Evidence map›Paper›PMID 41893210›Full record

ReviewJournal of functional biomaterials2026

Hyaluronic Acid as an Adjunctive Therapy in Periodontal and Dental Treatment of Medically Compromised Patients: A Narrative Review.

Meizi Eliezer, Ruxandra Christodorescu, Alla Belova, Darian Rusu, Stefan Milicescu, Moshe Cohen, Stefan-Ioan Stratul

Abstract readReview
In one paragraph

Review in Journal of functional biomaterials, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  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

7 authors.

Meizi EliezerUniversity Clinic of Periodontology, Anton Sculean Research Center for Periodontal and Peri-Implant Diseases, Faculty of Dental Medicine, "Victor Babeș" University of Medicine and Pharmacy, Bulevardul Revoluției No. 9, 300041 Timișoara, Romania.ORCID 0000-0003-2164-1272
Ruxandra ChristodorescuDepartment V-Internal Medicine, Research Center-Institute of Cardiovascular Diseases, "Victor Babeș" University of Medicine and Pharmacy, Timișoara, Bulevardul Revoluției No. 12, 300024 Timișoara, Romania.ORCID 0000-0001-8267-5404
Alla BelovaUniversity Clinic of Periodontology, Anton Sculean Research Center for Periodontal and Peri-Implant Diseases, Faculty of Dental Medicine, "Victor Babeș" University of Medicine and Pharmacy, Bulevardul Revoluției No. 9, 300041 Timișoara, Romania.ORCID 0009-0005-0206-9110
Darian RusuUniversity Clinic of Periodontology, Anton Sculean Research Center for Periodontal and Peri-Implant Diseases, Faculty of Dental Medicine, "Victor Babeș" University of Medicine and Pharmacy, Bulevardul Revoluției No. 9, 300041 Timișoara, Romania.
Stefan MilicescuDepartment of Dental Esthetics, Faculty of Dentistry, "Carol Davila" University of Medicine and Pharmacy, 9 Șoseaua Olteniței, Sector 4, 041292 Bucharest, Romania.
Moshe CohenDepartment of Biophysics and Cell Biology, Faculty of Medicine, University of Debrecen, Egyetem ter 1, H-4032 Debrecen, Hungary.
Stefan-Ioan StratulUniversity Clinic of Periodontology, Anton Sculean Research Center for Periodontal and Peri-Implant Diseases, Faculty of Dental Medicine, "Victor Babeș" University of Medicine and Pharmacy, Bulevardul Revoluției No. 9, 300041 Timișoara, Romania.ORCID 0000-0002-9154-9511

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hyaluronic acid (HA) is a biologically active glycosaminoglycan with recognized roles in wound healing and inflammation modulation, and its adjunctive use in dental and periodontal therapy has gained interest, particularly in medically compromised patients. This narrative review critically evaluated preclinical and clinical evidence on locally applied HA in periodontal, oral surgical, peri-implant, and oral medicine treatments in patients with systemic conditions. A literature search of PubMed/MEDLINE, Scopus, and Web of Science (January 2015-December 2025) identified in vivo translational studies, randomized and controlled clinical trials, and selected systematic reviews involving medically compromised populations. Qualitative synthesis focused on biological plausibility, clinical outcomes, and safety. Nine core studies were included, comprising two preclinical in vivo investigations and seven clinical trials. In diabetic models, cross-linked high-molecular-weight HA reduced macrophage infiltration and delayed collagen membrane degradation without impairing angiogenesis. Clinically, adjunctive HA use in patients with type 2 diabetes mellitus was associated with modest but statistically significant short-term improvements in clinical attachment level (CAL) and enhanced early soft tissue healing following tooth extraction. In peri-implantitis therapy and oncology-related oral complications, HA application was linked to reduced inflammatory markers, decreased lesion severity, and improved patient-reported symptoms. No systemic adverse effects were reported. Overall, HA appears to be a locally safe adjunct that may support early healing and inflammation control in medically compromised patients, although its effects are primarily short-term and do not indicate disease-modifying potential.

Indexed as

diabetes mellitusfunctional biomaterialshyaluronic acidmedically compromised patientsoral mucositisoral wound healingperi-implant diseaseperiodontal therapy

Identifiers

PMID41893210
PMCPMC13027254

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.