Shuborna Nadia Sultana, Chaiyasamut Teeranut, Sakdajeyont Watus, Vorakulpipat Chakorn, Rojvanakarn Manus, Wongsirichat Natthamet
Department of Oral & Maxillofacial Surgery, Faculty of Dentistry, Mahidol University, Bangkok, Thailand.
J Dent Anesth Pain Med. 2019 Feb;19(1):11-19. doi: 10.17245/jdapm.2019.19.1.11. Epub 2019 Feb 28.
Hyaluronic acid (HA) has long been studied in diverse applications. It is a naturally occurring linear polysaccharide in a family of unbranched glycosaminoglycans, which consists of repeating di-saccharide units of N-acetyl-D-glucosamine and D-glucuronic acid. It is almost ubiquitous in humans and other vertebrates, where it participates in many key processes, including cell signaling, tissue regeneration, wound healing, morphogenesis, matrix organization, and pathobiology. HA is biocompatible, biodegradable, muco-adhesive, hygroscopic, and viscoelastic. These unique physico-chemical properties have been exploited for several medicinal purposes, including recent uses in the adjuvant treatment for chronic inflammatory disease and to reduce pain and accelerate healing after third molar intervention. This review focuses on the post-operative effect of HA after third molar intervention along with its various physio-chemical, biochemical, and pharmaco-therapeutic uses.
透明质酸(HA)长期以来一直在各种应用中得到研究。它是一种天然存在的线性多糖,属于无分支糖胺聚糖家族,由N-乙酰-D-葡萄糖胺和D-葡萄糖醛酸的重复二糖单元组成。它在人类和其他脊椎动物中几乎无处不在,参与许多关键过程,包括细胞信号传导、组织再生、伤口愈合、形态发生、基质组织和病理生物学。HA具有生物相容性、可生物降解性、粘膜粘附性、吸湿性和粘弹性。这些独特的物理化学性质已被用于多种医学目的,包括最近在慢性炎症性疾病辅助治疗中的应用,以及在第三磨牙干预后减轻疼痛和加速愈合。本综述重点关注第三磨牙干预后HA的术后效果及其各种物理化学、生物化学和药物治疗用途。