Magnesium(Mg)and its alloys have emerged as promising candidates for guided bone/tissue regeneration(GBR/GTR)due to their good mechanical properties,biosafety,and biodegradability.In this study,we present a pioneering...Magnesium(Mg)and its alloys have emerged as promising candidates for guided bone/tissue regeneration(GBR/GTR)due to their good mechanical properties,biosafety,and biodegradability.In this study,we present a pioneering application of Mg-Ag alloys featuring tunable corrosion behaviors for GBR/GTR membranes,showcasing their in vitro antibacterial effects,cell migration,and osteogenic differentiation abilities.Mg-Ag alloys with different Ag contents were engineered to facilitate the cell migration of murine fibroblasts(L929)and the osteogenic differentiation of rat bone mesenchymal stem cells(rBMSCs).The Mg-Ag alloy consisted of recrystallizedα-Mg grains and fine Mg4Ag second phases,with an observable refinement in the average grain size to 5.6μm with increasing Ag content.Among the alloys,Mg-9Ag exhibited optimal mechanical strength and moderate plasticity(tensile yield strength of 205.7 MPa,elongation of 20.3%,and a maximum bending load of 437.2 N).Furthermore,the alloying of Ag accelerated the cathodic reaction of pure Mg,leading to a slightly increased corrosion rate of the Mg-Ag alloys while maintaining acceptable general corrosion.Notably,compared with pure Mg,Mg-Ag alloys had superior antibacterial effects against Porphyromonas gingivalis(P.gingivalis)and Staphylococcus aureus(S.aureus).Taken together,these results provide evidence for the significant clinical potential of Mg-Ag alloys as GBR/GTR membranes.展开更多
Objective:To investigate the clinical effect of the guided bone regeneration(GBR)technique combined with temporary bridgework-guided gingival contouring in treating upper anterior tooth loss with labial bone defects.M...Objective:To investigate the clinical effect of the guided bone regeneration(GBR)technique combined with temporary bridgework-guided gingival contouring in treating upper anterior tooth loss with labial bone defects.Methods:From July 2023 to April 2024,80 patients with upper anterior tooth loss and labial bone defects were admitted to the hospital and selected as evaluation samples.They were divided into an observation group(n=40)and a control group(n=40)using a numerical table lottery scheme.The control group received treatment with the GBR technique,while the observation group received treatment with the GBR technique combined with temporary bridges to guide gingival contouring.The two groups were compared in terms of clinical red aesthetic scores(PES),labial alveolar bone density,labial bone wall thickness,gingival papillae,gingival margin levels,and patient satisfaction.Results:The PES scores of patients in the observation group were higher than those in the control group after surgery(P<0.05).The bone density of the labial alveolar bone and the thickness of the labial bone wall in the observation group were higher than those in the control group.The levels of gingival papillae and gingival margins were lower in the observation group after surgery(P<0.05).Additionally,patient satisfaction in the observation group was higher than in the control group(P<0.05).Conclusion:The GBR technique combined with temporary bridge-guided gingival contouring for treating upper anterior tooth loss with labial bone defects can improve the aesthetic effect of gingival soft tissue,increase alveolar bone density and the thickness of the labial bone wall,and enhance patient satisfaction.This approach is suitable for widespread application in healthcare institutions.展开更多
A novel calcium-phosphate(Ca–P)-coated magnesium(Mg) membrane used for guided bone regeneration(GBR) was studied.The microstructural characterization, electrochemical test, immersion test,fluorescence labeling analys...A novel calcium-phosphate(Ca–P)-coated magnesium(Mg) membrane used for guided bone regeneration(GBR) was studied.The microstructural characterization, electrochemical test, immersion test,fluorescence labeling analysis and histopathological evaluation were carried out.The results showed that Ca–P coating could obviously improve the corrosion resistance of the pure Mg membrane.The in vivo results showed that Mg membrane coated with Ca–P would take 8 weeks to be completely absorbed.However, Mg membrane was completely absorbed within 1 week.Histopathological evaluation showed that the Ca–P-coated Mg membranes were significantly better than Ti membranes at the early implantation time(4 weeks), and with the time prolonging,the performance of the coated Mg membrane was not as good as pure Ti membranes(but still better than blank group) at 8 and 12 weeks.The coated biodegradable Mg membrane had a good promising application in GBR.But further studies have to be done to further decrease the degradation rate of pure Mg membrane.展开更多
This study aimed to utilize micro-computed tomography （micro-CT） analysis to compare new bone formation in rat calvarial defects using chitosan/fibroin-hydroxyapatite （CFB-HAP） or collagen （Bio-Gide） membranes. ...This study aimed to utilize micro-computed tomography （micro-CT） analysis to compare new bone formation in rat calvarial defects using chitosan/fibroin-hydroxyapatite （CFB-HAP） or collagen （Bio-Gide） membranes. Fifty-four （54） rats were studied. A circular bony defect （8 mm diameter） was formed in the centre of the calvaria using a trephine bur. The CFB-HAP membrane was prepared by thermally induced phase separation. In the experimental group （n= 18）, the CFB-HAP membrane was used to cover the bony defect, and in the control group （n= 18）, a resorbable collagen membrane （Bio-Gide） was used. In the negative control group （n= 18）, no membrane was used. In each group, six animals were euthanized at 2, 4 and 8 weeks after surgery. The specimens were then analysed using micro-CT. There were significant differences in bone volume （BV） and bone mineral density （BMD） （P〈O.05） between the negative control group and the membrane groups. However, there were no significant differences between the CFB-HAP group and the collagen group. We concluded that the CFB-HAP membrane has significant potential as a guided bone regeneration （GBR） membrane.展开更多
Bioabsorbable chitosan/β-glycerol phosphate （CS/β-GP） composite membranes were fabricated through a relatively PH neutral and mild sol-gel process for guided bone regeneration （GBR）.Their structural properties,m...Bioabsorbable chitosan/β-glycerol phosphate （CS/β-GP） composite membranes were fabricated through a relatively PH neutral and mild sol-gel process for guided bone regeneration （GBR）.Their structural properties,morphology,and tensile strength were investigated.FTIR and XRD analyses indicated that there were chemical bonds between the CS andβ-GP.SEM analysis revealed that the CS/β-GP composite membranes had a porous structure both at the surface and in sublayers.Even though the incorporation ofβ-GP in the CS matrix decreased the initial tensile strength of the membrane,the CS/β-GP membranes were still fit for GBR application with their tensile strength of roughly 1MPa.The concentration ofβ-GP was proportional to the pore size and thickness but was inversely proportional to the tensile strength of the CS/β-GP membrane.The present findings indicate that,based on its characteristics,the CS/β-GP composite membrane is a potential bioresorbable membrane for use in guided bone regeneration.展开更多
The aim of the present real time in vivo micro-computed tomography （pCT） and histologic experiment was to assess the efficacy of guided bone regeneration （GBR） around standardized calvarial critical size defects ...The aim of the present real time in vivo micro-computed tomography （pCT） and histologic experiment was to assess the efficacy of guided bone regeneration （GBR） around standardized calvarial critical size defects （CSD） using bone marrow-derived mesenchymal stem cells （BMSCs）, and collagen membrane （CM） with and without tricalcium phosphate （TCP） graft material. In the calvaria of nine female Sprague-Dawley rats, full-thickness CSD （diameter 4.6 mm） were created under general anesthesia. Treatment-wise, rats were divided into three groups. In group 1, CSD was covered with a resorbable CM; in group 2, BMSCs were filled in CSD and covered with CM; and in group 3, TCP soaked in BMSCs was placed in CSD and covered with CM. All defects were closed using resorbable sutures. Bone volume and bone mineral density of newly formed bone （NFB） and remaining TCP particles and rate of new bone formation was determined at baseline, 2, 4, 6, and 10 weeks using in vivo pCT. At the lOth week, the rats were killed and calvarial segments were assessed histologically. The results showed that the hardness of NFB was similar to that of the native bone in groups I and 2 as compared to the NFB in group 3. Likewise, values for the modulus of elasticity were also significantly higher in group 3 compared to groups 1 and 2. This suggests that TCP when used in combination with BMSCs and without CM was unable to form bone of significant strength that could possibly provide mechanical ＂lock＂ between the natural bone and NFB. The use of BMSCs as adjuncts to conventional GBR initiated new bone formation as early as 2 weeks of treatment compared to when GBR is attempted without adiunct BMSC therapy.展开更多
To develop a biodegradable membrane with guided bone regeneration(GBR),a Mg-2.0Zn-1.0Gd alloy(wt.%,MZG)membrane with Ca-P coating was designed and fabricated in this study.The microstructure,hydrophilicity,in vitro de...To develop a biodegradable membrane with guided bone regeneration(GBR),a Mg-2.0Zn-1.0Gd alloy(wt.%,MZG)membrane with Ca-P coating was designed and fabricated in this study.The microstructure,hydrophilicity,in vitro degradation,cytotoxicity,antibacterial effect and in vivo regenerative performance for the membrane with and without Ca-P coating were evaluated.After coating,the membrane exhibited an enhance hydrophilicity and corrosion resistance,showed good in vitro cytocompatibility upon MC3T3E-1 cells,and exhibited excellent antibacterial effect against E.coli,Staphylococcus epidermis and Staphylococcus aureus,simultaneously.In vivo experiment using the rabbit calvarial defect model confirmed that Ca-P coated MZG membrane underwent progressive degradation without inflammatory reaction and significantly improved the new bone formation at both 1.5 and 3 months after the surgery.All the results strongly indicate that MZG with Ca-P coating have great potential for clinical application as GBR membranes.展开更多
BACKGROUND The odontogenic jaw cyst is a cavity containing liquid,semifluid or gaseous components,with the development of the disease.In recent years,with the rapid development of oral materials and the transformation...BACKGROUND The odontogenic jaw cyst is a cavity containing liquid,semifluid or gaseous components,with the development of the disease.In recent years,with the rapid development of oral materials and the transformation of treatment of jaw cysts,more options are available for treatment of postoperative bone defect of jaw cysts.Guided bone regeneration(GBR)places biomaterials in the bone defect,and then uses biofilm to separate the proliferative soft tissue and the slow-growing bone tissue to maintain the space for bone regeneration,which is widely used in the field of implantology.AIM To observe the clinical effect of GBR in repairing bone defect after enucleation of small and medium-sized odontogenic jaw cysts.METHODS From June 2018 to September 2020,13 patients(7 male,6 female)with odontogenic jaw cysts were treated in the Department of Oral Surgery,Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine.Adults without hypertension,heart disease,diabetes or other systemic diseases were selected.The diagnosis was based on the final pathological results:11 cases were diagnosed as apical cysts,one as primordial cyst,and one as dentigerous cyst.The lesions were located in the maxilla in seven cases,and in the mandible in six cases.All cases were treated with the same method of enucleation combined with GBR.RESULTS Three to four months after the operation,the boundary between the implant site and the surrounding normal stroma was not obvious in patients with small-sized odontogenic jaw cysts.The patients with tooth defects were treated with implant after 6 mo.For the patients with medium-sized odontogenic jaw cysts,the density of the center of the implant area was close to the normal mass at 6 mo after surgery,and there was a clear boundary between the periphery of the implant area and the normal mass.The boundary between the periphery of the implant area and the normal mass was blurred at 8-9 mo after surgery.Patients with tooth defects were treated with implants at>6 mo after the operation.CONCLUSION Enucleation combined with guided bone regeneration in small and medium-sized odontogenic jaw cysts can shorten the time of osteogenesis,increase the amount of new bone formation,reduce complications,and improve quality of life.展开更多
BACKGROUND Novel strategies are needed for improving guided bone regeneration(GBR) in oral surgery prior to implant placement, particularly in maxillary sinus augmentation(GBR-MSA) and in lateral alveolar ridge augmen...BACKGROUND Novel strategies are needed for improving guided bone regeneration(GBR) in oral surgery prior to implant placement, particularly in maxillary sinus augmentation(GBR-MSA) and in lateral alveolar ridge augmentation(LRA). This study tested the hypothesis that the combination of freshly isolated, unmodified autologous adipose-derived regenerative cells(UA-ADRCs), fraction 2 of plasma rich in growth factors(PRGF-2) and an osteoinductive scaffold(OIS)(UAADRC/PRGF-2/OIS) is superior to the combination of PRGF-2 and the same OIS alone(PRGF-2/OIS) in GBR-MSA/LRA.CASE SUMMARY A 79-year-old patient was treated with a bilateral external sinus lift procedure as well as a bilateral lateral alveolar ridge augmentation. GBR-MSA/LRA was performed with UA-ADRC/PRGF-2/OIS on the right side, and with PRGF-2/OIS on the left side. Biopsies were collected at 6 wk and 34 wk after GBRMSA/LRA. At the latter time point implants were placed. Radiographs(32 mo follow-up time) demonstrated excellent bone healing. No radiological or histological signs of inflammation were observed. Detailed histologic,histomorphometric, and immunohistochemical analysis of the biopsies evidenced that UA-ADRC/PRGF-2/OIS resulted in better and faster bone regeneration than PRGF-2/OIS.CONCLUSION GBR-MSA with UA-ADRCs, PRGF-2, and an OIS shows effectiveness without adverse effects.展开更多
After removal of the caries or diseased teeth,the alveolar ridge will undergo absorption and atrophy.When the amount of alveolar bone is insufficient,it will cause an inability to perform effective dental implant rest...After removal of the caries or diseased teeth,the alveolar ridge will undergo absorption and atrophy.When the amount of alveolar bone is insufficient,it will cause an inability to perform effective dental implant restoration.In order to control the absorption and promote the repair and regeneration of alveolar ridge,a method of implanting guided bone regeneration(GBR)membranes at the extraction site is often used.In this study,silk fibroin(SF)and poly-L-lactide lactone(PLCL)were used to prepare bilayered guided bone regeneration membranes,and its morphology,hydrophilicity,surface roughness and mechanical properties were studied.At the same time,the drug release behaviors and cell compatibility of the bilayered membranes were studied.The results showed that SF/PLCL bi-layered membranes had good mechanical properties and surface hydrophilicity,and the drug-loaded bi-layered membranes had good cell compatibility.The bilayered membranes fabricated in this study are of potential for applying in the oral health field to promote bone regeneration.展开更多
Ultrasonic guided waves(UGWs),which propagate throughout the entire thickness of cortical bone,are attractive for the early diagnosis of osteoporosis.However,this is challenging due to the impact of soft tissue and th...Ultrasonic guided waves(UGWs),which propagate throughout the entire thickness of cortical bone,are attractive for the early diagnosis of osteoporosis.However,this is challenging due to the impact of soft tissue and the inherent difficulties related to multiparametric inversion of cortical bone quality factors,such as cortical thickness and bulk wave velocity.Therefore,in this research,a UGW-based multi-parameter inversion algorithm is developed to predict strength-related factors.In simulation,a free plate(cortical bone)and a bilayer plate(soft tissue and cortical bone)are used to validate the proposed method.The inversed cortical thickness(CTh),longitudinal velocity(V_(L))and transverse velocity(V_(T))are in accordance with the true values.Then four bovine cortical bone plates were used in in vitro experiments.Compared with the reference values,the relative errors for cortical thickness were 3.96%,0.83%,2.87%,and 4.25%,respectively.In the in vivo measurements,UGWs are collected from the tibias of 10 volunteers.The theoretical dispersion curves depicted by the estimated parameters(V_(T),V_(L),CTh)match well with the extracted experimental ones.In comparison with dual-energy x-ray absorptiometry,our results show that the estimated transverse velocity and cortical thickness are highly sensitive to osteoporosis.Therefore,these two parameters(CTh and V_(T))of long bones have potential to be used for diagnosis of bone status in clinical applications.展开更多
The aim of this study was to evaluate the accuracy and reproducibility of a morphological contour interpolation(MCI)based segmentation method for the volumetric measurement of bone grafts around implants.Three 3D-prin...The aim of this study was to evaluate the accuracy and reproducibility of a morphological contour interpolation(MCI)based segmentation method for the volumetric measurement of bone grafts around implants.Three 3D-printed models(one with a cylinder and two with a geometrically-complex form)were fabricated to simulate implant placement with a simultaneous guided bone regeneration(GBR)procedure.All models were scanned using a cone beam computed tomography(CBCT)instrument with the same parameters.The true volumes of the bone grafts in the models were assessed using computer-aided calculation(controls).For the test measurements,both manual and MCI-based methods were used.A comparison between the measured and true volumes was performed to evaluate the accuracy.The coefficients of variation of repeated measurements were calculated to evaluate the reproducibility.In addition,the execution time was recorded and a comparison between the two methods was performed.The high accuracy of the MCI-based method was found with differences between the measured value and actual volume,which never exceeded 7.3%.Excellent reproducibility was shown,with coefficients of variation never exceeding 1.1%.A shorter execution time was observed for the MCI-based method than for the manual method.Within the confines of this study,the MCI-based method may be suitable for volumetric measurements of grafted bone around implants.展开更多
Hydrothermally synthesized nano-hydroxyapatite（n-HA ） varmg m wetght Jrom 10% to 30% was used us filler to make guided bone regeneration （ GBR ） composite membranes with navel aliphatic polyesteramide （ PEA ）. T...Hydrothermally synthesized nano-hydroxyapatite（n-HA ） varmg m wetght Jrom 10% to 30% was used us filler to make guided bone regeneration （ GBR ） composite membranes with navel aliphatic polyesteramide （ PEA ）. The structare and properties of PEA and its n- HA composites were investigated through TEM, IR, XRD, SEM and EDX. The shape and size of the n- HA crystals are similar to the apatite crystals in nataral bone. Molecule interactions are present between the n- HA and PEA in the compasite, which allows the uniform dispersion of n- HA in PEA matrix. This contributes enhanced mechanical property and bioactivhy to the compasite. The cytacompatibilhy of the composites has been investigated by culturing osteoblasts on the membranes. Good cell attachment and proliferation manner were observed on the membranes after 1 week. These results suggest that the PEA/ n-HA compasite membrane prepared in this study may serve us barrier membranes for guided bone regeneration and potential candidate scaffold for tissue engineering.展开更多
[Basckground]This case report presented a methodology for immediate implantation in the esthetic zone with a facial bone defect along with flap surgery,guided bone regeneration,and non-submerged healing.[Case presenta...[Basckground]This case report presented a methodology for immediate implantation in the esthetic zone with a facial bone defect along with flap surgery,guided bone regeneration,and non-submerged healing.[Case presentation]A 27-year-old female patient was complaining of the aesthetic complication that was caused via metallic staining of the neck of ceramic crowns in the maxillary right anterior region for one year.She has experienced immediate implantation along with flap surgery,guided bone regeneration(GBR),and non-submerged healing.The torque of the implant reached to the 35 N·cm to confirm primary stability.Six months after surgery,the healing abutment and the implant were fixed,the gingiva was healthy in the surgical area,and the nearby teeth and the opposite teeth were normal.[Results]The results of cone-beam computer tomography(CBCT)revealed that bone defects were filled with the newly formed bone.At the same time,the final impressions accomplished,and an all-ceramic crown was fit-placed.As a whole,the patient satisfaction rate was high.[Conclusions]Immediate implant placement with flap surgery,GBR,and non-submerged healing with a facial bone wall defect in the esthetic zone is an achievable process.展开更多
Objective: To study the effect of concentrated growth factor (CGF) combined with guided bone regeneration on cell proliferation and bone resorption in patients with severe periodontitis. Methods: Patients with severe ...Objective: To study the effect of concentrated growth factor (CGF) combined with guided bone regeneration on cell proliferation and bone resorption in patients with severe periodontitis. Methods: Patients with severe periodontitis who were treated in Stomatology Department of Shenmu Hospital between May 2014 and February 2017 were selected as the research subjects and randomly divided into two groups, surgery + CGF group received concentrated growth factor combined with guided bone regeneration, and pure surgery group received guided bone regeneration. The contents of inflammatory response, cell proliferation and bone resorption markers in gingival crevicular fluid were determined 1 week after treatment. Results: 1 week after treatment, HMGB1, ICAM1, E-selectin, Smac, FasL, Caspase-8, Caspase-9, Caspase-3, RANKL and NTX contents in gingival crevicular fluid of surgery + CGF group were significantly lower than those of pure surgery group while PD-L1, hBD-3, Wnt3a, BGP and OPG contents were significantly higher than those of pure surgery group. Conclusion:Concentrated growth factor combined with guided bone regeneration for severe periodontitis can inhibit inflammatory response, apoptosis and bone resorption, which is beneficial to the reconstruction of periodontal tissue.展开更多
Objective: to explore the significance of combined guided bone regeneration technique on the basis of jaw cyst curettage in the treatment of patients with odontogenic jaw cyst to improve the treatment quality of patie...Objective: to explore the significance of combined guided bone regeneration technique on the basis of jaw cyst curettage in the treatment of patients with odontogenic jaw cyst to improve the treatment quality of patients. Methods: the project started in October 2020 and the project ended in January 2022. The data composition of the project were all confirmed patients in our hospital, with a total of 54 cases. The project was divided into the general group and the study group, with 27 cases in each group. The treatment parameters, changes in jaw height and width after surgery, treatment efficiency and surgical treatment indexes of the two groups were compared. Results: compared with other groups, the volume and area of cysts in the study group changed more significantly, and the bone mineral density of the patients increased more than that in the general group. Comparing the changes of jaw height and width, the parameters of the study group were higher than those of the conventional group. The number of patients in the study group who showed significant improvement in treatment was larger, and the total effective rate was significantly higher than that in the general group. Compared with the surgical treatment, although the treatment time and blood loss of the study group were more, the incidence of postoperative complications and recurrence rate were lower than those of the general group (P≤0.05). Conclusion: for the patients with odontogenic jaw cyst, the application of combined therapy is of positive significance in improving the disease pathological changes of the patients, improving the overall recovery quality, and reducing the influence of disease complications and recurrence rate.展开更多
This study explored the feasibility of employing computer-aided design(CAD)and 3 dimensional(3D)-printed personalized guide plate for the mini-invasive percutaneous internal screw fixation of fractured scaphoid.The st...This study explored the feasibility of employing computer-aided design(CAD)and 3 dimensional(3D)-printed personalized guide plate for the mini-invasive percutaneous internal screw fixation of fractured scaphoid.The study consisted of two parts:(1)experimentation on upper limbs from corpses and(2)preliminary clinical application.Corpse experiments involved upper limbs of 6 adult corpses.The specimens of upper limbs were subjected to plain CT scan.Then the CT data were input into computer to conduct 3D reconstruction of wrist region.The direction and depth of the guide wire and screw were designed on the basis of the principle that screw should lie at the center of scaphoid and the long axis of the screw should be aligned with that of the scaphoid.The carpal bone model and the guide plate were designed and 3D-printed.By using the guide plates,the guide wire was placed and the cannulated compression screw was inserted.The wrist region was examined by X-ray and CT to observe the location of the screw in the scaphoid.The scaphoid was longitudinally excised to grossly observe the location and evaluate the result of screw insertion.For clinical application,the guide plate was employed in 4 patients with fresh scaphoid fracture using the aforementioned operative technique.Our results showed that,in the 6 corpse limbs,the guide plate well fitted the skin surface and the guide wire and screw were accurately put in place in one session.X-ray examination and gross observation confirmed that the screw was satisfactorily positioned and the result met the requirements of the preoperative design.For 4 patients,the guide wire and screw were all precisely inserted into place in one session.The operation time and X-ray exposure times were apparently reduced.The imaging examination exhibited satisfactory results and the hand functioned well.It was concluded that the operative guide plate used for the miniinvasive percutaneous internal screw fixation of fractured scaphoid not only can assist in accurate placement of screw but also shorten operation time and reduce insertion and X-ray exposure times,thereby reducing the radiation injury and damage to the substance and the blood circulation of carpal bone.Its use can also improve the learning curve of surgeons.展开更多
Severe bone defects pose a formidable clinical challenge in orthopedics,urgently demanding the development of advanced biomaterials to restore structural and functional integrity.While current regenerative materials,s...Severe bone defects pose a formidable clinical challenge in orthopedics,urgently demanding the development of advanced biomaterials to restore structural and functional integrity.While current regenerative materials,such as collagen-containing products,demonstrate a certain degree of biocompatibility,they are still hampered by limitations that include poor mechanical performance,restricted barrier effects,and arduous preparation methods.Here,we report a rapid-curing methodology to engineer recombinant resilin bioshield with tunable modulus,superior bioactivity,and rapid assembly kinetics.The resilin bioshield is rapidly formed within minutes via a tyrosine-mediated photo-crosslinking strategy,achieving spatially programmable assembly.Enzymatic integration of alkaline phosphatase into the resilin matrix drives in situ mineralization,yielding densely packed hydroxyapatite(HAP)nanocrystals.Remarkably,this process enables controlled modulus tuning of the bioshield across three orders of magnitude,achieving an exceptional maximum modulus of 145 MPa while retaining excellent flexibility,thus surpassing conventional guided bone regeneration materials.Beyond its mechanical superiority,the mineralized resilin bioshield not only directs cellular behavior by enhancing adhesion and spreading but also robustly drives the osteogenic differentiation of mesenchymal stem cells,thereby accelerating functional bone regeneration.As a result,our work provides an alternative approach for creating high-performance barrier membranes for guided bone regeneration.展开更多
基金National Natural Science Found for Distinguished Young Scholars(52225101)National Natural Science Found(52301132)+3 种基金China Postdoctoral Science Foundation(2022M720551)Natural Science Foundation of Chongqing(CSTB2023NSCQ-MSX0527)Chongqing Academician Special Fund(2022YSZX-JCX0014CSTB)Chongqing Science and Technology Commission(CSTB2022NSCQ-MSX0416)。
文摘Magnesium(Mg)and its alloys have emerged as promising candidates for guided bone/tissue regeneration(GBR/GTR)due to their good mechanical properties,biosafety,and biodegradability.In this study,we present a pioneering application of Mg-Ag alloys featuring tunable corrosion behaviors for GBR/GTR membranes,showcasing their in vitro antibacterial effects,cell migration,and osteogenic differentiation abilities.Mg-Ag alloys with different Ag contents were engineered to facilitate the cell migration of murine fibroblasts(L929)and the osteogenic differentiation of rat bone mesenchymal stem cells(rBMSCs).The Mg-Ag alloy consisted of recrystallizedα-Mg grains and fine Mg4Ag second phases,with an observable refinement in the average grain size to 5.6μm with increasing Ag content.Among the alloys,Mg-9Ag exhibited optimal mechanical strength and moderate plasticity(tensile yield strength of 205.7 MPa,elongation of 20.3%,and a maximum bending load of 437.2 N).Furthermore,the alloying of Ag accelerated the cathodic reaction of pure Mg,leading to a slightly increased corrosion rate of the Mg-Ag alloys while maintaining acceptable general corrosion.Notably,compared with pure Mg,Mg-Ag alloys had superior antibacterial effects against Porphyromonas gingivalis(P.gingivalis)and Staphylococcus aureus(S.aureus).Taken together,these results provide evidence for the significant clinical potential of Mg-Ag alloys as GBR/GTR membranes.
文摘Objective:To investigate the clinical effect of the guided bone regeneration(GBR)technique combined with temporary bridgework-guided gingival contouring in treating upper anterior tooth loss with labial bone defects.Methods:From July 2023 to April 2024,80 patients with upper anterior tooth loss and labial bone defects were admitted to the hospital and selected as evaluation samples.They were divided into an observation group(n=40)and a control group(n=40)using a numerical table lottery scheme.The control group received treatment with the GBR technique,while the observation group received treatment with the GBR technique combined with temporary bridges to guide gingival contouring.The two groups were compared in terms of clinical red aesthetic scores(PES),labial alveolar bone density,labial bone wall thickness,gingival papillae,gingival margin levels,and patient satisfaction.Results:The PES scores of patients in the observation group were higher than those in the control group after surgery(P<0.05).The bone density of the labial alveolar bone and the thickness of the labial bone wall in the observation group were higher than those in the control group.The levels of gingival papillae and gingival margins were lower in the observation group after surgery(P<0.05).Additionally,patient satisfaction in the observation group was higher than in the control group(P<0.05).Conclusion:The GBR technique combined with temporary bridge-guided gingival contouring for treating upper anterior tooth loss with labial bone defects can improve the aesthetic effect of gingival soft tissue,increase alveolar bone density and the thickness of the labial bone wall,and enhance patient satisfaction.This approach is suitable for widespread application in healthcare institutions.
基金financially supported by the Key Program of China on Biomedical Materials Research and Tissue and Organ Replacement (Nos.2016YFC1101804 and 2016YFC1100604)Shenyang Key R&D and Technology Transfer Program (No.Z18-0-027)
文摘A novel calcium-phosphate(Ca–P)-coated magnesium(Mg) membrane used for guided bone regeneration(GBR) was studied.The microstructural characterization, electrochemical test, immersion test,fluorescence labeling analysis and histopathological evaluation were carried out.The results showed that Ca–P coating could obviously improve the corrosion resistance of the pure Mg membrane.The in vivo results showed that Mg membrane coated with Ca–P would take 8 weeks to be completely absorbed.However, Mg membrane was completely absorbed within 1 week.Histopathological evaluation showed that the Ca–P-coated Mg membranes were significantly better than Ti membranes at the early implantation time(4 weeks), and with the time prolonging,the performance of the coated Mg membrane was not as good as pure Ti membranes(but still better than blank group) at 8 and 12 weeks.The coated biodegradable Mg membrane had a good promising application in GBR.But further studies have to be done to further decrease the degradation rate of pure Mg membrane.
文摘This study aimed to utilize micro-computed tomography （micro-CT） analysis to compare new bone formation in rat calvarial defects using chitosan/fibroin-hydroxyapatite （CFB-HAP） or collagen （Bio-Gide） membranes. Fifty-four （54） rats were studied. A circular bony defect （8 mm diameter） was formed in the centre of the calvaria using a trephine bur. The CFB-HAP membrane was prepared by thermally induced phase separation. In the experimental group （n= 18）, the CFB-HAP membrane was used to cover the bony defect, and in the control group （n= 18）, a resorbable collagen membrane （Bio-Gide） was used. In the negative control group （n= 18）, no membrane was used. In each group, six animals were euthanized at 2, 4 and 8 weeks after surgery. The specimens were then analysed using micro-CT. There were significant differences in bone volume （BV） and bone mineral density （BMD） （P〈O.05） between the negative control group and the membrane groups. However, there were no significant differences between the CFB-HAP group and the collagen group. We concluded that the CFB-HAP membrane has significant potential as a guided bone regeneration （GBR） membrane.
基金Funded by the National Natural Science Foundation of China(No.30870610)the National Glycoengineering Research Center,ShandongUniversity (No.NGRC2009F02)the Shandong Provincial Natural ScienceFoundation (No. Y2008C107)
文摘Bioabsorbable chitosan/β-glycerol phosphate （CS/β-GP） composite membranes were fabricated through a relatively PH neutral and mild sol-gel process for guided bone regeneration （GBR）.Their structural properties,morphology,and tensile strength were investigated.FTIR and XRD analyses indicated that there were chemical bonds between the CS andβ-GP.SEM analysis revealed that the CS/β-GP composite membranes had a porous structure both at the surface and in sublayers.Even though the incorporation ofβ-GP in the CS matrix decreased the initial tensile strength of the membrane,the CS/β-GP membranes were still fit for GBR application with their tensile strength of roughly 1MPa.The concentration ofβ-GP was proportional to the pore size and thickness but was inversely proportional to the tensile strength of the CS/β-GP membrane.The present findings indicate that,based on its characteristics,the CS/β-GP composite membrane is a potential bioresorbable membrane for use in guided bone regeneration.
基金King Saud University,through Vice Deanship of Research Chairs
文摘The aim of the present real time in vivo micro-computed tomography （pCT） and histologic experiment was to assess the efficacy of guided bone regeneration （GBR） around standardized calvarial critical size defects （CSD） using bone marrow-derived mesenchymal stem cells （BMSCs）, and collagen membrane （CM） with and without tricalcium phosphate （TCP） graft material. In the calvaria of nine female Sprague-Dawley rats, full-thickness CSD （diameter 4.6 mm） were created under general anesthesia. Treatment-wise, rats were divided into three groups. In group 1, CSD was covered with a resorbable CM; in group 2, BMSCs were filled in CSD and covered with CM; and in group 3, TCP soaked in BMSCs was placed in CSD and covered with CM. All defects were closed using resorbable sutures. Bone volume and bone mineral density of newly formed bone （NFB） and remaining TCP particles and rate of new bone formation was determined at baseline, 2, 4, 6, and 10 weeks using in vivo pCT. At the lOth week, the rats were killed and calvarial segments were assessed histologically. The results showed that the hardness of NFB was similar to that of the native bone in groups I and 2 as compared to the NFB in group 3. Likewise, values for the modulus of elasticity were also significantly higher in group 3 compared to groups 1 and 2. This suggests that TCP when used in combination with BMSCs and without CM was unable to form bone of significant strength that could possibly provide mechanical ＂lock＂ between the natural bone and NFB. The use of BMSCs as adjuncts to conventional GBR initiated new bone formation as early as 2 weeks of treatment compared to when GBR is attempted without adiunct BMSC therapy.
基金This work was supported by National Natural Sci-ence Foundation of China(No.81600827,No.U1804251,No.81600827 and No.51971134)the National Key R&D program of China(No.2016YFC1102103)+1 种基金the Science and Technology Commission of Shanghai(18441908000)Shanghai Jiao Tong University Biomedi-cal Engineering Research Fund(YG2019ZDA02).Dr.Jiawen Si wants to thank his wife Qifan Hu and daughter Jinnuo Si for their support,care and love over the past years,and say“thank god for sending you to me on angel’s wings”.
文摘To develop a biodegradable membrane with guided bone regeneration(GBR),a Mg-2.0Zn-1.0Gd alloy(wt.%,MZG)membrane with Ca-P coating was designed and fabricated in this study.The microstructure,hydrophilicity,in vitro degradation,cytotoxicity,antibacterial effect and in vivo regenerative performance for the membrane with and without Ca-P coating were evaluated.After coating,the membrane exhibited an enhance hydrophilicity and corrosion resistance,showed good in vitro cytocompatibility upon MC3T3E-1 cells,and exhibited excellent antibacterial effect against E.coli,Staphylococcus epidermis and Staphylococcus aureus,simultaneously.In vivo experiment using the rabbit calvarial defect model confirmed that Ca-P coated MZG membrane underwent progressive degradation without inflammatory reaction and significantly improved the new bone formation at both 1.5 and 3 months after the surgery.All the results strongly indicate that MZG with Ca-P coating have great potential for clinical application as GBR membranes.
基金Supported by the National Natural Science Foundation of China,No. 31800816Fundamental Research Program Funding of the Ninth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,No. JYZZ109
文摘BACKGROUND The odontogenic jaw cyst is a cavity containing liquid,semifluid or gaseous components,with the development of the disease.In recent years,with the rapid development of oral materials and the transformation of treatment of jaw cysts,more options are available for treatment of postoperative bone defect of jaw cysts.Guided bone regeneration(GBR)places biomaterials in the bone defect,and then uses biofilm to separate the proliferative soft tissue and the slow-growing bone tissue to maintain the space for bone regeneration,which is widely used in the field of implantology.AIM To observe the clinical effect of GBR in repairing bone defect after enucleation of small and medium-sized odontogenic jaw cysts.METHODS From June 2018 to September 2020,13 patients(7 male,6 female)with odontogenic jaw cysts were treated in the Department of Oral Surgery,Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine.Adults without hypertension,heart disease,diabetes or other systemic diseases were selected.The diagnosis was based on the final pathological results:11 cases were diagnosed as apical cysts,one as primordial cyst,and one as dentigerous cyst.The lesions were located in the maxilla in seven cases,and in the mandible in six cases.All cases were treated with the same method of enucleation combined with GBR.RESULTS Three to four months after the operation,the boundary between the implant site and the surrounding normal stroma was not obvious in patients with small-sized odontogenic jaw cysts.The patients with tooth defects were treated with implant after 6 mo.For the patients with medium-sized odontogenic jaw cysts,the density of the center of the implant area was close to the normal mass at 6 mo after surgery,and there was a clear boundary between the periphery of the implant area and the normal mass.The boundary between the periphery of the implant area and the normal mass was blurred at 8-9 mo after surgery.Patients with tooth defects were treated with implants at>6 mo after the operation.CONCLUSION Enucleation combined with guided bone regeneration in small and medium-sized odontogenic jaw cysts can shorten the time of osteogenesis,increase the amount of new bone formation,reduce complications,and improve quality of life.
文摘BACKGROUND Novel strategies are needed for improving guided bone regeneration(GBR) in oral surgery prior to implant placement, particularly in maxillary sinus augmentation(GBR-MSA) and in lateral alveolar ridge augmentation(LRA). This study tested the hypothesis that the combination of freshly isolated, unmodified autologous adipose-derived regenerative cells(UA-ADRCs), fraction 2 of plasma rich in growth factors(PRGF-2) and an osteoinductive scaffold(OIS)(UAADRC/PRGF-2/OIS) is superior to the combination of PRGF-2 and the same OIS alone(PRGF-2/OIS) in GBR-MSA/LRA.CASE SUMMARY A 79-year-old patient was treated with a bilateral external sinus lift procedure as well as a bilateral lateral alveolar ridge augmentation. GBR-MSA/LRA was performed with UA-ADRC/PRGF-2/OIS on the right side, and with PRGF-2/OIS on the left side. Biopsies were collected at 6 wk and 34 wk after GBRMSA/LRA. At the latter time point implants were placed. Radiographs(32 mo follow-up time) demonstrated excellent bone healing. No radiological or histological signs of inflammation were observed. Detailed histologic,histomorphometric, and immunohistochemical analysis of the biopsies evidenced that UA-ADRC/PRGF-2/OIS resulted in better and faster bone regeneration than PRGF-2/OIS.CONCLUSION GBR-MSA with UA-ADRCs, PRGF-2, and an OIS shows effectiveness without adverse effects.
基金Natural Science Foundation for Key Program of the Jiangsu Higher Education Institutions,China(No.19KJA610004)Natural Science Foundation of Jiangsu Province,China(No.BK20161254)+1 种基金China Postdoctoral Science Foundation(No.2019M651947)Mandatory Projects of Nantong Municipal Science and Technology Plan,China(No.JC2018004)
文摘After removal of the caries or diseased teeth,the alveolar ridge will undergo absorption and atrophy.When the amount of alveolar bone is insufficient,it will cause an inability to perform effective dental implant restoration.In order to control the absorption and promote the repair and regeneration of alveolar ridge,a method of implanting guided bone regeneration(GBR)membranes at the extraction site is often used.In this study,silk fibroin(SF)and poly-L-lactide lactone(PLCL)were used to prepare bilayered guided bone regeneration membranes,and its morphology,hydrophilicity,surface roughness and mechanical properties were studied.At the same time,the drug release behaviors and cell compatibility of the bilayered membranes were studied.The results showed that SF/PLCL bi-layered membranes had good mechanical properties and surface hydrophilicity,and the drug-loaded bi-layered membranes had good cell compatibility.The bilayered membranes fabricated in this study are of potential for applying in the oral health field to promote bone regeneration.
基金the National Natural Science Foundation of China(Grant No.12034005)in part by the Program of Shanghai Academic Research Leader(Grant No.19XD1400500)in part by the China Postdoctoral Science Foundation(Grant No.2019M661334)。
文摘Ultrasonic guided waves(UGWs),which propagate throughout the entire thickness of cortical bone,are attractive for the early diagnosis of osteoporosis.However,this is challenging due to the impact of soft tissue and the inherent difficulties related to multiparametric inversion of cortical bone quality factors,such as cortical thickness and bulk wave velocity.Therefore,in this research,a UGW-based multi-parameter inversion algorithm is developed to predict strength-related factors.In simulation,a free plate(cortical bone)and a bilayer plate(soft tissue and cortical bone)are used to validate the proposed method.The inversed cortical thickness(CTh),longitudinal velocity(V_(L))and transverse velocity(V_(T))are in accordance with the true values.Then four bovine cortical bone plates were used in in vitro experiments.Compared with the reference values,the relative errors for cortical thickness were 3.96%,0.83%,2.87%,and 4.25%,respectively.In the in vivo measurements,UGWs are collected from the tibias of 10 volunteers.The theoretical dispersion curves depicted by the estimated parameters(V_(T),V_(L),CTh)match well with the extracted experimental ones.In comparison with dual-energy x-ray absorptiometry,our results show that the estimated transverse velocity and cortical thickness are highly sensitive to osteoporosis.Therefore,these two parameters(CTh and V_(T))of long bones have potential to be used for diagnosis of bone status in clinical applications.
基金the Project of Science and Technology Commission of Shanghai Municipality(No.19411950100)the Multicenter Clinical Research Program of Shanghai Jiao Tong University School of Medicine(No.DLY201822)the Fundamental Research Program Funding of Ninth People’s Hospital affiliated to Shanghai Jiao Tong University School of Medicine(No.JYZZ102)。
文摘The aim of this study was to evaluate the accuracy and reproducibility of a morphological contour interpolation(MCI)based segmentation method for the volumetric measurement of bone grafts around implants.Three 3D-printed models(one with a cylinder and two with a geometrically-complex form)were fabricated to simulate implant placement with a simultaneous guided bone regeneration(GBR)procedure.All models were scanned using a cone beam computed tomography(CBCT)instrument with the same parameters.The true volumes of the bone grafts in the models were assessed using computer-aided calculation(controls).For the test measurements,both manual and MCI-based methods were used.A comparison between the measured and true volumes was performed to evaluate the accuracy.The coefficients of variation of repeated measurements were calculated to evaluate the reproducibility.In addition,the execution time was recorded and a comparison between the two methods was performed.The high accuracy of the MCI-based method was found with differences between the measured value and actual volume,which never exceeded 7.3%.Excellent reproducibility was shown,with coefficients of variation never exceeding 1.1%.A shorter execution time was observed for the MCI-based method than for the manual method.Within the confines of this study,the MCI-based method may be suitable for volumetric measurements of grafted bone around implants.
文摘Hydrothermally synthesized nano-hydroxyapatite（n-HA ） varmg m wetght Jrom 10% to 30% was used us filler to make guided bone regeneration （ GBR ） composite membranes with navel aliphatic polyesteramide （ PEA ）. The structare and properties of PEA and its n- HA composites were investigated through TEM, IR, XRD, SEM and EDX. The shape and size of the n- HA crystals are similar to the apatite crystals in nataral bone. Molecule interactions are present between the n- HA and PEA in the compasite, which allows the uniform dispersion of n- HA in PEA matrix. This contributes enhanced mechanical property and bioactivhy to the compasite. The cytacompatibilhy of the composites has been investigated by culturing osteoblasts on the membranes. Good cell attachment and proliferation manner were observed on the membranes after 1 week. These results suggest that the PEA/ n-HA compasite membrane prepared in this study may serve us barrier membranes for guided bone regeneration and potential candidate scaffold for tissue engineering.
文摘[Basckground]This case report presented a methodology for immediate implantation in the esthetic zone with a facial bone defect along with flap surgery,guided bone regeneration,and non-submerged healing.[Case presentation]A 27-year-old female patient was complaining of the aesthetic complication that was caused via metallic staining of the neck of ceramic crowns in the maxillary right anterior region for one year.She has experienced immediate implantation along with flap surgery,guided bone regeneration(GBR),and non-submerged healing.The torque of the implant reached to the 35 N·cm to confirm primary stability.Six months after surgery,the healing abutment and the implant were fixed,the gingiva was healthy in the surgical area,and the nearby teeth and the opposite teeth were normal.[Results]The results of cone-beam computer tomography(CBCT)revealed that bone defects were filled with the newly formed bone.At the same time,the final impressions accomplished,and an all-ceramic crown was fit-placed.As a whole,the patient satisfaction rate was high.[Conclusions]Immediate implant placement with flap surgery,GBR,and non-submerged healing with a facial bone wall defect in the esthetic zone is an achievable process.
文摘Objective: To study the effect of concentrated growth factor (CGF) combined with guided bone regeneration on cell proliferation and bone resorption in patients with severe periodontitis. Methods: Patients with severe periodontitis who were treated in Stomatology Department of Shenmu Hospital between May 2014 and February 2017 were selected as the research subjects and randomly divided into two groups, surgery + CGF group received concentrated growth factor combined with guided bone regeneration, and pure surgery group received guided bone regeneration. The contents of inflammatory response, cell proliferation and bone resorption markers in gingival crevicular fluid were determined 1 week after treatment. Results: 1 week after treatment, HMGB1, ICAM1, E-selectin, Smac, FasL, Caspase-8, Caspase-9, Caspase-3, RANKL and NTX contents in gingival crevicular fluid of surgery + CGF group were significantly lower than those of pure surgery group while PD-L1, hBD-3, Wnt3a, BGP and OPG contents were significantly higher than those of pure surgery group. Conclusion:Concentrated growth factor combined with guided bone regeneration for severe periodontitis can inhibit inflammatory response, apoptosis and bone resorption, which is beneficial to the reconstruction of periodontal tissue.
文摘Objective: to explore the significance of combined guided bone regeneration technique on the basis of jaw cyst curettage in the treatment of patients with odontogenic jaw cyst to improve the treatment quality of patients. Methods: the project started in October 2020 and the project ended in January 2022. The data composition of the project were all confirmed patients in our hospital, with a total of 54 cases. The project was divided into the general group and the study group, with 27 cases in each group. The treatment parameters, changes in jaw height and width after surgery, treatment efficiency and surgical treatment indexes of the two groups were compared. Results: compared with other groups, the volume and area of cysts in the study group changed more significantly, and the bone mineral density of the patients increased more than that in the general group. Comparing the changes of jaw height and width, the parameters of the study group were higher than those of the conventional group. The number of patients in the study group who showed significant improvement in treatment was larger, and the total effective rate was significantly higher than that in the general group. Compared with the surgical treatment, although the treatment time and blood loss of the study group were more, the incidence of postoperative complications and recurrence rate were lower than those of the general group (P≤0.05). Conclusion: for the patients with odontogenic jaw cyst, the application of combined therapy is of positive significance in improving the disease pathological changes of the patients, improving the overall recovery quality, and reducing the influence of disease complications and recurrence rate.
文摘This study explored the feasibility of employing computer-aided design(CAD)and 3 dimensional(3D)-printed personalized guide plate for the mini-invasive percutaneous internal screw fixation of fractured scaphoid.The study consisted of two parts:(1)experimentation on upper limbs from corpses and(2)preliminary clinical application.Corpse experiments involved upper limbs of 6 adult corpses.The specimens of upper limbs were subjected to plain CT scan.Then the CT data were input into computer to conduct 3D reconstruction of wrist region.The direction and depth of the guide wire and screw were designed on the basis of the principle that screw should lie at the center of scaphoid and the long axis of the screw should be aligned with that of the scaphoid.The carpal bone model and the guide plate were designed and 3D-printed.By using the guide plates,the guide wire was placed and the cannulated compression screw was inserted.The wrist region was examined by X-ray and CT to observe the location of the screw in the scaphoid.The scaphoid was longitudinally excised to grossly observe the location and evaluate the result of screw insertion.For clinical application,the guide plate was employed in 4 patients with fresh scaphoid fracture using the aforementioned operative technique.Our results showed that,in the 6 corpse limbs,the guide plate well fitted the skin surface and the guide wire and screw were accurately put in place in one session.X-ray examination and gross observation confirmed that the screw was satisfactorily positioned and the result met the requirements of the preoperative design.For 4 patients,the guide wire and screw were all precisely inserted into place in one session.The operation time and X-ray exposure times were apparently reduced.The imaging examination exhibited satisfactory results and the hand functioned well.It was concluded that the operative guide plate used for the miniinvasive percutaneous internal screw fixation of fractured scaphoid not only can assist in accurate placement of screw but also shorten operation time and reduce insertion and X-ray exposure times,thereby reducing the radiation injury and damage to the substance and the blood circulation of carpal bone.Its use can also improve the learning curve of surgeons.
基金supported by grants from the National Key R&D Program of China(Nos.2024YFC2510702,2021YFB3502300,and 2022YFA1206100)the National Natural Science Foundation of China(Nos.22405015,82225012,52473120,82101074,82201017,22125701,52373123,52372278,22361132542,22277064,82202349,22388101,and 22020102003)+4 种基金Beijing Nova Program(Nos.Z211100002121132 and 20220484205)Beijing Natural Science Foundation(Nos.2222010 and L222066)China Postdoctoral Science Foundation(Nos.2022M710257 and 2024M754068)Young Elite Scientist Sponsorship Program by CAST(No.2022QNRC001)C.N.J.thanks the Postdoctoral Fellowship Program of CPSF under Grant Number GZC20231340.
文摘Severe bone defects pose a formidable clinical challenge in orthopedics,urgently demanding the development of advanced biomaterials to restore structural and functional integrity.While current regenerative materials,such as collagen-containing products,demonstrate a certain degree of biocompatibility,they are still hampered by limitations that include poor mechanical performance,restricted barrier effects,and arduous preparation methods.Here,we report a rapid-curing methodology to engineer recombinant resilin bioshield with tunable modulus,superior bioactivity,and rapid assembly kinetics.The resilin bioshield is rapidly formed within minutes via a tyrosine-mediated photo-crosslinking strategy,achieving spatially programmable assembly.Enzymatic integration of alkaline phosphatase into the resilin matrix drives in situ mineralization,yielding densely packed hydroxyapatite(HAP)nanocrystals.Remarkably,this process enables controlled modulus tuning of the bioshield across three orders of magnitude,achieving an exceptional maximum modulus of 145 MPa while retaining excellent flexibility,thus surpassing conventional guided bone regeneration materials.Beyond its mechanical superiority,the mineralized resilin bioshield not only directs cellular behavior by enhancing adhesion and spreading but also robustly drives the osteogenic differentiation of mesenchymal stem cells,thereby accelerating functional bone regeneration.As a result,our work provides an alternative approach for creating high-performance barrier membranes for guided bone regeneration.
