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Enhanced guided bone regeneration by controlled tetracycline release from poly(L-lactide) barrier membranes

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Authors

Lee, Yong Moo; Park, Yoon Jeong; Park, Si Nae; Lee, Ju Yeon; Ku, Young; Chung, Chong Pyoung; Lee, Seung Jin

Issue Date
2000-06
Publisher
Wiley-Blackwell
Citation
Journal of Biomedical Materials Research;51:391-397.
Keywords
guided tissue regenerationpoly(L-lactide) membranestetracyclinecontrolled releaseporositycellular adaptability
Abstract
With the aim of providing effective periodontal therapeutic modality, drug-releasing membranes for guided tissue regeneration (GTR) were developed. As GTR membranes, biodegradable barrier membranes composed of porous poly(L-lactide) (PLLA) films cast on poly(glycolide) (PGA) meshes were fabricated using an in-air drying phase inversion technique. PLLA was dissolved in methylene chloride-ethylacetate mixtures, cast on knitted PGA mesh, and then air-dried. Tetracycline, which is used in periodontal therapy because of its antibacterial activity and tissue regenerating effects, including osteoblast chemotactic effect and anti-collagenolytic activity, was incorporated into the membranes by adding it to PLLA solutions. The guided bone regenerating potential of tetracycline-loaded membranes was evaluated using release kinetics both in vitro and in vivo, biodegradation tests, and cell attachment tests. Homogeneous pores were generated both at the surface and in a sublayer of the membranes. The release kinetics of tetracycline depended mainly upon the hydrophilicity of tetracycline and the porosity of the membrane. The release rate further could be controlled by loaded drug contents. The release of tetracycline was appropriate for maintaining anti-microbial activity and for its tissue-regenerating potential. The membranes retained a proper degradation property, maintaining their mechanical integrity for the barrier function for 4 weeks. Tetracycline-loaded membranes induced increased cell attachment levels compared with those of unloaded membranes. Tetracycline-loaded membranes markedly increased new bone formation in rat calvarial defects and induced bony reunion after 2 weeks of implantation. These results suggest that tetracycline-loaded PLLA membranes potentially enhance guided tissue regenerative efficacy. © 2000 John Wiley & Sons, Inc. J Biomed Mater Res, 51, 391-397, 2000.
ISSN
1552-4973
Language
English
URI
https://hdl.handle.net/10371/47286
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College of Dentistry/School of Dentistry (치과대학/치의학대학원)Dept. of Dentistry (치의학과)Journal Papers (저널논문_치의학과)
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