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


Journal

Clinical oral investigations
ISSN: 1436-3771
Titre abrégé: Clin Oral Investig
Pays: Germany
ID NLM: 9707115

Informations de publication

Date de publication:
03 Oct 2024
Historique:
received: 24 06 2024
accepted: 22 09 2024
medline: 3 10 2024
pubmed: 3 10 2024
entrez: 2 10 2024
Statut: epublish

Résumé

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. 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. 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. 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. 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.

Identifiants

pubmed: 39358570
doi: 10.1007/s00784-024-05955-1
pii: 10.1007/s00784-024-05955-1
doi:

Substances chimiques

Hyaluronic Acid 9004-61-9

Types de publication

Systematic Review Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

565

Informations de copyright

© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

Références

Perez S, Makshakova O, Angulo J et al (2023) Glycosaminoglycans: what remains to be deciphered? JACS Au 3:628–656. https://doi.org/10.1021/jacsau.2c00569
doi: 10.1021/jacsau.2c00569 pubmed: 37006755 pmcid: 10052243
Garantziotis S, Savani RC (2019) Hyaluronan biology: a complex balancing act of structure, function, location and context. Matrix Biol 78–79:1–10. https://doi.org/10.1016/j.matbio.2019.02.002
doi: 10.1016/j.matbio.2019.02.002 pubmed: 30802498 pmcid: 6774756
Bartold PM, Wiebkin OW, Thonard JC (1981) Glycosaminoglycans of human gingival epithelium and connective tissue. Connect Tissue Res 9:99–106. https://doi.org/10.3109/03008208109160247
doi: 10.3109/03008208109160247 pubmed: 6458453
Ijuin C, Ohno S, Tanimoto K et al (2001) Regulation of hyaluronan synthase gene expression in human periodontal ligament cells by tumour necrosis factor-alpha, interleukin-1beta and interferon-gamma. Arch Oral Biol 46:767–772. https://doi.org/10.1016/s0003-9969(01)00032-2
doi: 10.1016/s0003-9969(01)00032-2 pubmed: 11389868
Bartold PM, Page RC (1986) Hyaluronic Acid synthesized by fibroblasts cultured from normal and chronically Inflamed Human Gingivae. Collagen Relat Res 6:365–378. https://doi.org/10.1016/S0174-173X(86)80006-1
doi: 10.1016/S0174-173X(86)80006-1
Laurent TC (1998). The Chemistry, Biology and Medical Applications of Hyaluronan and its derivatives, Wenner-Gren internationalseries, vol 72. Portland Press, London
Frenkel JS (2012) The role of hyaluronan in wound healing. Int Wound J 11:159–163. https://doi.org/10.1111/j.1742-481X.2012.01057.x
doi: 10.1111/j.1742-481X.2012.01057.x pubmed: 22891615 pmcid: 7950635
Voinchet V, Vasseur P, Kern J (2006) Efficacy and safety of hyaluronic acid in the management of acute wounds. Am J Clin Dermatol 7:353–357. https://doi.org/10.2165/00128071-200607060-00003
doi: 10.2165/00128071-200607060-00003 pubmed: 17173469
Nyman E, Henricson J, Ghafouri B et al (2019) Hyaluronic acid accelerates re-epithelialization and alters protein expression in a human wound model. Plast Reconstr Surg – Global Open 7:e2221. https://doi.org/10.1097/GOX.0000000000002221
doi: 10.1097/GOX.0000000000002221
Pirnazar P, Wolinsky L, Nachnani S et al (1999) Bacteriostatic effects of hyaluronic acid. J Periodontol 70:370–374. https://doi.org/10.1902/jop.1999.70.4.370
doi: 10.1902/jop.1999.70.4.370 pubmed: 10328647
Lee BM, Park SJ, Noh I, Kim C-H (2021) The effects of the molecular weights of hyaluronic acid on the immune responses. Biomaterials Res 25:27. https://doi.org/10.1186/s40824-021-00228-4
doi: 10.1186/s40824-021-00228-4
Karakostas P, Davidopoulou S, Kalfas S (2022) Use of hyaluronic acid in periodontal disease treatment: a systematic review. J Contemp Dent Pract 23:355–370
doi: 10.5005/jp-journals-10024-3308 pubmed: 35781443
Eliezer M, Imber J-C, Sculean A et al (2019) Hyaluronic acid as adjunctive to non-surgical and surgical periodontal therapy: a systematic review and meta-analysis. Clin Oral Investig 23:3423–3435. https://doi.org/10.1007/s00784-019-03012-w
doi: 10.1007/s00784-019-03012-w pubmed: 31338632
Ostos-Aguilar BI, Pinheiro Furquim C, Muniz FWMG et al (2023) Clinical efficacy of hyaluronic acid in the treatment of periodontal intrabony defect: a systematic review and meta-analysis. Clin Oral Investig 27:1923–1935. https://doi.org/10.1007/s00784-022-04855-6
doi: 10.1007/s00784-022-04855-6 pubmed: 36598601
Al-Maweri SA, Alaizari N, Alanazi RH et al (2021) Efficacy of hyaluronic acid for recurrent aphthous stomatitis: a systematic review of clinical trials. Clin Oral Investig 25:6561–6570. https://doi.org/10.1007/s00784-021-04180-4
doi: 10.1007/s00784-021-04180-4 pubmed: 34542725
Goiato MC, da Silva EVF, de Medeiros RA et al (2016) Are intra-articular injections of hyaluronic acid effective for the treatment of temporomandibular disorders? A systematic review. Int J Oral Maxillofac Surg 45:1531–1537. https://doi.org/10.1016/j.ijom.2016.06.004
doi: 10.1016/j.ijom.2016.06.004 pubmed: 27374020
Mehta V, Kaçani G, Moaleem MMA et al (2022) Hyaluronic acid: a new approach for the treatment of gingival recession-a systematic review. Int J Environ Res Public Health 19:14330. https://doi.org/10.3390/ijerph192114330
doi: 10.3390/ijerph192114330 pubmed: 36361208 pmcid: 9658310
Rojas MA, Marini L, Sahrmann P, Pilloni A (2022) Hyaluronic acid as an adjunct to coronally advanced flap procedures for gingival recessions: a systematic review and meta-analysis of randomized clinical trials. J Pers Med 12:1539. https://doi.org/10.3390/jpm12091539
doi: 10.3390/jpm12091539 pubmed: 36143324 pmcid: 9501956
Makdisi J, Akbari S, Zayeri F et al (2023) Application of hyaluronic acid for treatment of interdental papillary deficiency: a systematic review and meta-analysis. Front Dent 20:19. https://doi.org/10.18502/fid.v20i19.12867
doi: 10.18502/fid.v20i19.12867 pubmed: 37701648 pmcid: 10493114
Domic D, Bertl K, Lang T et al (2023) Hyaluronic acid in tooth extraction: a systematic review and meta-analysis of preclinical and clinical trials. Clin Oral Investig 27:7209–7229. https://doi.org/10.1007/s00784-023-05227-4
doi: 10.1007/s00784-023-05227-4 pubmed: 37963982 pmcid: 10713798
Chambrone L, Tatakis DN (2015) Periodontal soft tissue root coverage procedures: a systematic review from the AAP regeneration workshop. J Periodontol 86:S8-51. https://doi.org/10.1902/jop.2015.130674
doi: 10.1902/jop.2015.130674 pubmed: 25644302
Thoma DS, Naenni N, Figuero E et al (2018) Effects of soft tissue augmentation procedures on peri-implant health or disease: a systematic review and meta-analysis. Clin Oral Implants Res 29 Suppl 15:32–49. https://doi.org/10.1111/clr.13114
doi: 10.1111/clr.13114
Wong JW, Gallant-Behm C, Wiebe C et al (2009) Wound healing in oral mucosa results in reduced scar formation as compared with skin: evidence from the red duroc pig model and humans. Wound Repair Regen 17:717–729. https://doi.org/10.1111/j.1524-475X.2009.00531.x
doi: 10.1111/j.1524-475X.2009.00531.x pubmed: 19769724
Puri K, Kumar A, Khatri M et al (2019) 44-year journey of palatal connective tissue graft harvest: a narrative review. J Indian Soc Periodontol 23:395–408. https://doi.org/10.4103/jisp.jisp_288_18
doi: 10.4103/jisp.jisp_288_18 pubmed: 31543611 pmcid: 6737854
Aguirre-Zorzano L-A, García-De La Fuente AM, Estefanía-Fresco R, Marichalar-Mendía X (2017) Complications of harvesting a connective tissue graft from the palate. A retrospective study and description of a new technique. J Clin Exp Dent 9:e1439–e1445. https://doi.org/10.4317/jced.54337
doi: 10.4317/jced.54337 pubmed: 29410760 pmcid: 5794122
Griffin TJ, Cheung WS, Zavras AI, Damoulis PD (2006) Postoperative complications following gingival augmentation procedures. J Periodontol 77:2070–2079. https://doi.org/10.1902/jop.2006.050296
doi: 10.1902/jop.2006.050296 pubmed: 17209793
Castro-Gaspar C, Olmedo-Gaya MV, Romero-Olid MN et al (2021) Comparison between tissue adhesive cyanoacrylate and suture for Palatal Fibromucosa Healing: a randomized controlled study. Mater (Basel) 14:7009. https://doi.org/10.3390/ma14227009
doi: 10.3390/ma14227009
Parlak HM, Durmaz MH, Bayrak H et al (2023) Cyanoacrylate and hyaluronic acid combination on palatal donor site management after de-epithelialized graft harvesting. J Periodontol 94:519–528. https://doi.org/10.1002/JPER.22-0409
doi: 10.1002/JPER.22-0409 pubmed: 36369975
Stavropoulou C, Atout RN, Brownlee M et al (2019) A randomized clinical trial of cyanoacrylate tissue adhesives in donor site of connective tissue grafts. J Periodontol 90:608–615. https://doi.org/10.1002/JPER.18-0475
doi: 10.1002/JPER.18-0475 pubmed: 30517975
Maino GNE, Valles C, Santos A et al (2018) Influence of suturing technique on wound healing and patient morbidity after connective tissue harvesting. A randomized clinical trial. J Clin Periodontol 45:977–985. https://doi.org/10.1111/jcpe.12960
doi: 10.1111/jcpe.12960 pubmed: 29908088
Sharma V, Kumar A, Puri K et al (2019) Application of platelet-rich fibrin membrane and collagen dressing as palatal bandage for wound healing: a randomized clinical control trial. Indian J Dent Res 30:881–888. https://doi.org/10.4103/ijdr.IJDR_370_17
doi: 10.4103/ijdr.IJDR_370_17 pubmed: 31939365
Thoma DS, Hilbe M, Bienz SP et al (2016) Palatal wound healing using a xenogeneic collagen matrix - histological outcomes of a randomized controlled clinical trial. J Clin Periodontol 43:1124–1131. https://doi.org/10.1111/jcpe.12624
doi: 10.1111/jcpe.12624 pubmed: 27616435
Schinini G, Sales D, Gómez MV et al (2021) Healing of donor sites of connective tissue grafts harvested by the single incision technique: a randomized clinical trial evaluating the use of collagen hemostatic sponge with or without sutures. J Periodontol 92:629–636. https://doi.org/10.1002/JPER.20-0645
doi: 10.1002/JPER.20-0645 pubmed: 33140428
Femminella B, Iaconi MC, Di Tullio M et al (2016) Clinical comparison of platelet-rich fibrin and a gelatin sponge in the management of palatal wounds after epithelialized free gingival graft harvest: a randomized clinical trial. J Periodontol 87:103–113. https://doi.org/10.1902/jop.2015.150198
doi: 10.1902/jop.2015.150198 pubmed: 26313017
Ehab K, Abouldahab O, Hassan A, Fawzy El-Sayed KM (2020) Alvogyl and absorbable gelatin sponge as palatal wound dressings following epithelialized free gingival graft harvest: a randomized clinical trial. Clin Oral Investig 24:1517–1525. https://doi.org/10.1007/s00784-020-03254-z
doi: 10.1007/s00784-020-03254-z pubmed: 32144515
Keceli HG, Aylikci BU, Koseoglu S, Dolgun A (2015) Evaluation of palatal donor site haemostasis and wound healing after free gingival graft surgery. J Clin Periodontol 42:582–589. https://doi.org/10.1111/jcpe.12404
doi: 10.1111/jcpe.12404 pubmed: 25892528
Hassan A, Ahmed E, Ghalwash D, Elarab AE (2021) Clinical comparison of MEBO and hyaluronic acid gel in the management of pain after free gingival graft harvesting: A randomized clinical trial. Int J Dent 2021:2548665. https://doi.org/10.1155/2021/2548665
doi: 10.1155/2021/2548665 pubmed: 34426739 pmcid: 8380183
Miguel MMV, Mathias-Santamaria IF, Rossato A et al (2021) Enamel matrix derivative effects on palatal mucosa wound healing: randomized clinical trial. J Periodontal Res 56:1213–1222. https://doi.org/10.1111/jre.12934
doi: 10.1111/jre.12934 pubmed: 34541683
Yussif N, Wagih R, Selim K (2021) Propylene mesh versus acrylic resin stent for palatal wound protection following free gingival graft harvesting: a short-term pilot randomized clinical trial. BMC Oral Health 21:208. https://doi.org/10.1186/s12903-021-01541-z
doi: 10.1186/s12903-021-01541-z pubmed: 33902550 pmcid: 8074466
Chiu T-S, Chou H-C, Kuo P-J et al (2020) A novel design of palatal stent to reduce donor site morbidity in periodontal plastic surgery. J Dent Sci 15:136–140. https://doi.org/10.1016/j.jds.2020.03.014
doi: 10.1016/j.jds.2020.03.014 pubmed: 32595892 pmcid: 7305455
Sousa F, Machado V, Botelho J et al (2020) Effect of A-PRF application on palatal wound healing after free gingival graft harvesting: a prospective randomized study. Eur J Dent 14:63–69. https://doi.org/10.1055/s-0040-1702259
doi: 10.1055/s-0040-1702259 pubmed: 32168533 pmcid: 7069756
Oliveira JA, da Silveira MI, Soares LFF et al (2024) Wound-healing agents for palatal donor area: a network meta-analysis. Clin Oral Implants Res 35:359–376. https://doi.org/10.1111/clr.14241
Ameida FX, Cotrim KC, Kalil EC et al (2023) Is there an effective way to control pain perception after free gingival graft removal? A systematic review and meta-analysis. Braz Dent J 34:10–29. https://doi.org/10.1590/0103-6440202305503
doi: 10.1590/0103-6440202305503 pubmed: 38133083 pmcid: 10742360
Escobar M, Pauletto P, Benfatti CAM et al (2021) Effect of cyanoacrylate tissue adhesive in postoperative palatal pain management: a systematic review. Clin Oral Investig 25:3609–3622. https://doi.org/10.1007/s00784-020-03683-w
doi: 10.1007/s00784-020-03683-w pubmed: 33200283
Veríssimo AH, Ribeiro AKC, de Martins ARL et al (2021) Comparative analysis of the hemostatic, analgesic and healing effects of cyanoacrylate on free gingival graft surgical wounds in donor and recipient areas: a systematic review. J Mater Sci Mater Med 32:98. https://doi.org/10.1007/s10856-021-06573-z
doi: 10.1007/s10856-021-06573-z pubmed: 34406492 pmcid: 8373739
Ebrahimi P, Hadilou M, Naserneysari F et al (2021) Effect of photobiomodulation in secondary intention gingival wound healing-a systematic review and meta-analysis. BMC Oral Health 21:258. https://doi.org/10.1186/s12903-021-01611-2
doi: 10.1186/s12903-021-01611-2 pubmed: 33985492 pmcid: 8120828
Gusman D-J-R, Matheus H-R, Alves B-E-S et al (2021) Platelet-rich fibrin for wound healing of palatal donor sites of free gingival grafts: systematic review and meta-analysis. J Clin Exp Dent 13:e190–e200. https://doi.org/10.4317/jced.57451
doi: 10.4317/jced.57451 pubmed: 33575004 pmcid: 7864367
Oliveira JA, da Silveira MI, de Oliveira Alves R et al (2023) Effect of a gel containing green tea extract and hyaluronic acid on palate pain scores and wound healing after free gingival graft: a quasi-randomized controlled clinical trial. Clin Oral Invest 27:6735–6746. https://doi.org/10.1007/s00784-023-05282-x
Hassan A, Akl N, Adel-Khattab D (2020) Platelet rich fibrin versus hyaluronic acid as palatal wound dressings following epithelialized free gingival graft harvest: a randomized controlled clinical trial. Egypt Dent J 66:1587–1597. https://doi.org/10.21608/edj.2020.31768.1136
doi: 10.21608/edj.2020.31768.1136
Soliman M, Al Barbary A, Elbattawy W, Shoeib M (2022) Clinical comparison of topical application of platelet rich fibrin versus application of hyaluronic acid gel in pain management and wound healing after free gingival graft harvesting: a randomized controlled clinical trial. Egypt Dent J 68:521–532. https://doi.org/10.21608/edj.2022.75589.1870
doi: 10.21608/edj.2022.75589.1870
Alpan AL, Cin GT (2023) Comparison of hyaluronic acid, hypochlorous acid, and flurbiprofen on postoperative morbidity in palatal donor area: a randomized controlled clinical trial. Clin Oral Invest 27:2735–2746. https://doi.org/10.1007/s00784-022-04848-5
doi: 10.1007/s00784-022-04848-5
Khalil S, Habashneh RA, Alomari S, Alzoubi M (2022) Local application of hyaluronic acid in conjunction with free gingival graft: a randomized clinical trial. Clin Oral Invest 26:2165–2174. https://doi.org/10.1007/s00784-021-04197-9
doi: 10.1007/s00784-021-04197-9
Yildirim S, Ozener HO, Dogan B, Kuru B (2018) Effect of topically applied hyaluronic acid on pain and palatal epithelial wound healing: an examiner-masked, randomized, controlled clinical trial. J Periodontol 89:36–45. https://doi.org/10.1902/jop.2017.170105
doi: 10.1902/jop.2017.170105 pubmed: 28914592
https:// www.crd.york.ac.uk/prospero/display_record.php?RecordID=539048 . Accessed 8 May 2024
Moher D, Liberati A, Tetzlaff J et al (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 6:e1000097. https://doi.org/10.1371/journal.pmed.1000097
doi: 10.1371/journal.pmed.1000097 pubmed: 19621072 pmcid: 2707599
Covidence - Better systematic review management. https://www.covidence.org/ . Accessed 24 May 2024
Barker TH, Stone JC, Sears K et al (2023) The revised JBI critical appraisal tool for the assessment of risk of bias for randomized controlled trials. JBI Evid Synthesis 21:494. https://doi.org/10.11124/JBIES-22-00430
doi: 10.11124/JBIES-22-00430
The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. https://www.ohri.ca/programs/clinical_epidemiology/oxford.asp . Accessed 24 Aug 2023
Zucchelli G, Mele M, Stefanini M et al (2010) Patient morbidity and root coverage outcome after subepithelial connective tissue and de-epithelialized grafts: a comparative randomized-controlled clinical trial. J Clin Periodontol 37:728–738. https://doi.org/10.1111/j.1600-051X.2010.01550.x
doi: 10.1111/j.1600-051X.2010.01550.x pubmed: 20590963
Bjorn H (1963) Free transplantation of gingival propria. Sven Tandlak Tidskr 22:684–689
Wennstrom J, Zucchelli G (2015) Mucogingival therapy: Periodontal plastic surgery. In: Lang NP, J Linde (ed) Clinical Periodontology and Implant Dentistry. John Wiley & Sons, Ltd., West Sussex, pp 969–1042
Bonatto MdaS, Feltran G da, Barbosa S et al (2024) Green tea and hyaluronic acid gel enhance fibroblast activation and improves the gingival healing post-third molar extraction. Sci Rep 14:7124. https://doi.org/10.1038/s41598-024-57821-5
Fakhari A, Berkland C (2013) Applications and emerging trends of hyaluronic acid in tissue engineering, as a dermal filler and in osteoarthritis treatment. Acta Biomater 9:7081–7092. https://doi.org/10.1016/j.actbio.2013.03.005
doi: 10.1016/j.actbio.2013.03.005 pubmed: 23507088 pmcid: 3669638
Attenello NH, Maas CS (2015) Injectable fillers: review of material and properties. Facial Plast Surg 31:29–34. https://doi.org/10.1055/s-0035-1544924
doi: 10.1055/s-0035-1544924 pubmed: 25763894
Graça MFP, Miguel SP, Cabral CSD, Correia IJ (2020) Hyaluronic acid-based wound dressings: a review. Carbohydr Polym 241:116364. https://doi.org/10.1016/j.carbpol.2020.116364
doi: 10.1016/j.carbpol.2020.116364 pubmed: 32507198
Wu S, Deng L, Hsia H et al (2017) Evaluation of gelatin-hyaluronic acid composite hydrogels for accelerating wound healing. J Biomater Appl 31:1380–1390. https://doi.org/10.1177/0885328217702526
doi: 10.1177/0885328217702526 pubmed: 28376672
Asparuhova MB, Kiryak D, Eliezer M et al (2019) Activity of two hyaluronan preparations on primary human oral fibroblasts. J Periodontal Res 54:33–45. https://doi.org/10.1111/jre.12602
doi: 10.1111/jre.12602 pubmed: 30264516
Tavelli L, Barootchi S, Stefanini M et al (2023) Wound healing dynamics, morbidity, and complications of palatal soft-tissue harvesting. Periodontol 2000 92:90–119. https://doi.org/10.1111/prd.12466
doi: 10.1111/prd.12466 pubmed: 36583690
Yasuda T (2010) Hyaluronan inhibits prostaglandin E2 production via CD44 in U937 human macrophages. Tohoku J Exp Med 220:229–235. https://doi.org/10.1620/tjem.220.229
doi: 10.1620/tjem.220.229 pubmed: 20208419
Waingade M, Medikeri RS, Gaikwad S (2022) Effectiveness of hyaluronic acid in the management of oral lichen planus: a systematic review and meta-analysis. J Dent Anesth Pain Med 22:405–417. https://doi.org/10.17245/jdapm.2022.22.6.405
doi: 10.17245/jdapm.2022.22.6.405 pubmed: 36601134 pmcid: 9763825

Auteurs

Vinayak M Joshi (VM)

Department of Periodontics, School of Dentistry, Louisiana State University Health Sciences Center, 1100 Florida Avenue, New Orleans, LA, 70119, USA.

Eswar Kandaswamy (E)

Department of Periodontics, School of Dentistry, Louisiana State University Health Sciences Center, 1100 Florida Avenue, New Orleans, LA, 70119, USA. ekanda@lsuhsc.edu.

Jeanne St Germain (JS)

Department of Periodontics, School of Dentistry, Louisiana State University Health Sciences Center, 1100 Florida Avenue, New Orleans, LA, 70119, USA.

Julie H Schiavo (JH)

Louisiana State University Health Sciences Center, New Orleans, LA, 70112, USA.

Hawaabi Shaikh Fm (HS)

Baitun Noor Dental Clinic, Mumbai, Maharashtra, India.

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