The
use of the guided bone regeneration technique in oral surgery
has been proven to be an effective method for repairing alveolar bone
defects. However, the success of this technique heavily relies on
the barrier membrane used. Collagen is the most frequently used raw
material to fabricate a resorbable barrier membrane, which has some
drawbacks during clinical application, such as poor mechanical properties
and rapid biodegradation. To address these issues, a new approach
was developed for the preparation of collagen-based heterogeneous
bilayer membranes, which involves a combination of physical treatment
and biocompatible chemical cross-linking. The dialdehyde carboxymethyl
cellulose was used to cross-link collagen to fabricate the membrane,
and dehydrothermal (DHT) treatment was applied to enhance its properties.
The results showed that DHT treatment apparently improved the structure
stability and compression strength in both dry and swollen states.
The biodegradation rate of the bilayer membrane was depressed, and
the porosity was improved by dehydrogenation. The bilayer membrane
was found to have good cytocompatibility. Moreover, the compact lower
layer of the bilayer membrane possessed a strong barrier function
to fibroblasts while the loose upper layer was able to enhance the
adhesion, proliferation, and osteogenic differentiation of osteoblasts.
Overall, the collagen-based heterogeneous bilayer membrane has great
potential for the application in guided bone regeneration. For the
membrane, the improved mechanical properties, reduced biodegradation
rate, and enhanced osteoblast response make it a promising material
for oral surgery applications.