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. 2024 Jan 14;13(2):452.
doi: 10.3390/jcm13020452.

Hyaluronic Acid Treatment of Post-Extraction Tooth Socket Healing in Subjects with Diabetes Mellitus Type 2: A Randomized Split-Mouth Controlled Study

Tiziana Ruggiero  1   2 , Massimo Carossa  1 , Davide Camisassa  1 , Marta Bezzi  1 , Giulia Rivetti  1 , Vincenzo Nobile  3 , Renato Pol  1
Affiliations

Hyaluronic Acid Treatment of Post-Extraction Tooth Socket Healing in Subjects with Diabetes Mellitus Type 2: A Randomized Split-Mouth Controlled Study

Tiziana Ruggiero et al. J Clin Med. .

Abstract

The present study aimed to investigate the effect of HA in improving post-extraction socket healing in subjects with diabetes mellitus (DM) type 2. DM patients requiring bilateral extraction of the homologous teeth were visited at the C.I.R. Dental School, University of Turin. After the extractions, one site was randomly assigned to the test (T) group (postoperative application of HA), while the other site was assigned to the control group (C, no treatment). Patients were then followed after 3, 7, 14, and 21 days. Primary outcomes were the healing index and socket closure. The Mann-Whitney test or the Student's t-test was used for nonparametric or parametric distributed variables. The chi-square test was used if the estimated data in any given cell were >5, otherwise the Fisher test was adopted. A p < 0.05 was considered statistically significant. In total, 36 patients (n = 36) were enrolled in this study for a total of 72 extractions (n = 72). Sockets treated with HA showed significantly (p < 0.05) better healing index values at day 7 (p = 0.01) and at day 14 (p = 0.02) and significantly (p < 0.05) better socket closure values at day 3 (p = 0.04), day 7 (p = 0.001) and day 14 (p = 0.001) compared to the C group. Based on the clinical results, HA seems to be promising in improving the timing and the quality of post-extractive wound healing in DM patients. Further clinical research, as well as histological investigations, are required to confirm the results.

Keywords: diabetes mellitus; healing; hyaluronic acid; post-extractive; tooth socket.

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Conflict of interest statement

The authors declare no conflict of interest. The authors declare that PROFESSIONAL DIETETICS S.p.A., Via Ciro Menotti, 1/A, 20129, Milan, Italy had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, and in the decision to publish the results.

Figures

Figure 1
Figure 1
Images showing the calculation of the measurements (millimeters) of the maximum OV diameter (A), the maximum MD diameter (B), and the maximum SD (C).
See this image and copyright information in PMC

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