Non resorbable membrane vs collagen membrane for GBR?

Want to open a discussion about membrane. For a Guided Bone Regeneration procedure, in general, which in your experience provides a better barrier and is more effective:  non-resorbable membrane or a resorbable collagen membrane? Do any of the benefits of non-resorbable outweigh the potential increased risks since it requires a second surgical procedure to remove?  Also, if the membrane becomes exposed to the oral cavity, which has a greater chance of failure?

3 thoughts on “Non resorbable membrane vs collagen membrane for GBR?

  1. John Kong, DDS says:

    So long as you can get a tension free closure of the flap, both resorbable and non-resorbable should work well.

    That said, non-resorbable and tack works best in my hands for bone regeneration if I really need predictability. Also second surgical surgery to remove the membrane should be a non-issue, b/c I’m assuming the GBR was done for the purpose of placing a dental implant; you can remove the membrane at implant placement or uncovery of the dental implant if GBR was done at same time as the implant.

    Obviously, if the membrane gets exposed, it becomes trickier with a non-resorbable membrane.

  2. Peter Fairbairn says:

    2017 a New Year …..
    I have not used a membrane for 14 years and a few thousand grafts ….. they are a hinderance to the healing process . If can get tension free closure then nature has provided the best “membrane” the periosteum which unlike a layer or two of pig , induces the host SCDF to initiate healing …….
    In all aspects of medicine it is an obvious fact that healing is encouraged by oxygen through blood supply ….. it does not matter how I look at it , impeding blood supply does not seem a smart move …
    Anyway a few thoughts for 2017, maybe time to shift paradigm ….
    All the Best

  3. S N Nik says:

    A part of my PhD, 18 years ago was about GBR, last 18 years animal and clinical study were performed. My personal view as follows:
    space-making defect:
    1. autogenous bone (do not need a membrane)
    2. any type of bone substitute (non-resorbable membrane has a better BIC )
    if a dehiscence observed, the dentist will know something is wrong.

    non-spacing defect:
    1. autogenous bone (need a resorbable membrane)
    2. any type of bone substitute( non-resorbable membrane which must be fixed by any means)


Leave a Comment:

Comment Guidelines: Be Yourself. Be Respectful. Add Value. For more details, read our comment guidelines. Though we require an email to comment, we will NEVER publish your email.
Required fields are marked *

Posted in Clinical Questions, Regenerative.
Bookmark Non resorbable membrane vs collagen membrane for GBR?

Videos to Watch:

Dealing with the Implant Gap

This short video discusses how to best deal with the gap after immediate implant insertion[...]

1 Comment

Watch Now!
Lower Right Molar Extraction & Immediate Implant Placement Using i-PRF

In this video, the lower right second molar was extracted and grafted with i-PRF and[...]


Watch Now!
Maxillary Implantation with Treatment of Chronic Sinusitis

This video shows two cases where implants were placed following treatment of Sinusitis. [...]


Watch Now!
Suturing in Guided Bone Regeneration

This video provides clinical tips for suturing techniques in Guided Bone Regeneration. In Guided Bone[...]

1 Comment

Watch Now!
Socket grafting with Collagen Dressing and Bond Apatite

This video demonstrates socket grafting with just bond apatite and a collagen wound dressing.[...]

Watch Now!
Dental Implant for Lower Right Second Molar

This video shows implant placement on the lower right second molar.[...]

Watch Now!
Saving a Bridge with Periodontal Therapy

This video shows a case involving a 48-year-old male who was referred for periodontal treatment[...]

Watch Now!
Immediate Loading Full Arch

This video shows a case of Immediate loading of a full arch with simultaneous guided[...]

Watch Now!
Apically Repositioned Flap Technique Around Implants

The apically positioned flap is a commonly used surgical approach, that may help the long[...]

Watch Now!
Digitally Planned Bone Augmentation and Immediate Implantation

This video shows a case using the Ring technique to provide bone augmentation along with[...]

Watch Now!
AnyRidge Implants: Replacement of Upper Left Molars

This video shows the replacement of maxillary upper left molars with Megagen AnyRidge Implants.[...]

1 Comment

Watch Now!
Guided Implant Surgery & Immediate Temporisation

This video demonstrates the placement of a missing pre-molar using computer-guided surgery and immediate temporization.[...]

1 Comment

Watch Now!