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Review
. 2020 Feb 9;13(3):786.
doi: 10.3390/ma13030786.

Selection of Collagen Membranes for Bone Regeneration: A Literature Review

Affiliations
Review

Selection of Collagen Membranes for Bone Regeneration: A Literature Review

Luca Sbricoli et al. Materials (Basel). .

Abstract

Several treatment modalities have been proposed to regenerate bone, including guided bone regeneration (GBR) where barrier membranes play an important role by isolating soft tissue and allowing bone to grow. Not all membranes biologically behave the same way, as they differ from their origin and structure, with reflections on their mechanical properties and on their clinical performance. Collagen membranes have been widely used in medicine and dentistry, because of their high biocompatibility and capability of promoting wound healing. Recently, collagen membranes have been applied in guided bone regeneration with comparable outcomes to non-resorbable membranes. Aim of this work is to provide a review on the main features, application, outcomes, and clinical employment of the different types of collagen membranes. Comparisons with non-resorbable membranes are clarified, characteristics of cross-linked collagen versus native collagen, use of different grafting materials and need for membrane fixation are explored in order to gain awareness of the indications and limits and to be able to choose the right membrane required by the clinical condition.

Keywords: biocompatible materials; bone augmentation; collagen membrane; dental implants; guided bone regeneration.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Publications by year on non-resorbable membranes, collagen membranes, and cross-linked membranes (data from PubMed Library). The chart clearly shows the increase of publications toward collagen membranes.
Figure 2
Figure 2
Forest plot illustrating the results in terms of defect height reduction from the meta-analysis of all trials with a non-resorbable expanded polytetrafluorethylene membrane in combination with any bone substitute (ePTFE + BS) as a control. CM: collagen membrane. (From Thoma, DS, Bienz, SP, Figuero, E, Jung, RE, Sanz-Martín, I. Efficacy of lateral bone augmentation performed simultaneously with dental implant placement: A systematic review and meta-analysis. J Clin Periodontol. 2019; 46(Suppl. 21): 257–276. With permission).
Figure 3
Figure 3
Analysis and forest plot for the results of the included studies that determined membrane exposure. Ev/Trt represents the test (cross-linked membranes) group, while Ev/Ctrl represents the control (non-cross-linked membranes) group. Red line represents the average for all results, and the vertical black line represents the no-effect line (from Garcia J, et al. Effect of cross-linked vs non-cross-linked collagen membranes on bone: A systematic review. J Periodontal Res. 2017;52(6):955–964. With permission).

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