A comparative evaluation of silk suture and cyanoacrylate adhesive in the stabilization of free gingival graft harvested with erbium: Yttrium-aluminum-garnet laser: A clinical study

Background: The most common technique for gingival augmentation is free gingival graft (FGG). The aim of this study is to clinically compare the efficacy of FGG harvested with erbium: yttrium-aluminum-garnet (Er: YAG) laser stabilized with 5-0 silk suture in comparison to N-butyl-2-cyanoacrylate tis...

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Autores principales:	Asim Goel, Deepika Ghai, Anchal Sood, Gagan Preet Singh, Puneet Kamal Nagi, Padam Singh
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer Medknow Publications 2021
Materias:	erbium: yttrium-aluminum-garnet laser free gingival graft gingival recession n-butyl-2-cyanoacrylate silk suture Pharmacy and materia medica RS1-441 Analytical chemistry QD71-142
Acceso en línea:	https://doaj.org/article/44edac960b064bed8cf0edd686505c32
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spelling	oai:doaj.org-article:44edac960b064bed8cf0edd686505c322021-11-19T12:15:53ZA comparative evaluation of silk suture and cyanoacrylate adhesive in the stabilization of free gingival graft harvested with erbium: Yttrium-aluminum-garnet laser: A clinical study0975-740610.4103/jpbs.jpbs_404_21https://doaj.org/article/44edac960b064bed8cf0edd686505c322021-01-01T00:00:00Zhttp://www.jpbsonline.org/article.asp?issn=0975-7406;year=2021;volume=13;issue=6;spage=1672;epage=1678;aulast=Goelhttps://doaj.org/toc/0975-7406Background: The most common technique for gingival augmentation is free gingival graft (FGG). The aim of this study is to clinically compare the efficacy of FGG harvested with erbium: yttrium-aluminum-garnet (Er: YAG) laser stabilized with 5-0 silk suture in comparison to N-butyl-2-cyanoacrylate tissue adhesive in increasing the width of keratinized gingiva (WK) for the management of Miller's Class I and II gingival recession. Methodology: Forty-eight gingival recession defects were divided into two Groups I and II. Group I sites were treated with FGG harvested using Er: YAG laser stabilized with 5-0 silk suture and Group II sites were treated with FGG harvested using Er: YAG laser stabilized with N-butyl-2-cyanoacrylate tissue adhesive. Clinical parameters such as gingival recession depth, clinical attachment level (CAL), gain in gingival tissue thickness, and WK were recorded at baseline and 3 and 6 months postoperatively. Results: A significant reduction in gingival recession defects, gain in CAL, increase in WK, and gain in gingival tissue thickness were observed in both the groups. Intergroup comparison of gingival recession defects, CAL, WK, and gingival tissue thickness yielded nonsignificant differences. Conclusion: Within the limits of this study, it can be concluded that both 5-0 silk suture and n-butyl-2-cyanoacrylate were equally efficacious in the stabilization of FGG. N-butyl-2-cyanoacrylate was easy to apply, consumed less operating time, and had no adverse effect. Hence, cyanoacrylate can be used as an alternative to suture in stabilization of FGG.Asim GoelDeepika GhaiAnchal SoodGagan Preet SinghPuneet Kamal NagiPadam SinghWolters Kluwer Medknow Publicationsarticleerbium: yttrium-aluminum-garnet laserfree gingival graftgingival recessionn-butyl-2-cyanoacrylatesilk suturePharmacy and materia medicaRS1-441Analytical chemistryQD71-142ENJournal of Pharmacy and Bioallied Sciences, Vol 13, Iss 6, Pp 1672-1678 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	erbium: yttrium-aluminum-garnet laser free gingival graft gingival recession n-butyl-2-cyanoacrylate silk suture Pharmacy and materia medica RS1-441 Analytical chemistry QD71-142
spellingShingle	erbium: yttrium-aluminum-garnet laser free gingival graft gingival recession n-butyl-2-cyanoacrylate silk suture Pharmacy and materia medica RS1-441 Analytical chemistry QD71-142 Asim Goel Deepika Ghai Anchal Sood Gagan Preet Singh Puneet Kamal Nagi Padam Singh A comparative evaluation of silk suture and cyanoacrylate adhesive in the stabilization of free gingival graft harvested with erbium: Yttrium-aluminum-garnet laser: A clinical study
description	Background: The most common technique for gingival augmentation is free gingival graft (FGG). The aim of this study is to clinically compare the efficacy of FGG harvested with erbium: yttrium-aluminum-garnet (Er: YAG) laser stabilized with 5-0 silk suture in comparison to N-butyl-2-cyanoacrylate tissue adhesive in increasing the width of keratinized gingiva (WK) for the management of Miller's Class I and II gingival recession. Methodology: Forty-eight gingival recession defects were divided into two Groups I and II. Group I sites were treated with FGG harvested using Er: YAG laser stabilized with 5-0 silk suture and Group II sites were treated with FGG harvested using Er: YAG laser stabilized with N-butyl-2-cyanoacrylate tissue adhesive. Clinical parameters such as gingival recession depth, clinical attachment level (CAL), gain in gingival tissue thickness, and WK were recorded at baseline and 3 and 6 months postoperatively. Results: A significant reduction in gingival recession defects, gain in CAL, increase in WK, and gain in gingival tissue thickness were observed in both the groups. Intergroup comparison of gingival recession defects, CAL, WK, and gingival tissue thickness yielded nonsignificant differences. Conclusion: Within the limits of this study, it can be concluded that both 5-0 silk suture and n-butyl-2-cyanoacrylate were equally efficacious in the stabilization of FGG. N-butyl-2-cyanoacrylate was easy to apply, consumed less operating time, and had no adverse effect. Hence, cyanoacrylate can be used as an alternative to suture in stabilization of FGG.
format	article
author	Asim Goel Deepika Ghai Anchal Sood Gagan Preet Singh Puneet Kamal Nagi Padam Singh
author_facet	Asim Goel Deepika Ghai Anchal Sood Gagan Preet Singh Puneet Kamal Nagi Padam Singh
author_sort	Asim Goel
title	A comparative evaluation of silk suture and cyanoacrylate adhesive in the stabilization of free gingival graft harvested with erbium: Yttrium-aluminum-garnet laser: A clinical study
title_short	A comparative evaluation of silk suture and cyanoacrylate adhesive in the stabilization of free gingival graft harvested with erbium: Yttrium-aluminum-garnet laser: A clinical study
title_full	A comparative evaluation of silk suture and cyanoacrylate adhesive in the stabilization of free gingival graft harvested with erbium: Yttrium-aluminum-garnet laser: A clinical study
title_fullStr	A comparative evaluation of silk suture and cyanoacrylate adhesive in the stabilization of free gingival graft harvested with erbium: Yttrium-aluminum-garnet laser: A clinical study
title_full_unstemmed	A comparative evaluation of silk suture and cyanoacrylate adhesive in the stabilization of free gingival graft harvested with erbium: Yttrium-aluminum-garnet laser: A clinical study
title_sort	comparative evaluation of silk suture and cyanoacrylate adhesive in the stabilization of free gingival graft harvested with erbium: yttrium-aluminum-garnet laser: a clinical study
publisher	Wolters Kluwer Medknow Publications
publishDate	2021
url	https://doaj.org/article/44edac960b064bed8cf0edd686505c32
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A comparative evaluation of silk suture and cyanoacrylate adhesive in the stabilization of free gingival graft harvested with erbium: Yttrium-aluminum-garnet laser: A clinical study

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