Effect of hyaluronic acid on palatal wound healing: A systematic review.

IF 3.1 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Vinayak M Joshi, Eswar Kandaswamy, Jeanne St Germain, Julie H Schiavo, Hawaabi Shaikh Fm
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Abstract

Objectives: To evaluate the efficacy of topically applied hyaluronic acid on wound healing (patient-reported outcomes and clinical healing) after a palatal autogenous gingival graft is harvested.

Materials and methods: A systematic search was performed in April 2024 in eleven electronic databases. Two investigators independently screened the references for inclusion. Outcomes of interest included postoperative pain, analgesic consumption, complete epithelialization, and color match, which were synthesized using narrative synthesis.

Results: A total of 535 results were identified and eight articles were included in the systematic review. Hyaluronic acid use on the palatal donor site had a better response to healing and wound size compared to the control sites with no agent applied. Hyaluronic acid demonstrated a positive effect in the form of complete epithelialization, and color match, with improved patient-reported outcomes such as post-operative pain.

Conclusion: Within the limitations of this systematic review, it can be concluded that hyaluronic acid shows a strong potential to improve patient-reported outcomes and clinical wound healing at the graft donor site on the palate. Future studies are required to clarify the optimal concentration, frequency of application, and synergistic effect when HA is combined with other interventions.

Clinical relevance: Within the limitations of this systematic review, it can be concluded that hyaluronic acid shows a strong potential to improve patient-reported outcomes and clinical wound healing at the graft donor site on the palate. Future studies are required to clarify the optimal concentration, frequency of application, and synergistic effect when HA is combined with other interventions.

透明质酸对腭部伤口愈合的影响:系统综述。
目的评估腭部自体牙龈移植术后局部应用透明质酸对伤口愈合(患者报告结果和临床愈合)的疗效:2024 年 4 月在 11 个电子数据库中进行了系统检索。两名研究人员独立筛选了纳入的参考文献。相关结果包括术后疼痛、镇痛剂消耗、完全上皮化和颜色匹配,并采用叙事综合法对这些结果进行综合:结果:共发现 535 项结果,8 篇文章被纳入系统综述。与未使用透明质酸的对照部位相比,腭部供体部位使用透明质酸对愈合和伤口大小的反应更好。透明质酸在完全上皮化和颜色匹配方面表现出积极效果,患者报告的结果(如术后疼痛)也有所改善:在本系统综述的局限性范围内,可以得出这样的结论:透明质酸在改善患者报告的结果和腭部移植供体部位的临床伤口愈合方面具有很强的潜力。未来的研究需要明确最佳浓度、使用频率以及透明质酸与其他干预措施联合使用时的协同效应:在本系统综述的局限性范围内,可以得出结论:透明质酸在改善患者报告结果和腭部移植供体部位的临床伤口愈合方面具有很强的潜力。未来的研究需要明确最佳浓度、使用频率以及 HA 与其他干预措施结合使用时的协同效应。
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来源期刊
Clinical Oral Investigations
Clinical Oral Investigations 医学-牙科与口腔外科
CiteScore
6.30
自引率
5.90%
发文量
484
审稿时长
3 months
期刊介绍: The journal Clinical Oral Investigations is a multidisciplinary, international forum for publication of research from all fields of oral medicine. The journal publishes original scientific articles and invited reviews which provide up-to-date results of basic and clinical studies in oral and maxillofacial science and medicine. The aim is to clarify the relevance of new results to modern practice, for an international readership. Coverage includes maxillofacial and oral surgery, prosthetics and restorative dentistry, operative dentistry, endodontics, periodontology, orthodontics, dental materials science, clinical trials, epidemiology, pedodontics, oral implant, preventive dentistiry, oral pathology, oral basic sciences and more.
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