Comparison between Tissue Adhesive Cyanoacrylate and Suture for Palatal Fibromucosa Healing: A Randomized Controlled Study

Cyanoacrylate tissue adhesive is proposed to promote soft tissue healing in oral surgery and minimize complications (pain, inflammation, and bleeding) associated with wound healing by secondary intention. The objective was to compare cyanoacrylate tissue adhesive (test group) with suture (control gr...

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Autores principales: Carlota Castro-Gaspar, Maria Victoria Olmedo-Gaya, Maria Nuria Romero-Olid, Maria Jesús Lisbona-Gonzalez, Marta Vallecillo-Rivas, Candela Reyes-Botella
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:4e22db0013d541db9e596dc967d24a812021-11-25T18:15:39ZComparison between Tissue Adhesive Cyanoacrylate and Suture for Palatal Fibromucosa Healing: A Randomized Controlled Study10.3390/ma142270091996-1944https://doaj.org/article/4e22db0013d541db9e596dc967d24a812021-11-01T00:00:00Zhttps://www.mdpi.com/1996-1944/14/22/7009https://doaj.org/toc/1996-1944Cyanoacrylate tissue adhesive is proposed to promote soft tissue healing in oral surgery and minimize complications (pain, inflammation, and bleeding) associated with wound healing by secondary intention. The objective was to compare cyanoacrylate tissue adhesive (test group) with suture (control group) in terms of postoperative complications, operative time, and wound healing in the palatal donor area after harvesting a de-epithelialized gingival graft. A randomized controlled clinical trial was performed in 24 patients randomly assigned to one of two study groups. Data were gathered on wound bleeding, operative time, postoperative pain, inflammation, hyperesthesia, necrosis, and donor area healing time. Operative time was almost 50% shorter in the tissue adhesive cyanoacrylate group, a significant between-group difference (<i>p</i> = 0.003). Spontaneous bleeding in the donor area during the first 24 h was observed in 11.1% of the tissue adhesive cyanoacrylate group versus 88.9% of the suture group—a significant difference. No significant between-group difference was observed in postoperative pain, inflammation, or degree of healing over time. There were no cases of hyperesthesia or wound necrosis. Utilization of tissue adhesive cyanoacrylate rather than suture in palatal de-epithelialized gingival graft harvesting reduces postoperative bleeding during the first 24 h, as well as the operative time.Carlota Castro-GasparMaria Victoria Olmedo-GayaMaria Nuria Romero-OlidMaria Jesús Lisbona-GonzalezMarta Vallecillo-RivasCandela Reyes-BotellaMDPI AGarticlewound healingguided periodontal tissue regenerationcyanoacrylateautograftingsuturebleedingTechnologyTElectrical engineering. Electronics. Nuclear engineeringTK1-9971Engineering (General). Civil engineering (General)TA1-2040MicroscopyQH201-278.5Descriptive and experimental mechanicsQC120-168.85ENMaterials, Vol 14, Iss 7009, p 7009 (2021)
institution DOAJ
collection DOAJ
language EN
topic wound healing
guided periodontal tissue regeneration
cyanoacrylate
autografting
suture
bleeding
Technology
T
Electrical engineering. Electronics. Nuclear engineering
TK1-9971
Engineering (General). Civil engineering (General)
TA1-2040
Microscopy
QH201-278.5
Descriptive and experimental mechanics
QC120-168.85
spellingShingle wound healing
guided periodontal tissue regeneration
cyanoacrylate
autografting
suture
bleeding
Technology
T
Electrical engineering. Electronics. Nuclear engineering
TK1-9971
Engineering (General). Civil engineering (General)
TA1-2040
Microscopy
QH201-278.5
Descriptive and experimental mechanics
QC120-168.85
Carlota Castro-Gaspar
Maria Victoria Olmedo-Gaya
Maria Nuria Romero-Olid
Maria Jesús Lisbona-Gonzalez
Marta Vallecillo-Rivas
Candela Reyes-Botella
Comparison between Tissue Adhesive Cyanoacrylate and Suture for Palatal Fibromucosa Healing: A Randomized Controlled Study
description Cyanoacrylate tissue adhesive is proposed to promote soft tissue healing in oral surgery and minimize complications (pain, inflammation, and bleeding) associated with wound healing by secondary intention. The objective was to compare cyanoacrylate tissue adhesive (test group) with suture (control group) in terms of postoperative complications, operative time, and wound healing in the palatal donor area after harvesting a de-epithelialized gingival graft. A randomized controlled clinical trial was performed in 24 patients randomly assigned to one of two study groups. Data were gathered on wound bleeding, operative time, postoperative pain, inflammation, hyperesthesia, necrosis, and donor area healing time. Operative time was almost 50% shorter in the tissue adhesive cyanoacrylate group, a significant between-group difference (<i>p</i> = 0.003). Spontaneous bleeding in the donor area during the first 24 h was observed in 11.1% of the tissue adhesive cyanoacrylate group versus 88.9% of the suture group—a significant difference. No significant between-group difference was observed in postoperative pain, inflammation, or degree of healing over time. There were no cases of hyperesthesia or wound necrosis. Utilization of tissue adhesive cyanoacrylate rather than suture in palatal de-epithelialized gingival graft harvesting reduces postoperative bleeding during the first 24 h, as well as the operative time.
format article
author Carlota Castro-Gaspar
Maria Victoria Olmedo-Gaya
Maria Nuria Romero-Olid
Maria Jesús Lisbona-Gonzalez
Marta Vallecillo-Rivas
Candela Reyes-Botella
author_facet Carlota Castro-Gaspar
Maria Victoria Olmedo-Gaya
Maria Nuria Romero-Olid
Maria Jesús Lisbona-Gonzalez
Marta Vallecillo-Rivas
Candela Reyes-Botella
author_sort Carlota Castro-Gaspar
title Comparison between Tissue Adhesive Cyanoacrylate and Suture for Palatal Fibromucosa Healing: A Randomized Controlled Study
title_short Comparison between Tissue Adhesive Cyanoacrylate and Suture for Palatal Fibromucosa Healing: A Randomized Controlled Study
title_full Comparison between Tissue Adhesive Cyanoacrylate and Suture for Palatal Fibromucosa Healing: A Randomized Controlled Study
title_fullStr Comparison between Tissue Adhesive Cyanoacrylate and Suture for Palatal Fibromucosa Healing: A Randomized Controlled Study
title_full_unstemmed Comparison between Tissue Adhesive Cyanoacrylate and Suture for Palatal Fibromucosa Healing: A Randomized Controlled Study
title_sort comparison between tissue adhesive cyanoacrylate and suture for palatal fibromucosa healing: a randomized controlled study
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/4e22db0013d541db9e596dc967d24a81
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