Skip to main content
Erschienen in: wissen kompakt 3/2012

01.09.2012 | Zahnärztliche Fortbildung

Membrantechniken in der Oralchirurgie

Was erwarten wir von der idealen Membran?

verfasst von: Dr. Dr. Dr. T. Ziebart, Dr. Dr. P.W. Kämmerer

Erschienen in: wissen kompakt | Ausgabe 3/2012

Einloggen, um Zugang zu erhalten

Zusammenfassung

Im Alltag ist der operativ tätige Zahnarzt und Mund-, Kiefer- und Gesichtschirurg im Rahmen der gesteuerten Geweberegeneration mit einer Vielzahl von unterschiedlichen Membranen konfrontiert. Diese werden seit ihrer Einführung in den 1980er-Jahren in unterschiedlichen Bereichen wie der Implantologie und der chirurgischen Parodontaltherapie zum gezielten Knochenaufbau, der sog. „guided bone regeneration“ (GBR) eingesetzt. Insgesamt kann auf eine große Auswahl von resorbierbaren und nichtresorbierbaren Membranen aus den unterschiedlichsten Materialien zurückgegriffen werden. Diese können selektiv nach Indikationsstellung eingesetzt werden. Die optimale, multifunktionelle Membran gibt es allerdings noch nicht. Daher wird in dem vorliegenden Artikel neben den unterschiedlichen Membransysteme und -indikationen auf das Zukunftsbild einer idealen Membran eingegangen.
Literatur
1.
Zurück zum Zitat Agishi T, Nakazono M, Kiraly RJ et al (1975) Biodegradable material for bladder reconstruction. J Biomed Mater Res 9 (4):119–131. doi:10.1002/jbm.820090416PubMedCrossRef Agishi T, Nakazono M, Kiraly RJ et al (1975) Biodegradable material for bladder reconstruction. J Biomed Mater Res 9 (4):119–131. doi:10.1002/jbm.820090416PubMedCrossRef
2.
Zurück zum Zitat Pontoriero R, Nyman S, Lindhe J et al (1987) Guided tissue regeneration in the treatment of furcation defects in man. J Clin Periodontol 14(10):618–620PubMedCrossRef Pontoriero R, Nyman S, Lindhe J et al (1987) Guided tissue regeneration in the treatment of furcation defects in man. J Clin Periodontol 14(10):618–620PubMedCrossRef
3.
Zurück zum Zitat Robert PM, Frank RM (1994) Periodontal guided tissue regeneration with a new resorbable polylactic acid membrane. J Periodontol 65(5):414–422PubMedCrossRef Robert PM, Frank RM (1994) Periodontal guided tissue regeneration with a new resorbable polylactic acid membrane. J Periodontol 65(5):414–422PubMedCrossRef
4.
Zurück zum Zitat Simion M, Rocchietta I, Fontana F, Dellavia C (2012) Evaluation of a resorbable collagen matrix infused with rhPDGF-BB in peri-implant soft tissue augmentation: a preliminary report with 3.5 years of observation. Int J Periodontics Restorative Dent 32(3):273–282PubMed Simion M, Rocchietta I, Fontana F, Dellavia C (2012) Evaluation of a resorbable collagen matrix infused with rhPDGF-BB in peri-implant soft tissue augmentation: a preliminary report with 3.5 years of observation. Int J Periodontics Restorative Dent 32(3):273–282PubMed
5.
Zurück zum Zitat Artzi Z, Wasersprung N, Weinreb M et al (2012) Effect of guided tissue regeneration on newly formed bone and cementum in periapical tissue healing after endodontic surgery: an in vivo study in the cat. J Endod 38(2):163–169. doi:10.1016/j.joen.2011.10.002PubMedCrossRef Artzi Z, Wasersprung N, Weinreb M et al (2012) Effect of guided tissue regeneration on newly formed bone and cementum in periapical tissue healing after endodontic surgery: an in vivo study in the cat. J Endod 38(2):163–169. doi:10.1016/j.joen.2011.10.002PubMedCrossRef
6.
Zurück zum Zitat Kämmerer PW, Palarie V, Schiegnitz E et al (2012) Influence of a collagen membrane and recombinant platelet-derived growth factor on vertical bone augmentation in implant-fixed deproteinized bovine bone—animal pilot study. Clin Oral Implants Res (under review) Kämmerer PW, Palarie V, Schiegnitz E et al (2012) Influence of a collagen membrane and recombinant platelet-derived growth factor on vertical bone augmentation in implant-fixed deproteinized bovine bone—animal pilot study. Clin Oral Implants Res (under review)
7.
Zurück zum Zitat Hu BH, Messersmith PB (2005) Enzymatically cross-linked hydrogels and their adhesive strength to biosurfaces. Orthod Craniofac Res 8(3):145–149. doi:10.1111/j.1601-6343.2005.00330.xPubMedCrossRef Hu BH, Messersmith PB (2005) Enzymatically cross-linked hydrogels and their adhesive strength to biosurfaces. Orthod Craniofac Res 8(3):145–149. doi:10.1111/j.1601-6343.2005.00330.xPubMedCrossRef
8.
9.
Zurück zum Zitat Xu C, Lei C, Meng L et al (2012) Chitosan as a barrier membrane material in periodontal tissue regeneration. J Biomed Mater Res B Appl Biomater. doi:10.1002/jbm.b.32662. (Epub ahead of print) Xu C, Lei C, Meng L et al (2012) Chitosan as a barrier membrane material in periodontal tissue regeneration. J Biomed Mater Res B Appl Biomater. doi:10.1002/jbm.b.32662. (Epub ahead of print)
10.
Zurück zum Zitat Jung RE, Halg GA, Thoma DS, Hammerle CH (2009) A randomized, controlled clinical trial to evaluate a new membrane for guided bone regeneration around dental implants. Clin Oral Implants Res 20(2):162–168. doi:10.1111/j.1600-0501.2008.01634.xPubMedCrossRef Jung RE, Halg GA, Thoma DS, Hammerle CH (2009) A randomized, controlled clinical trial to evaluate a new membrane for guided bone regeneration around dental implants. Clin Oral Implants Res 20(2):162–168. doi:10.1111/j.1600-0501.2008.01634.xPubMedCrossRef
11.
Zurück zum Zitat Moses O, Pitaru S, Artzi Z, Nemcovsky CE (2005) Healing of dehiscence-type defects in implants placed together with different barrier membranes: a comparative clinical study. Clin Oral Implants Res 16(2):210–219. doi:10.1111/j.1600-0501.2004.01100.xPubMedCrossRef Moses O, Pitaru S, Artzi Z, Nemcovsky CE (2005) Healing of dehiscence-type defects in implants placed together with different barrier membranes: a comparative clinical study. Clin Oral Implants Res 16(2):210–219. doi:10.1111/j.1600-0501.2004.01100.xPubMedCrossRef
12.
Zurück zum Zitat Tal H, Kozlovsky A, Artzi Z et al (2008) Cross-linked and non-cross-linked collagen barrier membranes disintegrate following surgical exposure to the oral environment: a histological study in the cat. Clin Oral Implants Res 19(8):760–766PubMedCrossRef Tal H, Kozlovsky A, Artzi Z et al (2008) Cross-linked and non-cross-linked collagen barrier membranes disintegrate following surgical exposure to the oral environment: a histological study in the cat. Clin Oral Implants Res 19(8):760–766PubMedCrossRef
13.
Zurück zum Zitat Zitzmann NU, Naef R, Scharer P (1997) Resorbable versus nonresorbable membranes in combination with Bio-Oss for guided bone regeneration. Int J Oral Maxillofac Implants 12(6):844–852PubMed Zitzmann NU, Naef R, Scharer P (1997) Resorbable versus nonresorbable membranes in combination with Bio-Oss for guided bone regeneration. Int J Oral Maxillofac Implants 12(6):844–852PubMed
14.
Zurück zum Zitat Arx T von, Broggini N, Jensen SS et al (2005) Membrane durability and tissue response of different bioresorbable barrier membranes: a histologic study in the rabbit calvarium. Int J Oral Maxillofac Implants 20(6):843–853 Arx T von, Broggini N, Jensen SS et al (2005) Membrane durability and tissue response of different bioresorbable barrier membranes: a histologic study in the rabbit calvarium. Int J Oral Maxillofac Implants 20(6):843–853
15.
Zurück zum Zitat Schwarz F, Rothamel D, Herten M et al (2006) Angiogenesis pattern of native and cross-linked collagen membranes: an immunohistochemical study in the rat. Clin Oral Implants Res 17(4):403–409. doi:10.1111/j.1600-0501.2005.01225.xPubMedCrossRef Schwarz F, Rothamel D, Herten M et al (2006) Angiogenesis pattern of native and cross-linked collagen membranes: an immunohistochemical study in the rat. Clin Oral Implants Res 17(4):403–409. doi:10.1111/j.1600-0501.2005.01225.xPubMedCrossRef
16.
Zurück zum Zitat Schwarz F, Rothamel D, Herten M et al (2008) Immunohistochemical characterization of guided bone regeneration at a dehiscence-type defect using different barrier membranes: an experimental study in dogs. Clin Oral Implants Res 19(4):402–415. doi:10.1111/j.1600-0501.2007.01486.xPubMedCrossRef Schwarz F, Rothamel D, Herten M et al (2008) Immunohistochemical characterization of guided bone regeneration at a dehiscence-type defect using different barrier membranes: an experimental study in dogs. Clin Oral Implants Res 19(4):402–415. doi:10.1111/j.1600-0501.2007.01486.xPubMedCrossRef
17.
Zurück zum Zitat Friedmann A, Gissel K, Soudan M et al (2011) Randomized controlled trial on lateral augmentation using two collagen membranes: morphometric results on mineralized tissue compound. J Clin Periodontol 38(7):677–685. doi:10.1111/j.1600-051X.2011.01738.xPubMedCrossRef Friedmann A, Gissel K, Soudan M et al (2011) Randomized controlled trial on lateral augmentation using two collagen membranes: morphometric results on mineralized tissue compound. J Clin Periodontol 38(7):677–685. doi:10.1111/j.1600-051X.2011.01738.xPubMedCrossRef
18.
Zurück zum Zitat Hämmerle CH, Lang NP (2001) Single stage surgery combining transmucosal implant placement with guided bone regeneration and bioresorbable materials. Clin Oral Implants Res 12(1):9–18PubMedCrossRef Hämmerle CH, Lang NP (2001) Single stage surgery combining transmucosal implant placement with guided bone regeneration and bioresorbable materials. Clin Oral Implants Res 12(1):9–18PubMedCrossRef
19.
Zurück zum Zitat Strietzel FP, Khongkhunthian P, Khattiya R et al (2006) Healing pattern of bone defects covered by different membrane types—a histologic study in the porcine mandible. J Biomed Mater Res B Appl Biomater 78(1):35–46. doi:10.1002/jbm.b.30452PubMed Strietzel FP, Khongkhunthian P, Khattiya R et al (2006) Healing pattern of bone defects covered by different membrane types—a histologic study in the porcine mandible. J Biomed Mater Res B Appl Biomater 78(1):35–46. doi:10.1002/jbm.b.30452PubMed
20.
Zurück zum Zitat Zitzmann NU, Scharer P, Marinello CP (2001) Long-term results of implants treated with guided bone regeneration: a 5-year prospective study. Int J Oral Maxillofac Implants 16(3):355–366PubMed Zitzmann NU, Scharer P, Marinello CP (2001) Long-term results of implants treated with guided bone regeneration: a 5-year prospective study. Int J Oral Maxillofac Implants 16(3):355–366PubMed
21.
Zurück zum Zitat Jung RE, Lecloux G, Rompen E et al (2009) A feasibility study evaluating an in situ formed synthetic biodegradable membrane for guided bone regeneration in dogs. Clin Oral Implants Res 20(2):151–161. doi: 10.1111/j.1600-0501.2008.01633.xPubMedCrossRef Jung RE, Lecloux G, Rompen E et al (2009) A feasibility study evaluating an in situ formed synthetic biodegradable membrane for guided bone regeneration in dogs. Clin Oral Implants Res 20(2):151–161. doi: 10.1111/j.1600-0501.2008.01633.xPubMedCrossRef
22.
Zurück zum Zitat Bornstein MM, Heynen G, Bosshardt DD, Buser DJ (2009) Effect of two bioabsorbable barrier membranes on bone regeneration of standardized defects in calvarial bone: a comparative histomorphometric study in pigs. Periodontol 80(8):1289–1299CrossRef Bornstein MM, Heynen G, Bosshardt DD, Buser DJ (2009) Effect of two bioabsorbable barrier membranes on bone regeneration of standardized defects in calvarial bone: a comparative histomorphometric study in pigs. Periodontol 80(8):1289–1299CrossRef
Metadaten
Titel
Membrantechniken in der Oralchirurgie
Was erwarten wir von der idealen Membran?
verfasst von
Dr. Dr. Dr. T. Ziebart
Dr. Dr. P.W. Kämmerer
Publikationsdatum
01.09.2012
Verlag
Springer-Verlag
Erschienen in
wissen kompakt / Ausgabe 3/2012
Print ISSN: 1863-2637
Elektronische ISSN: 2190-3816
DOI
https://doi.org/10.1007/s11838-012-0148-5

Weitere Artikel der Ausgabe 3/2012

wissen kompakt 3/2012 Zur Ausgabe

Zahnärztliche Fortbildung

3-D- versus 2-D-Implantatplanung

Editorial

Implantologie

Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Zahnmedizin und bleiben Sie gut informiert – ganz bequem per eMail.