Evidence map›Paper›PMID 40224047›Full record

ArticleJournal of dental sciences2025

Bioactive materials for post-operative healing and pain relief following palatal epithelialized graft harvesting: A meta-analysis of randomized clinical trials.

Cheng-Shan Li, Wei-Cheng Lee, Min-Wen Fu, Suzanne Ying-Shan Su, I-Shiang Tzeng, Earl Fu

Registry-linked trialAbstract read
In one paragraph

Article in Journal of dental sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07458685 (Efficacy of Cross-linked Hyaluronic Acid in Improving Healing After Free Gingival Graft), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07458685 nacompletednot on this map

Efficacy of Cross-linked Hyaluronic Acid in Improving Healing After Free Gingival Graft: a Randomized Controlled Clinical Trial

TypeinterventionalSponsorUniversity of MilanRan2022 to 2025Enrolled20ConditionsPalatal Donor Site Wound Healing, Palatal WoundArmsTest - xHyA, Negative control
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Cheng-Shan LiDepartment of Dentistry, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Xindian, New Taipei City, Taiwan.
Wei-Cheng LeeDivision of Orthodontics and Dentofacial Orthopedics, Department of Dentistry, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Min-Wen FuDepartment of Endodontics, New York University College of Dentistry, New York, USA.
Suzanne Ying-Shan SuDepartment of Dentistry, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Xindian, New Taipei City, Taiwan.
I-Shiang TzengDepartment of Research, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei City, Taiwan.
Earl FuDepartment of Dentistry, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Xindian, New Taipei City, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/purpose: Palatal epithelial graft harvesting requires secondary healing, and various materials have been used to accelerate this and reduce discomfort. However, comparisons against standardized controls remain limited, especially in randomized clinical trials. This meta-analysis assessed the efficacy of bioactive materials of hyaluronic acid, platelet-rich fibrin, collagen, and cyanoacrylate in promoting healing and reducing pain after epithelial graft harvesting. Materials and methods: Clinical trials were identified from PubMed, Scopus, Web of Science and Embase up to August 2024. The efficacies of bioactive materials were assessed using Review Manager Analysis, with odds ratios calculated for complete wound healing and mean differences in Visual Analog Scale (VAS) scores for pain. Results: Of 787 references, 9 clinical trials met eligibility: 6 on healing and 7 on pain. Meta-analysis showed significant improvement in complete epithelialization for the overall materials vs. control (OR = 4.28). Subgroup analysis showed improvements for HA (OR = 4.80) and PRF (OR = 12.81), but not cyanoacrylate. Similar results were seen for VAS pain scores on days 1-3 and day 7, with benefits for the overall materials and individually for HA, PRF, and collagen, except cyanoacrylate. High heterogeneity was found on days 1-3 (I Conclusion: HA, PRF, and collagen may relief pain, and HA and PRF might aid healing after epithelialized gingival graft harvest (no trials recruited in evaluating the collagen's effect on wound healing). Cyanoacrylate may not support pain relief or healing. Further trials are needed.

Indexed as

BiomaterialsGraftsMeta-analysisPalatePost-operative painWound healing

Identifiers

PMID40224047
PMCPMC11993073

What Socratic holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.