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Repair of Experimental Maxillary Alveolar Cleft Defects in Growing Rabbits with a New Bioabsorbable Composite Membrane of Polyactive®
and Bioactive Glass

Puumanen K (1), Kellomäki M (2), Ritsilä V (3), Böhling T (4), Törmälä P (2), Waris T (5), Ashammakhi N (6).

1. Department of Surgery, University of Helsinki, Helsinki;
2. Institute of Biomaterials, Tampere University of Technology, Tampere;
3. ORTON Research Institute, The Invalid Foundation of Helsinki, Helsinki;
4. Department of Pathology, Hartman Institute, University of Helsinki and Helsinki University Central Hospital, Helsinki;
5. Division of Plastic Surgery, Department of Surgery, Tampere University Hospital, Tampere;
6. Division of Plastic Surgery, Department of Surgery, Oulu University Hospital, Oulu; Finland.

Corresponding author:
K. Puumanen, M.D. Eskolantie 9 B 1 00720 Helsinki FINLAND Tel. + 358 9 22 33 979 Fax + 358 9 351 33 58 E mail: katja.puumanen@fimnet.fi



ABSTRACT
A new bioabsorbable composite membrane of polyethylene oxide terephtalate and polybutylene terephtalate (Polyactive® 70/30) combined with bioactive glass n:o 13-93 was tested in repair of experimental maxillary alveolar cleft defects. The possible ability of the membrane to promote bone formation by guided tissue regeneration was investigated. A standard alveolar defect was made bilaterally in the maxilla and filled with autogenous bone grafts in 12 growing rabbits. The test defect was covered with the composite membrane and the other one was left uncovered to serve as control. Follow-up was 10 weeks. Histological and radiological evaluations and histomorphometric measurements were performed. The results were statistically analysed. In histological evaluation the composite membrane was found to have a local enhancing effect on osteogenic activity at the membrane - bone interface. In histomorphometry promotion of bone formation by the composite membrane was not observed in this pilot series.

KEYWORDS
experimental maxillary cleft, bone grafting, bone healing, GTR, bioabsorbable membrane, bioactive glass