journal article·2026-07-07Open access

Natural Polymers in Guided Bone Regeneration (GBR)

Anca Fratila, Diana Marian, Alexandru Petre, Anca Hermenean, Ioana Lile

Abstract

Guided Bone Regeneration (GBR) is a pivotal technique in dental and orthopedic applications for regenerating bone in areas of deficiency. Natural polymers such as collagen, chitosan, alginate, and gelatin have emerged as essential materials in GBR due to their biocompatibility, biodegradability, and bioactivity. These polymers not only provide a scaffold for bone regeneration but also support cellular adhesion, proliferation, and differentiation. Despite their benefits, challenges such as variable degradation rates, insufficient mechanical strength, and limited bioactivity hinder their optimal clinical use. To address these limitations, ongoing research focuses on enhancing the properties of natural polymers. Composite materials combining fast- and slow-degrading polymers are being developed to achieve consistent degradation rates. Surface modifications, including nanoscale texturing and growth factor coatings, are improving bioactivity. Nanotechnology further enhances the structural and therapeutic potential of GBR materials, while advancements in 3D bioprinting enable the creation of customized scaffolds with precise architecture. These innovations aim to bridge the gap between biological compatibility and clinical functionality, making natural polymers more adaptable and effective in GBR. This review highlights the mechanisms, challenges, and advancements in natural polymers for GBR, emphasizing their potential to transform bone regeneration into a more reliable and patient-centered approach.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Bone Tissue Engineering Materials · Hydrogels: synthesis, properties, applications · 3D Printing in Biomedical Research

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Dental Medicine and Nursing, Faculty of Medicine, “Lucian Blaga” University of Sibiu, 550169 Sibiu, Romania

Military Clinical Emergency Hospital of Sibiu, 550024 Sibiu, Romania

Department of Dentistry, Faculty of Dentistry, “Vasile Goldiș” Western University of Arad, 94–96 Revolutiei Boulevard, 310025 Arad, Romania

Department of Prosthodontics, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, Romania

“Aurel Ardelean” Institute of Life Sciences, Vasile Goldis Western University of Arad, 310025 Arad, Romania

References (100+)

Show source-provided references
1. Guided bone regeneration10.5125/jkaoms.2020.46.5.361 ↗
2. Guided bone regeneration: Materials and biological mechanisms revisited10.1111/eos.12364 ↗
3. Tsuchida, S., and Nakayama, T. (2023). Recent Clinical Treatment and Basic Research on the Alveolar Bone. Biomedicines, 11.10.3390/biomedicines11030843 ↗
4. Mechanisms of Guided Bone Regeneration: A Review10.2174/1874210601408010056 ↗
5. Yang, Z., Wu, C., Shi, H., Luo, X., Sun, H., Wang, Q., and Zhang, D. (2022). Advances in Barrier Membranes for Guided Bone Regeneration Techniques. Front. Bioeng. Biotechnol., 10.10.3389/fbioe.2022.921576 ↗
6. Supra-alveolar bone regeneration: Progress, challenges, and future perspectives10.1016/j.compositesb.2024.111673 ↗
7. Filippi, M., Born, G., Chaaban, M., and Scherberich, A. (2020). Natural Polymeric Scaffolds in Bone Regeneration. Front. Bioeng. Biotechnol., 8.10.3389/fbioe.2020.00474 ↗
8. Wang, J., Wang, L., Zhou, Z., Lai, H., Xu, P., Liao, L., and Wei, J. (2016). Biodegradable Polymer Membranes Applied in Guided Bone/Tissue Regeneration: A Review. Polymers, 8.10.3390/polym8040115 ↗
9. Comparison of the efficacy of different biodegradable membranes in guided bone/tissue regeneration: A systematic review and network meta-analysis10.1088/1748-605X/acc99a ↗
10. Novel materials for bone and cartilage regeneration10.1016/j.cbpa.2006.09.009 ↗
11. Gao, Y., Wang, S., Shi, B., Wang, Y., Chen, Y., Wang, X., Lee, E.-S., and Jiang, H.-B. (2022). Advances in Modification Methods Based on Biodegradable Membranes in Guided Bone/Tissue Regeneration: A Review. Polymers, 14.10.3390/polym14050871 ↗
12. Development of Si doped nano hydroxyapatite reinforced bilayer chitosan nanocomposite barrier membranes for guided bone regeneration10.1016/j.msec.2021.112298 ↗
13. Synergistic effect of adding bioglass and carbon nanotubes on poly (lactic acid) porous membranes for guided bone regeneration10.1016/j.msec.2020.111327 ↗
14. The impact of Zn-doped synthetic polymer materials on bone regeneration: A systematic review10.1186/s13287-021-02195-y ↗
15. A Synthetic Biodegradable Polymer Membrane for Guided Bone Regeneration in Bone Defect10.1166/jbn.2021.3044 ↗
16. Polymeric biomaterials for bone regeneration10.21037/aoj.2016.11.02 ↗
17. Guided Bone Regeneration with a Nitric-Oxide Releasing Polymer Inducing Angiogenesis and Osteogenesis in Critical-Sized Bone Defects10.1002/mabi.202200162 ↗
18. Saska, S., Pilatti, L., Silva, E.S.D.S., Nagasawa, M.A., Câmara, D., Lizier, N., Finger, E., Dyszkiewicz Konwińska, M., Kempisty, B., and Tunchel, S. (2021). Polydioxanone-Based Membranes for Bone Regeneration. Polymers, 13.10.3390/polym13111685 ↗
19. Collagens—Structure, function, and biosynthesis10.1016/j.addr.2003.08.002 ↗
20. Collagen for bone tissue regeneration10.1016/j.actbio.2012.06.014 ↗
21. Collagen Fibrils: Nanoscale Ropes10.1529/biophysj.106.085704 ↗
22. Cellulose and collagen: From fibres to tissues10.1016/S1359-0294(03)00011-6 ↗
23. Application of collagen in bone regeneration
24. Abdulsalam, L., Abubakar, S., Permatasari, I., Lawal, A.A., Uddin, S., Ullah, S., and Ahmad, I. (2025). Advanced Biocompatible and Biodegradable Polymers: A Review of Functionalization, Smart Systems, and Sustainable Applications. Polymers, 17.10.3390/polym17212901 ↗
25. Kowalczyk, P., Podgórski, R., Wojasiński, M., Gut, G., Bojar, W., and Ciach, T. (2021). Chitosan-Human Bone Composite Granulates for Guided Bone Regeneration. Int. J. Mol. Sci., 22.10.3390/ijms22052324 ↗
26. Membrane of hybrid chitosan–silica xerogel for guided bone regeneration10.1016/j.biomaterials.2008.10.025 ↗
27. Asymmetric Collagen/chitosan Membrane Containing Minocycline-loaded Chitosan Nanoparticles for Guided Bone Regeneration10.1038/srep31822 ↗
28. Graphene Oxide/Chitosan/Hydroxyapatite Composite Membranes Enhance Osteoblast Adhesion and Guided Bone Regeneration10.1021/acsabm.1c00967 ↗
29. Guided bone regeneration with asymmetric collagen-chitosan membranes containing aspirin-loaded chitosan nanoparticles10.2147/IJN.S148179 ↗
30. Biological Evaluation of Chitosan Nanofiber Membrane for Guided Bone Regeneration10.1902/jop.2005.76.10.1778 ↗
31. Electrospun metformin-loaded polycaprolactone/chitosan nanofibrous membranes as promoting guided bone regeneration membranes: Preparation and characterization of fibers, drug release, and osteogenic activity in vitro10.1177/0885328220901807 ↗
32. Guided tissue regeneration for using a chitosan membrane: An experimental study in rats10.1002/jbm.a.30534 ↗
33. Souto-Lopes, M., Grenho, L., Manrique, Y., Dias, M.M., Lopes, J.C.B., Fernandes, M.H., Monteiro, F.J., and Salgado, C.L. (2024). Bone regeneration driven by a nano-hydroxyapatite/chitosan composite bioaerogel for periodontal regeneration. Front. Bioeng. Biotechnol., 12.10.3389/fbioe.2024.1355950 ↗
34. Fabrication of a novel chitosan scaffold with asymmetric structure for guided tissue regeneration10.1039/C6RA12370H ↗
35. Guo, A., Zheng, Y., Zhong, Y., Mo, S., and Fang, S. (2022). Effect of chitosan/inorganic nanomaterial scaffolds on bone regeneration and related influencing factors in animal models: A systematic review. Front. Bioeng. Biotechnol., 10.10.3389/fbioe.2022.986212 ↗
36. Critical Overview on Pure Chitosan-based Scaffolds for Bone Tissue Engineering: Clinical insights in Dentistry10.7150/ijms.87978 ↗
37. Guided bone regeneration activity of different calcium phosphate/chitosan hybrid membranes10.1016/j.ijbiomac.2018.12.199 ↗
38. Effectiveness of Chitosan Nanohydrogel as a Bone Regenerative Material in Intrabony Defects in Patients With Chronic Periodontitis: A Randomized Clinical Trial10.1177/2320206821998574 ↗
39. Melaleuca alternifolia essential oil nanoparticles ameliorate the hepatic antioxidant/oxidant status of silver catfish experimentally infected with Pseudomonas aeruginosa10.1016/j.micpath.2017.05.016 ↗
40. In vitro and in vivo evaluation of chitosan scaffolds combined with simvastatin-loaded nanoparticles for guided bone regeneration10.1007/s10856-019-6249-3 ↗
41. Alginate/Hydroxyapatite-Based Nanocomposite Scaffolds for Bone Tissue Engineering Improve Dental Pulp Biomineralization and Differentiation10.1155/2018/9643721 ↗
42. Alginate-nanohydroxyapatite hydrogel system: Optimizing the formulation for enhanced bone regeneration10.1016/j.msec.2019.109985 ↗
43. Self-setting barrier membrane for guided tissue regeneration method: Initial evaluation of alginate membrane made with sodium alginate and calcium chloride aqueous solutions10.1002/(SICI)1097-4636(199911)47:2<111::AID-JBM1>3.0.CO;2-0 ↗
44. Biodegradable and biocompatible alginate/gelatin/MXene composite membrane with efficient osteogenic activity and its application in guided bone regeneration10.1080/09205063.2023.2187987 ↗
45. Comparison of calcium alginate film with collagen membrane for guided bone regeneration in mandibular defects in rabbits10.1053/joms.2002.36108 ↗
46. Evi, L., Manav, M., Sidi, B., Kangwon, L., James, W., Duda, G., and Mooney, D. (2016, January 17–22). Cell-instructive alginate-collagen hybrid gels for guided bone regeneration. Proceedings of the 10th World Biomaterials Congress, Montréal, QC, Canada.10.3389/conf.FBIOE.2016.01.00724 ↗
47. Tailored alginate/PCL-gelatin-β-TCP membrane for guided bone regeneration10.1088/1748-605X/ac6bd8 ↗
48. Physico-mechanical and in-vivo evaluations of tri-layered alginate-gelatin/polycaprolactone-gelatin-β-TCP membranes for guided bone regeneration10.1080/09205063.2022.2106647 ↗
49. Comparison of ready-made and self-setting alginate membranes used as a barrier membrane for guided bone regeneration10.1007/s10856-006-7315-1 ↗
50. Haversian Remodeling in Guided Bone Regeneration with Calcium Alginate Film in Circular Bone Defect Model of Rabbit10.1080/10731190701586285 ↗
51. Calcium Alginate Film Used for Guided Bone Regeneration in Mandible Defects in a Rabbit Model10.1179/crn.2008.009 ↗
52. The Role of Chitosan and Gelatin-Based Scaffolds in Bone Regeneration: A Systematic Review
53. Guided Bone Regeneration with a Gelatin Layer and Adenoviral Delivery of C-myb Enhances Bone Healing in Rat Tibia10.2217/rme-2019-0054 ↗
54. Development, Characterisation and Biocompatibility Analysis of a Collagen-Gelatin-Hydroxyapatite Scaffold for Guided Bone Regeneration
55. Guillén-Carvajal, K., Valdez-Salas, B., Beltrán-Partida, E., Salomón-Carlos, J., and Cheng, N. (2023). Chitosan, Gelatin, and Collagen Hydrogels for Bone Regeneration. Polymers, 15.10.3390/polym15132762 ↗
56. Polycaprolactone/gelatin/ZIF-8 nanofiber membrane for advanced guided tissue regeneration in periodontal therapy10.1016/j.ijbiomac.2024.135338 ↗
57. A Review Polylactic Acid and Gelatin Biomaterial GBR (Guided Bone Regeneration) and Multilayer GBR Membranes
58. Development, Characterization, and Antibacterial Analysis of the Selenium-Doped Bio-Glass-Collagen-Gelatin Composite Scaffold for Guided Bone Regeneration
59. Nanofiber Generation of Gelatin–Hydroxyapatite Biomimetics for Guided Tissue Regeneration10.1002/adfm.200500116 ↗
60. Cellulose-based composite scaffolds for bone tissue engineering and localized drug delivery
61. The effect of bacterial cellulose membrane compared with collagen membrane on guided bone regeneration10.4047/jap.2015.7.6.484 ↗
62. Functionalizable bacterial cellulose composite membrane for guided tissue regeneration10.1016/j.ijbiomac.2024.131655 ↗
63. Lee, Y.J., An, S.J., Bae, E.B., Gwon, H.J., Park, J.S., Jeong, S., Jeon, Y., Lee, S., Lim, Y., and Huh, J. (2017). The Effect of Thickness of Resorbable Bacterial Cellulose Membrane on Guided Bone Regeneration. Materials, 10.10.3390/ma10030320 ↗
64. Strontium delivery systems based on bacterial cellulose and hydroxyapatite for guided bone regeneration10.1007/s10570-018-2008-8 ↗
65. Bacterial Cellulose-Hydroxyapatite Nanocomposites for Bone Regeneration10.1155/2011/175362 ↗
66. First Otoliths/Collagen/Bacterial Cellulose Nanocomposites as a Potential Scaffold for Bone Tissue Regeneration10.4236/jbnb.2011.23030 ↗
67. An, S.J., Lee, S.H., Huh, J.B., Jeong, S., Park, J.S., Gwon, H.J., Kang, E., Jeong, C., and Lim, Y. (2017). Preparation and Characterization of Resorbable Bacterial Cellulose Membranes Treated by Electron Beam Irradiation for Guided Bone Regeneration. Int. J. Mol. Sci., 18.10.3390/ijms18112236 ↗
68. In vitro and in vivo evaluation of e-PTFE and alkali-cellulose membranes for guided bone regeneration10.1034/j.1600-0501.2001.012001062.x ↗
69. Advances in hyaluronic acid-based biomaterials: Applications in cancer therapy, wound healing, and disease management10.1007/s10856-025-06946-8 ↗
70. Hwang, H.S., and Lee, C.S. (2023). Recent Progress in Hyaluronic-Acid-Based Hydrogels for Bone Tissue Engineering. Gels, 9.10.3390/gels9070588 ↗
71. Su, C.M., Shie, M.Y., Huang, W.N., Chiu, F.J., Chen, H.K., Chen, Y.W., and Shen, Y.F. (2026). Hyaluronic Acid-Based Biomaterials in Tissue Engineering: From Molecular Properties to Re-Generative Applications. J. Funct. Biomater., 17.10.3390/jfb17050246 ↗
72. Feng, Y., Guo, W., Hu, L., Yi, X., and Tang, F. (2022). Application of Hydrogels as Sustained-Release Drug Carriers in Bone Defect Repair. Polymers, 14.10.3390/polym14224906 ↗
73. Biocompatibility and osteogenic activity of guided bone regeneration membrane based on chitosan-coated magnesium alloy10.1016/j.msec.2019.03.006 ↗
74. Neto, A.M.D., Sartoretto, S.C., Duarte, I.M., Resende, R.F.D.B., Neves Novellino Alves, A.T., Mourão, C.F.D.A.B., Calasans-Maia, J., Montemezzi, P., Tristao, G., and Calasans-Maia, M.D. (2020). In Vivo Comparative Evaluation of Biocompatibility and Biodegradation of Bovine and Porcine Collagen Membranes. Membranes, 10.10.3390/membranes10120423 ↗
75. Enhanced effects of electrospun collagen-chitosan nanofiber membranes on guided bone regeneration10.1080/09205063.2019.1680927 ↗
76. Mascarenhas, R., Hegde, S., and Manaktala, N. (2024). Chitosan nanoparticle applications in dentistry: A sustainable biopolymer. Front. Chem., 12.10.3389/fchem.2024.1362482 ↗
77. Chitosan–alginate hybrid scaffolds for bone tissue engineering10.1016/j.biomaterials.2004.09.062 ↗
78. Ren, Y., Fan, L., Alkildani, S., Liu, L., Emmert, S., Najman, S., Rimashevsikiy, D., Schnettler, R., Jung, O., and Xiong, X. (2022). Barrier Membranes for Guided Bone Regeneration (GBR): A Focus on Recent Advances in Collagen Membranes. Int. J. Mol. Sci., 23.10.3390/ijms232314987 ↗
79. Shi, X., Li, X., Tian, Y., Qu, X., Zhai, S., Liu, Y., Jia, W., Cui, Y., and Chu, S. (2023). Physical, mechanical, and biological properties of collagen membranes for guided bone regeneration: A comparative in vitro study. BMC Oral Health, 23.10.1186/s12903-023-03223-4 ↗
80. Fu, L., Wang, Z., Dong, S., Cai, Y., Ni, Y., Zhang, T., Wang, L., and Zhou, Y. (2017). Bilayer Poly(Lactic-co-glycolic acid)/Nano-Hydroxyapatite Membrane with Barrier Function and Osteogenesis Promotion for Guided Bone Regeneration. Materials, 10.10.3390/ma10030257 ↗
81. Baek, S.H., Yang, B.E., Park, S.Y., On, S.W., Ahn, K.M., and Byun, S.H. (2025). Efficacy of Cross-Linked Collagen Membranes for Bone Regeneration: In Vitro and Clinical Studies. Bioengineering, 12.10.3390/bioengineering12080876 ↗
82. Chitosan–poly(lactide-co-glycolide) microsphere-based scaffolds for bone tissue engineering: In vitro degradation and in vivo bone regeneration studies10.1016/j.actbio.2010.03.023 ↗
83. Modulating hydrogel crosslink density and degradation to control bone morphogenetic protein delivery and in vivo bone formation10.1016/j.jconrel.2014.05.053 ↗
84. Porous nano-HA/collagen/PLLA scaffold containing chitosan microspheres for controlled delivery of synthetic peptide derived from BMP-210.1016/j.jconrel.2008.11.020 ↗
85. Dual growth factor delivery and controlled scaffold degradation enhance in vivo bone formation by transplanted bone marrow stromal cells10.1016/j.bone.2004.02.027 ↗
86. Controlled release of growth factors based on biodegradation of gelatin hydrogel10.1163/156856201744461 ↗
87. Synthetic design of growth factor sequestering extracellular matrix mimetic hydrogel for promoting in vivo bone formation10.1016/j.biomaterials.2018.01.041 ↗
88. Bone regeneration by transforming growth factor β1 released from a biodegradable hydrogel10.1016/S0168-3659(99)00129-7 ↗
89. Sustained BMP-2 delivery and injectable bone regeneration using thermosensitive polymeric nanoparticle hydrogel bearing dual interactions with BMP-210.1016/j.jconrel.2015.04.023 ↗
90. Bone regeneration using hyaluronic acid-based hydrogel with bone morphogenic protein-2 and human mesenchymal stem cells10.1016/j.biomaterials.2006.11.050 ↗
91. A long-lasting guided bone regeneration membrane from sequentially functionalised photoactive atelocollagen10.1016/j.actbio.2021.12.004 ↗
92. Motamedi, M.H.K. (2016). Guided Bone Regeneration Technique Using Hyaluronic Acid in Oral Implantology. A Textbook of Advanced Oral and Maxillofacial Surgery Volume 3, InTech.10.5772/61140 ↗
93. Tailored biomimetic hydrogel based on a photopolymerised DMP1/MCF/gelatin hybrid system for calvarial bone regeneration10.1039/C7TB02130E ↗
94. Biomimetic nanofibrous hybrid hydrogel membranes with sustained growth factor release for guided bone regeneration10.1039/D0BM01821J ↗
95. Vallecillo-Rivas, M., Toledano-Osorio, M., Vallecillo, C., Toledano, M., and Osorio, R. (2021). The Collagen Origin Influences the Degradation Kinetics of Guided Bone Regeneration Membranes. Polymers, 13.10.3390/polym13173007 ↗
96. Mechanisms of Degradation of Collagen or Gelatin Materials (Hemostatic Sponges) in Oral Surgery: A Systematic Review10.3390/surgeries5030043 ↗
97. Predicting degradation rate of genipin cross-linked gelatin scaffolds with machine learning10.1016/j.msec.2019.110362 ↗
98. Variability of Mechanical Properties of Collagen Membranes used in Dentistry
99. Propriétés mécaniques des membranes de collagène10.1016/j.stomax.2010.10.006 ↗
100. Usefulness as guided bone regeneration membrane of the alginate membrane10.1016/S0142-9612(01)00332-5 ↗