THE EFFECT ON GUIDED BONE REGENERATION OF THE CHITOSAN MEMBRANE

키토산 차단막의 유도골재생 효과

  • Moon, Jin-Suk (Department of Oral & Maxillofacial Surgery, College of Medicine, Hallym University) ;
  • Park, Young-Ju (Department of Oral & Maxillofacial Surgery, College of Medicine, Hallym University) ;
  • Park, Jun-Woo (Department of Oral & Maxillofacial Surgery, College of Medicine, Hallym University) ;
  • Lee, Yong-Chan (Department of Oral & Maxillofacial Surgery, College of Medicine, Hallym University) ;
  • Cho, Byoung-Ouck (Department of Oral & Maxillofacial Surgery, College of Medicine, Hallym University) ;
  • Ahn, Byoung-Keun (Department of Oral & Maxillofacial Surgery, College of Medicine, Hallym University)
  • 문진석 (한림대학교 의과대학 구강악안면외과학교실) ;
  • 박영주 (한림대학교 의과대학 구강악안면외과학교실) ;
  • 박준우 (한림대학교 의과대학 구강악안면외과학교실) ;
  • 이용찬 (한림대학교 의과대학 구강악안면외과학교실) ;
  • 조병욱 (한림대학교 의과대학 구강악안면외과학교실) ;
  • 안병근 (한림대학교 의과대학 구강악안면외과학교실)
  • Published : 2002.08.31

Abstract

Using the rat's skull, the study on the biodegradability and guided bone regeneration of the chitosan membrane was performed. The results are as follows: 1. The biodegradability of the chitosan membrane could not be confirmed, but after 12 weeks, this membrane did not yet break into small pieces and there was no specific local tissue reaction. 2. It was not certain whether the pore size of this membrane was affected on osteoblastic activity. 3. After 6 weeks, the bony defect area of rat's skull was not completely filled, but on high magnification it showed that the osteoclasts and the osteoblasts were observed in the regenerating area. In conclusion, the chitosan membrane developed in this study was fit for guided bone regeneration.

Keywords

References

  1. Dahlin C, Linde A, Gottlow J, Nyman S : Healing of bone defects by guided tissue regeneration, Plast Reconstr Surg, 81 : 672, 1988
  2. Linde A, Thoren C, Dahlin C & Sanberg E, Creation of new bone by an osteopromotive monkeys, Scand J Plast Recontr Surg Hand Surg, 24:13, 1990
  3. Melloning JT & Triplett RG, Guided tissue and endosseous dental implants, Int J Periodontol, 13:109, 1993
  4. Boyce B : Physical characteristics of expanded polytetrafluoroethylene grafts. In: Stanley JC (ed). Biologic & Synthetic Vascular Prothesis. Philadephia: Grue & Stratton, 33, 1982
  5. Schulz AJ & Grager AH, Guided tissue regeneration using on absorbable membrane (poly glactin 910) and osseous grafting, Int J Periodont, 10: 8, 1990
  6. Balshi TJ, Hernadez OD, Culter RH, Hertzog CF, Treatment of osseous defects using vicryl mesh (poly glactin 910) and the Braenemark implant, A case report, Int J Oral Max-Fac Implants, 6:87, 1991
  7. Bostman OM : Intense granulomatous inflammatory lesions associated with absorbable internal fixation devices made of polyglycolide in ankle fractures, Clin Orthop, 278 : 193, 1992
  8. Malette WG, Quigley HG, Gaines RD, Johanson ND & Rainer WG, Chitosan: A new HemoStatics, Ann Thoracic Surg, 36: 55-58, 1984
  9. 김세권(편역), 키틴∙키토산 : 기초와 약리, 이화문화출판, 22, 2000
  10. Sano H, Matsukuba T, Itoh H & Takaesu Y, Inhibition of adsorption of oral streptococci to saliva treated hydroxyapatite by chitin derivatives, J Dental Res, 66: G141-G149, 1987
  11. Shibasaki K, Matsukubo T, Sugihara N, Tashiro E, Tanabe Y & Takaesu Y, Caries preventing effect of low molecular weight chitosan in rats, Kokubyo Gakkai Zasshi, 38:G572-G573, 1988
  12. Namita K, Miyajima N, Higo M & Nakayama Y, Phamaceutical containing chitin, chitosan and their derivatives for treatment of bone diseases, Jpn Kokai Tokyo Koho Jp 63, 156, 726, 1988
  13. Muzzarelli RAA, Carboxymethylated chitins and chitosans, Carbohydr Polymers, 8 : G1-G21, 1988
  14. Muzzarelli RAA, Biagini G, Bellardini M, Simonelli L, Castaldini C & Fratto G, Osteoconduction exerted by methylpyrrolidinone chitosan used in dental surgery, Biomaterials, 14(1); 1993
  15. Lazzara, R, Immediate implant placement into extraction sites: surgical and restorative advantages, Int J Periodontics Restorative Dent 9(5): 333-344, 1989
  16. Nyman S, Lang NP, Buser D & Bragger U, Bone regeneration adjacent to titanium dental implants using guided tissue regeneration. A report of 2 cases, Int J Oral Maxillofac Implants, 5: 9-14, 1990
  17. Buser D, Bragger U, Lang NP, Nyman S : Regeneration and enlargement of jaw bone using guided tissue regeneration, Clin Oral Implants Research, 1(1);22-32, 1990
  18. Isidor F, Karring T, Nyman S : New attachment following reconstructive periodontal surgery, J Clin Periodontol, 20 : 201-208, 1985
  19. Magnusson I, Nyman S & Karring T, Connective tissue attachment following exclusion of gingival connective tissue and epithelium during healing, J Periodont Res, 20 : 201-208, 1985
  20. Magnusson I, Batich C & Collins B, New attachment formation following controlled tissue regeneration using biodegradable membrane, J Periodontol, 59 : 1-6, 1988
  21. Nyman S, Gottlow J & Karring T, The regenerative potential of the periodontal ligament. An experimental study in the monkey, J Clin Periodontol, 9 : 257-265, 1982
  22. Gottlow J, Nyman S, Karring T & Linde J, New attachment formation as the result of controlled tissue regeneration, J Clin Periodontol, 11 : 494-503, 1984
  23. Hurley LA, Stinchfield FE, Bassett CL, Lyon WH : The role of soft tissues in osteogenesis, J Bone Joint Surg, 41A : 1243, 1959
  24. Schmid J, Hammerle CHF, Olah AJ & Lang NP, Membrane permeability is unnecessary for guided generation of new bone, Clin Oral Impl Res, 5:125-130, 1994
  25. 김관식, 조병욱, 이용찬 : 가토경골 골결손부에서 Nylon membrane과 Teflon membrane의 골유도 재생효과, 대한구강악안면외과 학회지 26(2): 146-153, 2000
  26. Selvig K, Nilveus R, Fitzmorris L, Kersten B & Khorsandi S, Scanning electron microscopic observation of cell population and bacterial contamination of membranes used for guided periodontal tissue regeneration in humans, J Periodontol, 61:515-520, 1990
  27. Wikesjo U & Nilveus R, Periodontal repair in dogs: Effect of wound stabilization on healing, J Periodontol, 61:719-724, 1990
  28. Haney JM, Nilveus RE, McMillan P, Wikesjo UME : Periodontal repair in dogs: 3-PTFE barrier membranes support wound stabilization and enhance bone regeneration, J Peridontol 64:12, 1993
  29. Kohavi D, Pollack SR, Brighton G & Balkin B, Surgically modelled reduced ridge in the beagle dog, Clin Oral Impl Res, 2 : 145, 1991
  30. Melcher A & Dreyer C, Protection of the blood clot in healing circumscribed bone defects, J Bone Joint Surg, 448: 424-430, 1962
  31. Simion M, Scarano A, Gionso L & Piatelli A, Guided bone regeneration using resorbable and nonresorbable membranes: A comparative histological study in human, Int J Oral Maxillofac Implants, 11: 735-742, 1996
  32. Rae T, Cell biochemistry in relation to the inflammatory response to foreign materials, In : Williams DF(ed). Fundamental aspects of biocompatibility, 11.Boca Raton, FL: CRC press, 8, 1981
  33. 박연천, 안병근, 박영주, 이용찬, 조병욱 : Confocal laser scanning microscopy study on interface bone and titanium implant coated chitosan, 대한구강악안면외과 학회지, 24(4): 440-447, 1998
  34. 이용찬, 이유현, 조병욱 : Chitosan coated dental implants: a new concept, 대한치과의사 협회지 36(6): 394-396, 1998