02 January 2024 | Shuyi Wu, Shulu Luo, Zongheng Cen, Qianqian Li, Luwei Li, Weiran Li, Zhike Huang, Wenyi He, Guobin Liang, Dingcai Wu, Minghong Zhou, Yan Li
The study presents an innovative spatiotemporally hierarchical guided bone regeneration (GBR) membrane that combines densely porous N-halamine functionalized bacterial cellulose nanonetwork facing the gingiva and loosely porous chitosan-hydroxyapatite composite micronetwork facing the alveolar bone. This all-in-one membrane integrates stiffness and flexibility, ingrowth barrier and guidance, and antibacterial and cell-activation properties, providing comprehensive protection during bone regeneration. The dense layer, with a Young's modulus similar to that of the gingiva, maintains space for tissue regeneration while blocking fibroblasts and preventing bacterial invasion through multiple mechanisms. The loose layer, ultra-soft and conformal, facilitates osteogenesis by promoting the growth of osteoblasts. In vitro and in vivo tests demonstrate the membrane's superior cytocompatibility, barrier function, and pro-osteogenic ability, as well as its effectiveness in protecting against bacterial invasion. The membrane's multi-layered structure and multi-dimensional antibacterial function create a sterile osteogenic microenvironment, making it a promising material for clinical bone augmentation.The study presents an innovative spatiotemporally hierarchical guided bone regeneration (GBR) membrane that combines densely porous N-halamine functionalized bacterial cellulose nanonetwork facing the gingiva and loosely porous chitosan-hydroxyapatite composite micronetwork facing the alveolar bone. This all-in-one membrane integrates stiffness and flexibility, ingrowth barrier and guidance, and antibacterial and cell-activation properties, providing comprehensive protection during bone regeneration. The dense layer, with a Young's modulus similar to that of the gingiva, maintains space for tissue regeneration while blocking fibroblasts and preventing bacterial invasion through multiple mechanisms. The loose layer, ultra-soft and conformal, facilitates osteogenesis by promoting the growth of osteoblasts. In vitro and in vivo tests demonstrate the membrane's superior cytocompatibility, barrier function, and pro-osteogenic ability, as well as its effectiveness in protecting against bacterial invasion. The membrane's multi-layered structure and multi-dimensional antibacterial function create a sterile osteogenic microenvironment, making it a promising material for clinical bone augmentation.