In vivo degradation of collagen barrier membranes exposed to the oral cavity.
OBJECTIVE
The purpose of this human clinical trial was to compare the degradation profiles of three different collagen membranes under conditions mimicking exposure to the oral cavity.


METHODS
Three collagen membranes, ribose cross-linked (RCL), glutaraldehyde cross-linked (GCL), and non-cross-linked (NCL) were tested. The membranes were placed over the buccal mucosa of 20 human volunteers, apical to the gingival margins in the maxillary premolar and molar region. A periodontal dressing was placed over the membranes and secured in the interproximal spaces. The dressing was removed after 10 days, and membrane integrity was evaluated by two examiners using a Likert-like grading scale (grades 1-5).


RESULTS
Eight subjects withdrew from the study due to discomfort, pain, or dislodging of the pack. Of the three membranes tested, RCL appeared to be the most resistant to degradation (median grade 5), compared with GCL (2.25) and NCL (1.75).


CONCLUSIONS
Marked differences in membrane integrity were found between the three tested membranes after 10 days in the oral cavity. These differences may be part of the important factors determining the outcome of the regenerative treatment modality in cases of premature membrane exposure.
Klinger
Avigdor
A
Department of Periodontology, Faculty of Dental Medicine, Hadassah and Hebrew University Medical Center, Jerusalem, Israel.
Asad
Rawi
R
Shapira
Lior
L
Zubery
Yuval
Y
D020341:Absorbable Implants; D000293:Adolescent; D000328:Adult; D000368:Aged; D001458:Bandages; D003094:Collagen / Q000378:metabolism*; D003432:Cross-Linking Reagents; D005260:Female; D006801:Humans; D008297:Male; D008567:Membranes, Artificial; D008875:Middle Aged; D009055:Mouth; D016037:Single-Blind Method; D018709:Statistics, Nonparametric
D003432:Cross-Linking Reagents; D008567:Membranes, Artificial; D003094:Collagen