Int J Stomatol ›› 2024, Vol. 51 ›› Issue (2): 187-192.doi: 10.7518/gjkq.2024030

• Original Articles • Previous Articles     Next Articles

Application of degradable new polylactic acid membrane in guiding bone tissue regeneration

Yaxuan Hu(),Zihan Ma,Jiangling Wang,Yongyue Wang()   

  1. State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Implantology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2023-05-24 Revised:2023-12-20 Online:2024-03-01 Published:2024-03-11
  • Contact: Yongyue Wang E-mail:18706402213@163.com;wangyy516@163.com

Abstract:

Objective This work aimed to explore the application effect of a new biodegradable polylactic acid membrane (PDLLA/PLLA) in guiding bone tissue regeneration. Methods A total of 24 New Zealand white rabbits, weighing 2.5~3.0 kg, were prepared at the lower edge of the mandible near the body of the mandible on one side of the animal. The dimensions of the bone defect were 5 mm×3 mm. The animals were randomly divided into the experimental group, control group, and blank group, with eight animals in each group. The experimental group animals were filled with Bio-oss bone powder, and PDLLA/PLLA was covered on the defect surface. The control group animals were filled with Bio-oss bone powder, and a Guidor polylactic acid membrane was covered on the defect surface. The blank group animals were not treated. At 8 and 12 weeks after the operation, specimens of the defect were collected for gross observation, micro-CT examination, and histopathological observation. Results During the experiment, no inflammation and rejection reaction occurred in the experimental animals in each group, and the wounds in each group healed well and osteogenesis was active. The gross observation showed that the animals in the experimental group had more bone formation and less material degradation at 8 weeks after the operation, whereas the animals in the control group had less bone formation and complete material degradation compared with the experimental group. At 12 weeks after the operation, the amount of bone formation of animals in the experimental group and the control group was the same, but the materials in the experimental group were further degraded. The amount of bone formation of animals in the blank group was less than that in the experimental group and the control group. At 8 and 12 weeks after the operation, micro-CT revealed that the new bone in the defect area of the experimental group and the control group was significantly more than that of the blank group. At 8 and 12 weeks after the operation, the bone volume/tissue volume (BV/TV), bone mineral density (BMD) and trabecular number (Tb.N) of the new bone in the experimental group and the control group were significantly higher than those in the blank group. Histological analysis demonstrated that the cells surrounding the new bone trabeculae in the experimental group grew actively at 8 weeks after the operation, and a small amount of osteoblasts and osteoclasts were visible. At 12 weeks after the operation, a large number of osteoblasts and osteoclasts were found around the bone trabeculae of the experimental group animals, and the bone tissue density at the bone defect site was close to the surrounding normal bone tissue. Conclusion Thus, the new polylactic acid membrane (PDLLA/PLLA) has good biocompatibility and bone conductivity, and it can significantly promote the healing of defects.

Key words: polylactic acid, compound material, bone tissue repair engineering, mandible, defect, animal experiment

CLC Number: 

  • R782.2

TrendMD: 

Fig 1

Micro-CT 3D reconstruction analysis"

Fig 2

Comparison of bone microscopic parameters at 8 and 12 weeks after surgery"

Fig 3

Observation of tissue section of bone defect area HE × 10"

1 Gentile P, Chiono V, Tonda-Turo C, et al. Polymeric membranes for guided bone regeneration[J]. Biotechnol J, 2011, 6(10): 1187-1197.
2 Singhvi MS, Zinjarde SS, Gokhale DV. Polylactic acid: synthesis and biomedical applications[J]. J Appl Microbiol, 2019, 127(6): 1612-1626.
3 de França JOC, da Silva Valadares D, Paiva MF, et al. Polymers based on PLA from synthesis using D, L-lactic acid (or racemic lactide) and some biomedical applications: a short review[J]. Polymers (Basel), 2022, 14(12): 2317.
4 Ilyas RA, Sapuan SM, Harussani MM, et al. Polylactic acid (PLA) biocomposite: processing, additive manufacturing and advanced applications[J]. Polymers (Basel), 2021, 13(8): 1326.
5 Zaaba NF, Jaafar M. A review on degradation mecha-nisms of polylactic acid: hydrolytic, photodegradative, microbial, and enzymatic degradation[J]. Polym Eng Sci, 2020, 60(9): 2061-2075.
6 Annunziata M, Nastri L, Borgonovo A, et al. Poly-D-L-lactic acid membranes for bone regeneration[J]. J Craniofac Surg, 2015, 26(5): 1691-1696.
7 Yan WJ, Yang FH, Liu ZN, et al. Anti-inflammatory and mineralization effects of an ASP/PLGA-ASP/ACP/PLLA-PLGA composite membrane as a dental pulp capping agent[J]. J Funct Biomater, 2022, 13(3): 106.
8 Scantlebury TV. 1982-1992: a decade of technology development for guided tissue regeneration[J]. J Periodontol, 1993, 64(): 1129-1137.
9 Stoecklin-Wasmer C, Rutjes AWS, da Costa BR, et al. Absorbable collagen membranes for periodontal regeneration[J]. J Dent Res, 2013, 92(9): 773-781.
10 Ramires GAD, Helena JT, Oliveira JCS, et al. Eva-luation of guided bone regeneration in critical defects using bovine and porcine collagen membranes: histomorphometric and immunohistochemical analyses[J]. Int J Biomater, 2021, 2021: 8828194.
11 Annunziata M, Nastri L, Cecoro G, et al. The use of poly-d, l-lactic acid (PDLLA) devices for bone augmentation techniques: a systematic review[J]. Molecules, 2017, 22(12): 2214.
12 Castro-Aguirre E, Iñiguez-Franco F, Samsudin H, et al. Poly(lactic acid)-mass production, processing, industrial applications, and end of life[J]. Adv Drug Deliv Rev, 2016, 107: 333-366.
13 廖凯荣, 全大萍, 高建文, 等. PLLA/PDLLA共混物的力学性能及体外降解特性研究[J].中山大学学报(自然科学版), 2002, 41(1): 51-54.
Liao KR, Quan DP, Gao JW, et al. The mechanical properties and degradation behavior in vitro of PLLA/PDLLA blends[J]. Acta Sci Natur Univ Sunyatseni, 2002, 41(1): 51-54.
14 徐高祥, 张鲁鲁, 高华丽, 等. 不同比例PLLA/PDLLA/5% HA复合物体外降解性能的研究[J]. 中国实验诊断学, 2017, 21(6): 1067-1071.
Xu GX, Zhang LL, Gao LH, et al. Study on in vitro degradation performance of PLLA/PDLLA/5% HA complex with different proportions[J]. Chin J Lab Diagn, 2017, 21(6): 1067-1071.
15 Sitompul JP, Setyawan D, Nabila AG, et al. Synthesis of nanocomposite materials for biodegradable food packaging[J]. J Oil Palm Res, 2019, 2(1): 33-45.
16 Friedmann A, Stavropoulos A, Bilhan H. GTR treatment in furcation grade Ⅱ periodontal defects with the recently reintroduced guidor PLA matrix barrier: a case series with chronological step-by-step illustrations[J]. Case Rep Dent, 2020, 2020: 8856049.
[1] Yuhong Ma,Lei Zhao. Process and progress in the clinical research of minimally invasive non-operative periodontal therapy technology [J]. Int J Stomatol, 2024, 51(2): 227-232.
[2] Wang Chunyi,Li Jingtao.. A case of rare mandible and lower lip duplication and literature review [J]. Int J Stomatol, 2023, 50(4): 452-456.
[3] Xu Yanxue,Fu Li.. Research progress on functionally graded membranes for guided bone regeneration [J]. Int J Stomatol, 2023, 50(3): 353-358.
[4] Li Chunjie, Bi Xiaoqin, Zhu Guiquan.. Complications prevention and treatment after free flap reconstructive surgery for oral and maxillofacial tumor patients [J]. Int J Stomatol, 2023, 50(2): 127-137.
[5] Yashengjiang Muhesen,Tuerdi Maimaitituxun. Application of suture anchor in oral and maxillofacial surgery [J]. Int J Stomatol, 2023, 50(1): 114-119.
[6] Zhang Xidan,Sun Jiyu,Fu Xinliang,Gan Xueqi.. Research progress on the development of mesoporous calcium silicate nanoparticles in endodontics and repairing maxillofacial bone defects [J]. Int J Stomatol, 2022, 49(4): 476-482.
[7] Li Yanfei,Zhang Xinchun. Research progress on the dentin bone repair material [J]. Int J Stomatol, 2022, 49(2): 197-203.
[8] Cao Zhengguo. Periodontal considerations in prosthetic dentistry [J]. Int J Stomatol, 2022, 49(1): 1-11.
[9] Guo Yuting,Lü Xuechao. Research progress on drugs regulating the osteogenic differentiation of dental pulp stem cells [J]. Int J Stomatol, 2021, 48(6): 737-744.
[10] Wang Jian. Research progress and clinical application of inlays and onlays [J]. Int J Stomatol, 2021, 48(5): 497-505.
[11] Chen Chen,Tian Yuting,Cheng Li,Wang Guosong,Hu Tao. Consideration and prospect of the timing for permanent restoration of children's first permanent molar with large area defects [J]. Int J Stomatol, 2021, 48(2): 129-134.
[12] He Zonghan,Meng Juanhong. Research progress on masticatory muscle tendon-aponeurosis hyperplasia [J]. Int J Stomatol, 2021, 48(2): 225-229.
[13] Zhang Xinchi,Wu Wei. Research progress on 3D printing technology and biomaterials for bone reconstruction in maxillofacial regions [J]. Int J Stomatol, 2020, 47(6): 677-685.
[14] Fu Shijin,Zeng Kan,Li Xin,Yang Jing,Wang Chenglin,Ye Ling. Preliminary study on osteoprotegerin/receptor activator of nuclear factor-κB ligand expression in mandible and femur on site selectivity of bone metastasis of lung cancer cells [J]. Int J Stomatol, 2020, 47(5): 538-546.
[15] Liu Yuhao,Zhang Tao. Research progress on shape memory polymers in bone defect repair and regeneration [J]. Int J Stomatol, 2020, 47(2): 219-224.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[2] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[3] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[4] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[5] . [J]. Foreign Med Sci: Stomatol, 1999, 26(04): .
[6] . [J]. Foreign Med Sci: Stomatol, 1999, 26(04): .
[7] . [J]. Foreign Med Sci: Stomatol, 1999, 26(04): .
[8] . [J]. Foreign Med Sci: Stomatol, 2004, 31(02): 146 -148 .
[9] . [J]. Foreign Med Sci: Stomatol, 2005, 32(06): 461 -462 .
[10] . [J]. Foreign Med Sci: Stomatol, 2004, 31(02): 132 -134 .