Non-Cochrane · intervention · PM41793737

Failures and complications associated with resorbable and non-resorbable membranes in guided bone regeneration: A systematic review and meta-analysis.

Cousiño D-S, Egido-Moreno S, Navarro B-G, et al. · Medicina oral, patologia oral y cirugia bucal · 2026 · PubMed · doi:10.4317/medoral.27721

Findings

Population Patients undergoing guided bone regeneration

6 findings

e-PTFE (non-resorbable) membraneCollagen (resorbable) membraneBone formation (mm)MD -0.09 [-0.41, 0.22]
GRADE not reported
5 studies · 160 participants
e-PTFE (non-resorbable) membraneCollagen (resorbable) membraneComplicationsRR 1.01 [0.69, 1.48]
GRADE not reported
9 studies · 253 participants
e-PTFE (non-resorbable) membraneCollagen (resorbable) membraneSuccess rateRR 1.0 [0.95, 1.06]
GRADE not reported
9 studies · 265 participants
e-PTFE (non-resorbable) membranePolyglactin 910 (resorbable) membraneComplicationsRR 1.0 [0.02, 45.5]
GRADE not reported
2 studies · 54 participants
e-PTFE (non-resorbable) membranePolyglactin 910 (resorbable) membraneSuccess rateRR 1.03 [0.84, 1.26]
GRADE not reported
2 studies · 55 participants
e-PTFE (non-resorbable) membranePolylactide/polyglycolide (resorbable) membraneSuccess rateRR 0.98 [0.87, 1.1]
GRADE not reported
2 studies · 66 participants

Included primary studies 25

Open in Studies
StudyYearAlso included byOutcomes it informs hereTrial data
Luongo 2022
New insights into cholesterol dynamics.
PMID:202222
19781 other reviewnot statednot extracted yet
Antoun 2001
A prospective randomized study comparing two techniques of bone augmentation: onlay graft alone or associated with a membrane.
PMID:11737108
2001this review onlynot statednot extracted yet
Carpio 2000
Guided bone regeneration around endosseous implants with anorganic bovine bone mineral. A randomized controlled trial comparing…
PMID:11128923
2000this review onlyBone formation (mm); Success rate; Complicationsnot extracted yet
Chen 2004
A prospective clinical study of bone augmentation techniques at immediate implants.
PMID:15777327
2005this review onlySuccess ratenot extracted yet
Couri 2002
Medical grade calcium sulfate hemihydrate versus expanded polytetrafluoroethylene in the treatment of mandibular class II furcations.
PMID:12479641
2002this review onlynot statednot extracted yet
Cucchi 2017
Evaluation of complication rates and vertical bone gain after guided bone regeneration with non-resorbable membranes versus titanium…
PMID:28745035
2017this review onlynot statednot extracted yet
Cucchi 2019 (3)
Histological and histomorphometric analysis of bone tissue after guided bone regeneration with non-resorbable membranes vs resorbable…
PMID:31286649
2019this review onlynot statednot extracted yet
Cucchi 2019 (10)
A Proposal of Pseudo-periosteum Classification After GBR by Means of Titanium-Reinforced d-PTFE Membranes or Titanium Meshes Plus…
PMID:31226196
2019this review onlynot statednot extracted yet
Dahlin 2010
Long-term follow-up on soft and hard tissue levels following guided bone regeneration treatment in combination with a xenogeneic filling…
PMID:19438941
2010this review onlySuccess rate; Complicationsnot extracted yet
Eickholz 2006
Stability of clinical and radiographic results after guided tissue regeneration in infrabony defects.
PMID:17199537
2007this review onlynot statednot extracted yet
Eickholz 2007
Long-term results of guided tissue regeneration therapy with non-resorbable and bioabsorbable barriers. III. Class II furcations after 10…
PMID:16579708
2006this review onlynot statednot extracted yet
Friedmann 2003
Histological assessment of augmented jaw bone utilizing a new collagen barrier membrane compared to a standard barrier membrane to protect…
PMID:12519332
2002this review onlySuccess rate; Complicationsnot extracted yet
Jung 2013
Long-term outcome of implants placed with guided bone regeneration (GBR) using resorbable and non-resorbable membranes after 12-14 years.
PMID:22697628
2013this review onlySuccess rate; Complicationsnot extracted yet
Khoury 2001
Surgical therapy of peri-implant disease: a 3-year follow-up study of cases treated with 3 different techniques of bone regeneration.
PMID:11759861
2001this review onlyBone formation (mm); Success rate; Complicationsnot extracted yet
Kim 2002
Long-term results of guided tissue regeneration therapy with non-resorbable and bioabsorbable barriers. II. A case series of infrabony…
PMID:11990447
2002this review onlySuccess rate; Complicationsnot extracted yet
Majzoub 1999
Guided bone regeneration using demineralized laminar bone sheets versus GTAM membranes in the treatment of implant-associated defects. A…
PMID:10551065
1999this review onlynot statednot extracted yet
Mandarino 2018
Alveolar ridge preservation using a non-resorbable membrane: randomized clinical trial with biomolecular analysis.
PMID:30954146
2018this review onlynot statednot extracted yet
Merli 2014
Bone level variation after vertical ridge augmentation: resorbable barriers versus titanium-reinforced barriers. A 6-year double-blind…
PMID:25032771
2014this review onlySuccess rate; Complicationsnot extracted yet
Naenni 2017
Randomized clinical study assessing two membranes for guided bone regeneration of peri-implant bone defects: clinical and histological…
PMID:27659296
2017this review onlyBone formation (mm); Success rate; Complicationsnot extracted yet
Naenni 2021
Implants sites with concomitant bone regeneration using a resorbable or non-resorbable membrane result in stable marginal bone levels and…
PMID:33977571
2021this review onlySuccess rate; Complicationsnot extracted yet
Scott 1997
Comparison of bioabsorbable laminar bone membrane and non-resorbable ePTFE membrane in mandibular furcations.
PMID:9249640
1997this review onlynot statednot extracted yet
Silvestri 2000
Comparison of treatments of infrabony defects with enamel matrix derivative, guided tissue regeneration with a nonresorbable membrane and…
PMID:10959787
2000this review onlynot statednot extracted yet
Strauss 2025
Hard and soft tissue contour changes following simultaneous guided bone regeneration at single peri-implant dehiscence defects using…
PMID:40199760
2025this review onlyBone formation (mm)not extracted yet
Vaibhav 2021
Osseointegration of Dental Implants in Ridges with Insufficient Bones using Different Membranes for Guided Bone Regeneration.
PMID:34447081
2021this review onlyBone formation (mm); Success rate; Complicationsnot extracted yet
Van der Zee 2004
Effect of GBR and fixture installation on gingiva and bone levels at adjacent teeth.
PMID:14731178
2004this review onlySuccess ratenot extracted yet

Overlap with other reviews

Reviews that include the same primary studies are not independent evidence. Shared counts match studies by PMID, DOI or NCT, and otherwise by author and year (a probable match). Only the non-Cochrane dental reviews have study lists, so overlap with Cochrane reviews is not counted yet.

Review question

ElementPlanned (methods)Found (results)
PopulationPatients undergoing guided bone regeneration (GBR) procedures with membranesPatients undergoing GBR for infrabony, furcation, post-extraction and peri-implant defects (25 RCTs, n=684 patients)
InterventionResorbable membranes for GBRe-PTFE (non-resorbable) membrane (meta-analyses); also d-PTFE, Ti-PTFE and titanium mesh in included RCTs
ComparisonNon-resorbable membranes for GBR (or a control group)Collagen membrane (n=9 RCTs in meta-analysis); polyglactin 910 (n=2); polylactide/polyglycolide (n=2)
OutcomesEfficacy: success rate of bone regeneration (new bone formation, graft stability); failures: membrane exposure, graft loss, infections; clinical complications: inflammation, undesirable bone resorption, need for reoperationBone formation (mm) (n=5 RCTs); success rate (n=9, 2, 2 RCTs); complications (n=9, 2 RCTs)
Study designsRCTs; clinical studies with comparisons between membranes or control groupsRCTs (n=25)
TimingNot specifiedFollow-up 4 to 168 months