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The Use of Barrier Membranes in Implant Dentistry

Launch Course

Course Objectives (1 CE Credit)

Randolph R. Resnik, DMD, MDS

Dr. Resnik examines the rationale for using barrier membranes in implant dentistry, provides a review of the different membranes available and discusses the indications for use in various clinical situations.

Topics include:

  • Basis for utilizing barrier membranes
  • Ideal characteristics of membrane material
  • Types of non-resorbable membranes
  • Types of resorbable membranes
  • Advantages and disadvantages of various membranes
  • Membrane sources and resorption rates

Summary

Available in various forms, membranes are divided into non-resorbable and resorbable categories. It is important for implant clinicians to determine which membrane to utilize based on different clinical situations as well as factors such as material composition and resorption time. With many options available, careful selection will support hard- and soft-tissue regeneration and ultimately increase the success rates of GBR procedures.


References

  1. Chou AH, LeGeros RZ, Chen Z, Li Y. Antibacterial effect of zinc phosphate mineralized guided bone regeneration membranes. Implant Dent. 2007 Mar;16(1):89-100.
  2. Nishibori M, Betts NJ, Salama H, Listgarten MA. Short-term healing of autogenous and allogeneic bone grafts after sinus augmentation: a report of 2 cases. J Periodontol. 1994 Oct;65(10):958-66.
  3. Pitaru S, Tal H, Soldinger M, Grosskopf A, Noff M. Partial regeneration of periodontal tissues using collagen barriers. Initial observations in the canine. J Periodontol. 1988 Jun;59(6):380-6.
  4. Zhang Y, Zhang X, Shi B, Miron RJ. Membranes for guided tissue and bone regeneration. Annals of Oral & Maxillofacial Surgery. 2013 Feb;1(1):10.
  5. Pocket Dentistry [internet]. Barrier membranes for guided bone regeneration; [updated 2015 Jan 5; cited 2017 Dec 28]. Available from: https://pocketdentistry.com/3-barrier-membranes-for-guided-bone-regeneration/#end_en139.
  6. Rispoli L, Fontana F, Beretta M, Poggio CE, Maiorana C. Surgery guidelines for barrier membranes in guided bone regeneration (GBR). J Otolaryngol Rhinol. 2015;1(2):1-8.
  7. Almazrooa SA, Noonan V, Woo SB. Resorbable collagen membranes: histopathologic features. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014 Aug;118(2):236-40.
  8. Luitaud C, Laflamme C, Semlali A, Saidi S, Grenier G, Zakrzewski A, Rouabhia M. Development of an engineering autologous palatal mucosa-like tissue for potential clinical applications. J Biomed Mater Res B Appl Biomater. 2007 Nov;83(2):554-61.
  9. Yamada M, Kubo K, Ueno T, Iwasa F, Att W, Hori N, Ogawa T. Alleviation of commercial collagen sponge- and membrane-induced apoptosis and dysfunction in cultured osteoblasts by an amino acid derivative. Int J Oral Maxillofac Implants. 2010 Sep-Oct;25(5):939-46.
  10. Rothamel D, Schwarz F, Sager M, Herten M, Sculean A, Becker J. Biodegradation of differently cross-linked collagen membranes: an experimental study in the rat. Clin Oral Implants Res. 2005 Jun;16(3):369-78.
  11. Schwarz F, Rothamel D, Herten M, Wüstefeld M, Sager M, Ferrari D, Becker J. Immunohistochemical characterization of guided bone regeneration at a dehiscence-type defect using different barrier membranes: an experimental study in dogs. Clin Oral Implants Res. 2008 Apr;19(4):402-15.
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