Resorbable collagen membranes: histopathologic features

Oral Surg Oral Med Oral Pathol Oral Radiol. 2014 Aug;118(2):236-40. doi: 10.1016/j.oooo.2014.04.006. Epub 2014 May 5.

Abstract

Objective: Resorbable collagen membranes (RCMs) are commonly used by oral surgeons, periodontists, and endodontists for multiple purposes. We report 6 cases of RCMs that did not resorb as expected and describe the histopathologic features.

Study design: Cases of an unusual fibrillar foreign material were noted in biopsy specimens curetted from bone. Hematoxylin-eosin and Masson trichrome stains were performed. Clinicians were contacted for detailed clinical information.

Results: There were 3 men and 3 women. RCMs presented as hyalinized, paucicellular, delicate eosinophilic fibrils or a meshwork without a foreign body reaction. They were refractile and stained for Masson trichrome as expected. These RCMs persisted longer than expected (2-6 weeks) in 3 cases and may have retarded healing in 5 cases.

Conclusions: Although RCM is supposed to be fairly rapidly resorbable, this material sometimes persists within wound sites without any obvious foreign body reaction and may retard healing.

MeSH terms

  • Absorbable Implants*
  • Aged
  • Aged, 80 and over
  • Biopsy
  • Collagen*
  • Female
  • Foreign-Body Reaction / pathology*
  • Humans
  • Male
  • Membranes, Artificial*
  • Middle Aged
  • Mouth Diseases / surgery*

Substances

  • Membranes, Artificial
  • Collagen