Format

Send to

Choose Destination
Clin Oral Implants Res. 2009 Jan;20(1):7-16. doi: 10.1111/j.1600-0501.2008.01604.x.

Evaluation of a new biodegradable membrane to prevent gingival ingrowth into mandibular bone defects in minipigs.

Author information

1
Clinic for Fixed and Removable Prosthodontics and Dental Material Science, University of Zurich, Zurich, Switzerland. daniel.thoma@zzmk.uzh.ch

Abstract

OBJECTIVE:

The aim of this study was to test whether a synthetic, biodegradable membrane made of polyethylene glycol (PEG) can prevent soft-tissue ingrowth into alveolar defects.

MATERIAL AND METHODS:

In each of 16 minipigs, three mandibular premolars were bilaterally extracted. Three months later, acute standardized defects (diameter 8 mm, depth 8 mm) were prepared. Four treatment modalities were randomly allocated to the defects: (1) PEG membrane plus collagen sponge, (2) polylactide (PLA) membrane plus collagen sponge, (3) collagen sponge alone, and (4) empty defect. Animals were sacrificed at 10 days (n=5), 21 days (n=5), or 2 months (n=6) after treatment. Qualitative and quantitative histological evaluations of soft-tissue ingrowth and bone regeneration were performed on nondecalcified ground sections. For statistical analysis, the Mann-Whitney-Wilcoxon test, the Kruskal-Wallis, and the paired t-test were applied. P-values were adjusted using the Dunnett-Hsu adjustment.

RESULTS:

At 10 days, the PEG membrane group showed the least soft-tissue ingrowth (mean value -0.75 mm; range -1.35 to -0.10), followed by the PLA membrane group -0.18 mm (-0.80 to 0.44), the collagen group 0.04 mm (-0.65 to 0.73), and the empty defects 0.60 mm (-0.08 to 1.29). Statistically significant differences were observed between the PEG membrane group and the empty defects (P<0.05). At 21 days, the highest percentage of newly formed bone was found in the PEG membrane group (mean 28.4%; range 21.6-35.2) compared with 23.7% (16.9-30.5; PLA membrane), 15.2% (8.2-22.2; collagen group), and 21.6% (14.5-28.8; empty defects). Statistically significant differences were only found between the PEG membrane group and the collagen group (P<0.05). At 2 months, the tested parameters revealed no statistically significant differences between the groups.

CONCLUSION:

The experimental PEG membrane applied in the present study successfully prevented collapse of the covering soft tissues to a degree similar to the PLA membrane. The combination of a collagen sponge and the PEG membrane showed the least soft-tissue ingrowth at 10 days and promoted more bone formation at 21 days.

[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Wiley
Loading ...
Support Center