Background: The use of membranes in guided tissue regeneration (GTR) can li
mit the apical migration of gingival cells and favor the establishment of n
ew attachment by periodontal ligament fibroblasts. However, gingival recess
ion during healing following GTR has been described as a frequent complicat
ion. The purpose of this study was to determine if gingival fibroblasts are
affected by the composition of the bioabsorbable membranes used in mucogin
gival surgery.
Methods: Two type of bioabsorbable regenerative materials were used as cell
carriers. Wistar rat gingival fibroblasts (RGF) were obtained from attache
d gingiva, cut into small fragments, and placed in culture dishes. When con
fluent, cells were detached using trypsin and identified as "first transfer
red cells" (P1). At the third passage (P3), cell count, trypan blue exclusi
on test, acid phosphatase activity, DNA synthesis, phase contrast microscop
y, and scanning electron microscopy were performed. The cells were then pla
ced in wells containing the membranes and incubated for 72 hours.
Results: When examined under microscopy, the control wells (without membran
es) showed one cell type with the elongated appearance characteristic of fi
broblasts. The wells with membranes showed an altered cell morphology with
a high proportion of cell fragments regardless of the type of membrane used
.
Conclusions: These results suggest that cell carrier membranes could affect
RGF morphology and thus alter gingival tissue healing following GTR.