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Cross-Linked Hyaluronic Acid and Neodymium-Doped Yttrium Aluminum Garnet Laser for Oral Soft Tissue Regeneration: A Proposal of a New Surgical Technique.

作者信息

Iaria Roberta, Vescovi Paolo, Corcione Luigi, Sala Roberto, Giovannacci Ilaria

机构信息

Department of Medicine and Surgery, University of Parma, Parma, ITA.

出版信息

Cureus. 2025 Jul 30;17(7):e89045. doi: 10.7759/cureus.89045. eCollection 2025 Jul.


DOI:10.7759/cureus.89045
PMID:40896018
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12395392/
Abstract

Hyaluronic acid is an endogenous molecule that acts by regulating several cellular processes, including proliferation, migration, and morphogenesis. The positive effect of this molecule on hard tissue and soft tissue regeneration is well-documented in the literature, as it actively participates in the process of tissue inflammation, thereby minimizing the damaging effects of the immune cell response on tissues. The cross-linked form of hyaluronic acid, obtained through modifications of the chemical structure of the native form, is characterized by a high capacity to resist mechanical stress and slow biodegradation, improving the clinical performance of this molecule. This article proposes a review of the literature concerning the use of cross-linked hyaluronic acid in oral soft tissue regeneration. It also reports the clinical case of an in situ carcinoma of the tongue margin managed surgically through an innovative technique that combines the use of neodymium laser surgery, cross-linked hyaluronic acid gel, and a porcine pericardium resorbable membrane. The literature was searched through the following electronic databases: MEDLINE, Scopus, Web of Science, and Cochrane Library. Follow-ups of the clinical case described showed rapid and uniform healing of the surgical site. Although the observations are limited to a single case and do not allow for objective conclusions to be drawn about the effectiveness of the proposed surgical technique, the reported results appear favorable, apparently supporting the beneficial effect of the innovative approach on the healing of surgical wounds in the oral mucosa.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7757/12395392/9fcd0d618710/cureus-0017-00000089045-i12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7757/12395392/51ea5276cd1d/cureus-0017-00000089045-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7757/12395392/7229324d3826/cureus-0017-00000089045-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7757/12395392/7052627abedb/cureus-0017-00000089045-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7757/12395392/e71f7529d438/cureus-0017-00000089045-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7757/12395392/26bb11aa07b8/cureus-0017-00000089045-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7757/12395392/cb27f70603ca/cureus-0017-00000089045-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7757/12395392/72cc05b7196b/cureus-0017-00000089045-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7757/12395392/b2b5d3d15304/cureus-0017-00000089045-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7757/12395392/4f791e06f8b7/cureus-0017-00000089045-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7757/12395392/4ece9178867e/cureus-0017-00000089045-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7757/12395392/3461c3687ba9/cureus-0017-00000089045-i11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7757/12395392/9fcd0d618710/cureus-0017-00000089045-i12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7757/12395392/51ea5276cd1d/cureus-0017-00000089045-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7757/12395392/7229324d3826/cureus-0017-00000089045-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7757/12395392/7052627abedb/cureus-0017-00000089045-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7757/12395392/e71f7529d438/cureus-0017-00000089045-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7757/12395392/26bb11aa07b8/cureus-0017-00000089045-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7757/12395392/cb27f70603ca/cureus-0017-00000089045-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7757/12395392/72cc05b7196b/cureus-0017-00000089045-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7757/12395392/b2b5d3d15304/cureus-0017-00000089045-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7757/12395392/4f791e06f8b7/cureus-0017-00000089045-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7757/12395392/4ece9178867e/cureus-0017-00000089045-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7757/12395392/3461c3687ba9/cureus-0017-00000089045-i11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7757/12395392/9fcd0d618710/cureus-0017-00000089045-i12.jpg

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本文引用的文献

[1]
Management of a carcinoma in situ of the tongue margin, using a Nd:YAG laser, cross-linked hyaluronic acid (xHyA) gel and a porcine pericardium resorbable membrane: a case report.

BMC Oral Health. 2025-3-13

[2]
The "HAT-TRICK" technique: A modification of soft tissue grafting using volume stable collagen matrix and cross-linked hyaluronic acid. Part B: Clinical applications in the esthetic zone.

J Stomatol Oral Maxillofac Surg. 2025-9

[3]
RNA Sequencing Revealed a Weak Response of Gingival Fibroblasts Exposed to Hyaluronic Acid.

Bioengineering (Basel). 2024-12-23

[4]
Reconstructive surgical therapy of peri-implant defects with ribose cross-linked collagen matrix and crosslinked hyaluronic acid - a prospective case series.

Clin Oral Investig. 2024-9-20

[5]
The Paracrine Effect of Hyaluronic Acid-Treated Endothelial Cells Promotes BMP-2-Mediated Osteogenesis.

Bioengineering (Basel). 2023-10-20

[6]
In vitro activity of hyaluronic acid and human serum on periodontal biofilm and periodontal ligament fibroblasts.

Clin Oral Investig. 2023-9

[7]
A hyaluronic acid/silk fibroin/poly-dopamine-coated biomimetic hydrogel scaffold with incorporated neurotrophin-3 for spinal cord injury repair.

Acta Biomater. 2023-9-1

[8]
Self-Prepared Hyaluronic Acid/Alkaline Gelatin Composite with Nano-Hydroxyapatite and Bone Morphogenetic Protein for Cranial Bone Formation.

Int J Mol Sci. 2023-1-6

[9]
From crosslinking strategies to biomedical applications of hyaluronic acid-based hydrogels: A review.

Int J Biol Macromol. 2023-3-15

[10]
Clinical efficacy of hyaluronic acid in the treatment of periodontal intrabony defect: a systematic review and meta-analysis.

Clin Oral Investig. 2023-5

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