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

• Published in: Clinical oral investigations 2024-10, Vol.28 (10), p.565, Article 565
• Main Authors: Joshi, Vinayak M., Kandaswamy, Eswar, Germain, Jeanne St, Schiavo, Julie H., FM, Hawaabi Shaikh
• Format: Article
• Language: English
• Subjects: Administration, Topical; Analgesics; Clinical outcomes; Dentistry; Gingiva; Humans; Hyaluronic acid; Hyaluronic Acid - pharmacology; Hyaluronic Acid - therapeutic use; Medicine; Pain; Pain, Postoperative - drug therapy; Palate; Palate - surgery; Patient Reported Outcome Measures; Review; Systematic review; Wound healing; Wound Healing - drug effects
• ISSN: 1436-3771; 1432-6981; 1436-3771
• DOI: 10.1007/s00784-024-05955-1

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.