中国口腔种植学杂志 ›› 2025, Vol. 30 ›› Issue (3): 288-295.DOI: 10.12337/zgkqzzxzz.2025.06.014

• 综述 • 上一篇    下一篇

屏障膜在口腔引导骨再生中的研究进展

李广大1,2, 丁明超2, 常欣4, 经博雅2, 王敬夫2,3, 王维戚2   

  1. 1佳木斯大学口腔医学院,佳木斯 154002,黑龙江;
    2口颌系统重建与再生全国重点实验室 国家口腔疾病临床医学研究中心 陕西省口腔疾病临床医学研究中心 空军军医大学口腔医院颌面外科,西安 710032;
    3北部战区总医院口腔科,沈阳 110000,辽宁;
    4辽宁省军区沈阳第九离职干部休养所,沈阳 110098
  • 收稿日期:2024-12-31 出版日期:2025-06-30 发布日期:2025-06-27
  • 通讯作者: 王敬夫,Email:sphinirvanax@qq.com,电话:024-28851333
  • 作者简介:李广大,医师、硕士研究生,研究方向:口腔临床医学。
    王敬夫,主治医师、博士研究生,研究方向:口腔颌面战创伤及正颌外科、口腔种植外科相关研究
  • 基金资助:
    陕西省重点研发计划项目(2023-YBSF-230)

Advances in barrier membranes for guided bone regeneration in oral applications

Li Guangda1,2, Ding Mingchao2, Chang Xin4, Jing Boya2, Wang Jingfu2,3, Wang Weiqi2   

  1. 1Stomatology Collage of Jiamusi University, Jiamusi 154002, Heilongjiang, China;
    2State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Clinical Research Center for Oral Diseases, Department of Oral and Maxillofacial Surgery, School of Stomatology, The Fourth Military Medical University, Xi’an 710032, Shaanxi, China;
    3Department of Stomatology, General Hospital of Northern Theater Command, Shenyang 110000, Liaoning, China;
    4The Ninth Retired Cadres Retreat of Liaoning Military Command, Shenyang 110098, Liaoning, China
  • Received:2024-12-31 Online:2025-06-30 Published:2025-06-27
  • Contact: Wang Jingfu, Email: sphinirvana@qq.com, Tel: 0086-24-28851333
  • Supported by:
    Key Research and Development Program of Shaanxi(2023-YBSF-230)

摘要: 引导骨再生(GBR)已成为治疗局部颌骨缺损的一种临床标准方式。在这一过程中,屏障膜发挥着重要的作用,其通过阻止软组织从黏膜侧向屏障膜的侵入,创造空间来支持骨生长。不同类型的屏障膜因其来源、制备方法和结构不同,提供了不同的生物学作用,其在临床的应用也有所差异。本文对GBR中常见屏障膜的生物学作用及机制进行了总结,重点比较了不同类型生物膜的特性,强调了这些生物材料的优缺点,并展望了其在临床中的应用及其未来材料发展的可能改进方向。

关键词: 引导骨再生, 可吸收性膜, 聚四氟乙烯, 钛, 免疫反应, 血管化

Abstract: Guided bone regeneration (GBR) has become a standard clinical approach for the treatment of localized jawbone defects. In this process, barrier membranes play an important role by preventing the migration of soft tissue from the mucosal side into the bone defect area, thereby maintaining a secluded space for bone regeneration. The biological properties and clinical performance of different membranes vary depending on their origin, fabrication methods, and structural characteristics. This paper summarizes the biological functions and mechanisms of commonly used barrier membranes in GBR, with a particular focus on the properties of different membrane types. The advantages and limitations of these biomaterials are discussed, along with their clinical applications and potential directions for future material development.

Key words: Guided bone regeneration, Resorbable membranes, Polytetrafluoroethylene, Titanium, Immune response, Vascularization