versus nonresorbable membranes: when and why? Dent. Clin. N. Am. 63 (2019) 419-431. https://doi.org/10.1016/j.cden.2019.02.008
[23] Jo Y-Y, Oh J-H. New resorbable membrane materials for guided bone regeneration. Appl. Sci. 8 (2018) 2157. https://doi.org/10.3390/app8112157
[24] Stoecklin-Wasmer C, Rutjes A, Da Costa B, Salvi G, Jüni P, Sculean A. Absorbable collagen membranes for periodontal regeneration: a systematic review. J. Dent. Res. 92 (2013) 773-781. https://doi.org/10.1177/0022034513496428
[25] Behring J, Junker R, Walboomers XF, Chessnut B, Jansen JA. Toward guided tissue and bone regeneration: morphology, attachment, proliferation, and migration of cells cultured on collagen barrier membranes. A systematic review. Odontology. 96 (2008) 1-11. https://doi.org/10.1007/s10266-008-0087-y
[26] Bunyaratavej P, Wang HL. Collagen membranes: a review. J. Periodontol. 272 (2001) 215-229. https://doi.org/10.1902/jop.2001.72.2.215
[27] Sbricoli L, Guazzo R, Annunziata M, Gobbato L, Bressan E, Nastri L. Selection of collagen membranes for bone regeneration: a literature review. Materials. 13 (2020) 786. https://doi.org/10.3390/ma13030786
[28] Wang J, Wang L, Zhou Z, Lai H, Xu P, Liao L, et al. Biodegradable polymer membranes applied in guided bone/tissue regeneration: a review. Polymers. 8 (2016) 115. https://doi.org/10.3390/polym8040115
[29] Caballé‐Serrano J, Sawada K, Miron RJ, Bosshardt DD, Buser D, Gruber R. Collagen barrier membranes adsorb growth factors liberated from autogenous bone chips. Clin Oral Implants Res. 28 (2017) 236-241. https://doi.org/10.1111/clr.12789
[30] Isik G, Hasirci N, Tezcaner A, Kiziltay A. Multifunctional periodontal membrane for treatment and regeneration purposes. J. Bioact. Compat. Polym. 35 (2020) 117-138. https://doi.org/10.1177/0883911520911659
[31] Zhang S, Huang Y, Yang X, Mei F, Ma Q, Chen G, et al. Gelatin nanofibrous membrane fabricated by electrospinning of aqueous gelatin solution for guided tissue regeneration. J. Biomed. Mater. Res. A. 90 (2009) 671-679. https://doi.org/10.1002/jbm.a.32136
[32] Chou J, Komuro M, Hao J, Kuroda S, Hattori Y, Ben‐Nissan B, et al. Bioresorbable zinc hydroxyapatite guided bone regeneration membrane for bone regeneration. Clin. Oral Implants Res. 27 (2016) 354-360. https://doi.org/10.1111/clr.12520
[33] Xu C, Lei C, Meng L, Wang C, Song Y. Chitosan as a barrier membrane material in periodontal tissue regeneration. J. Biomed. Mater. Res. B. 100 (2012) 1435-1443. https://doi.org/10.1002/jbm.b.32662
[34] Qasim SB, Najeeb S, Delaine-Smith RM, Rawlinson A, Rehman IU. Potential of electrospun chitosan fibers as a surface layer in functionally graded GTR membrane for periodontal regeneration. Dent. Mater. 33 (2017) 71-83. https://doi.org/10.1016/j.dental.2016.10.003
[35] Geão C, Costa-Pinto AR, Cunha-Reis C, Ribeiro VP, Vieira S, Oliveira JM, et al. Thermal annealed silk fibroin membranes for periodontal guided tissue regeneration. J. Mater. Sci. Mater. Med. 30 (2019) 27. https://doi.org/10.1007/s10856-019-6225-y
[36] Ha Y-Y, Park Y-W, Kweon H, Jo Y-Y, Kim S-G. Comparison of the physical properties and in vivo bioactivities of silkworm-cocoon-derived silk membrane, collagen membrane, and polytetrafluoroethylene membrane for guided bone regeneration. Macromol. Res. 22 (2014)1018-1023. https://doi.org/10.1007/s13233-014-2138-2
[37] Kim EJ, Yoon SJ, Yeo G-D, Pai C-M, Kang I-K. Preparation of biodegradable PLA/PLGA membranes with PGA mesh and their application for periodontal guided tissue regeneration. Biomed. Mater. 4 (2009) 055001. https://doi.org/10.1088/1748-6041/4/5/055001
[38] Gentile P, Chiono V, Tonda‐Turo C, Ferreira AM, Ciardelli G. Polymeric membranes for guided bone regeneration. Biotechnol. J. 6 (2011) 1187-1197. https://doi.org/10.1002/biot.201100294
[39] Budak K, Sogut O, Sezer UA. A review on synthesis and biomedical applications of polyglycolic acid. J. Polym. Res. 27 (2020) 1-19. https://doi.org/10.1007/s10965-020-02187-1
[40] Osathanon T, Chanjavanakul P, Kongdecha P, Clayhan P, Huynh NC-N. Polycaprolactone-Based Biomaterials for Guided Tissue Regeneration Membrane. Periodontitis-A Useful Reference: Intech Open. (2017) 171-188. https://doi.org/10.5772/intechopen.69153
[41] Osorio R, Alfonso-Rodríguez CA, Osorio E, Medina-Castillo AL, Alaminos M, Toledano-Osorio M, et al. Novel potential scaffold for periodontal tissue engineering. Clin Oral Investig. (2017) 2695-2707. https://doi.org/10.1007/s00784-017-2072-8
[42] Yazdi MK, Vatanpour V, Taghizadeh A, Taghizadeh M, Ganjali MR, Munir MT, et al. Hydrogel membranes: A review. Mater. Sci. and Eng. C. 114 (2020) 111023. https://doi.org/10.1016/j.msec.2020.111023
[43] Zupancic S, Kocbek P, Baumgartner S, Kristl J. Contribution of nanotechnology to improved treatment of periodontal disease. Curr. Pharm. Des. 21 (2015) 3257-3271. https://doi.org/10.2174/1381612821666150531171829
[44] Sunandhakumari VJ, Vidhyadharan AK, Alim A, Kumar D, Ravindran J, Krishna A, et al. Fabrication and in vitro characterization of bioactive glass/nano hydroxyapatite reinforced electrospun poly (ε-caprolactone) composite membranes for guided tissue regeneration. Bioengineering. 5 (2018) 54. https://doi.org/10.3390/bioengineering5030054
[45] Shen R, Xu W, Xue Y, Chen L, Ye H, Zhong E, et al. The use of chitosan/PLA nano-fibers by emulsion eletrospinning for periodontal tissue engineering. Artif Cells Nanomed Biotechnol. 46 (2018) 419-430. https://doi.org/10.1080/21691401.2018.1458233
[46] Kim SW. The study of chitosan/gelatin based films crosslinked by proanthocyanidins as biomaterials: University of Southern California; 2004.
[47] Zhang E, Zhu C, Yang J, Sun H, Zhang X, Li S, et al. Electrospun PDLLA/PLGA composite membranes for potential application in guided tissue regeneration. Mater. Sci. Eng. C. 58 (2016) 278-285. https://doi.org/10.1016/j.msec.2015.08.032
[48] Agarwal S, Wendorff JH, Greiner A. Use of electrospinning technique for biomedical applications. Polymer. 49 (2008) 5603-5621. https://doi.org/10.1016/j.polymer.2008.09.014
[49] Zhang L, Dong Y, Zhang N, Shi J, Zhang X, Qi C, et al. Potentials of sandwich-like chitosan/polycaprolactone/gelatin scaffolds for guided tissue regeneration membrane. Mater. Sci. Eng. C. 109 (2020) 110618. https://doi.org/10.1016/j.msec.2019.110618
[50] Chen S, Hao Y, Cui W, Chang J, Zhou Y. Biodegradable electrospun PLLA/chitosan membrane as guided tissue regeneration membrane for treating periodontitis. J. Mater. Sci. 48 (2013) 6567-6577. https://doi.org/10.1007/s10853-013-7453-z
[51] Ardhani R, Hafiyyah OA, Ana ID, editors. Preparation of carbonated apatite membrane as metronidazole delivery system for periodontal application. Key Eng. Mater. 696 (2016) 250-258. https://doi.org/10.4028/www.scientific.net/KEM.696.250
[52] Lee SB, Lee DY, Lee YK, Kim KN, Choi SH, Kim KM. Surface modification of a guided tissue regeneration membrane using tetracycline‐containing biodegradable polymers. Surf. Interface Anal. 40 (2008):192-197. https://doi.org/10.1002/sia.2761
[53] Ochiai H, Yamamoto Y, Yokoyama A, Yamashita H, Matsuzaka K, Abe S, et al. Dual nature of TGF-β1 in osteoblastic differentiation of human periodontal ligament cells. J. Hard Tissue Biol. 19 (2010) 187-194. https://doi.org/10.2485/jhtb.19.187
[54] Navarro LB, Barchiki F, Junior WN, Carneiro E, da Silva Neto UX, Westphalen VPD. Assessment of platelet-rich fibrin in the maintenance and recovery of cell viability of the periodontal ligament. Sci Rep. 9 (2019) 1-9. https://doi.org/10.1038/s41598-019-55930-0
[55] Nityasri AS, Pradeep K. Role of CGF (Concentrated Growth Factor) in periodontal regeneration. J. Dent. Health Oral Disord Ther. 9 (2018) 350-352. https://doi.org/10.15406/jdhodt.2018.09.00407
[56] Hung S-L, Lin Y-W, Chen Y-T, Ling L-J. Attachment of periodontal ligament cells onto various antibiotics-loaded GTR membranes. Int. J. Periodontics Restorative Dent. 25 (2005) 265-275
[57] Barreras US, Méndez FT, Martínez REM, Valencia CS, Rodríguez PRM, Rodríguez JPL. Chitosan nanoparticles enhance the antibacterial activity of chlorhexidine in collagen membranes used for periapical guided tissue regeneration. Mater. Sci. Eng. C. Mater. 58 (2016) 1182-1187. https://doi.org/10.1016/j.msec.2015.09.085
[58] Sam G, Pillai BRM. Evolution of barrier membranes in periodontal regeneration-“are the third generation membranes really here? J. Clin. Diagn. Res. 8 (2014) 14-17. https://doi.org/10.7860/JCDR/2014/9957.5272
[59] Preeja C, Arun S. Platelet-rich fibrin: Its role in periodontal regeneration. Saudi J. Dent Res. 5 (2014) 117-122. https://doi.org/10.1016/j.ksujds.2013.09.001