Comparison between Tissue Adhesive Cyanoacrylate and Suture for Palatal Fibromucosa Healing: A Randomized Controlled Study
Metadatos
Mostrar el registro completo del ítemAutor
Castro Gaspar, Carlota; Olmedo Gaya, María Victoria; Romero Olid, María De Nuria; Lisbona González, María Jesús; Vallecillo Rivas, Marta; Reyes Botella, CandelariaEditorial
MDPI
Materia
Wound healing Guided periodontal tissue regeneration Cyanoacrylate Autografting Sutures Bleeding
Fecha
2021Referencia bibliográfica
Castro-Gaspar, C.; Olmedo-Gaya, M.V.; Romero-Olid, M.N.; Lisbona-Gonzalez, M.J.; Vallecillo-Rivas, M.; Reyes-Botella, C. Comparison between Tissue Adhesive Cyanoacrylate and Suture for Palatal Fibromucosa Healing: A Randomized Controlled Study. Materials 2021, 14, 7009. https:// doi.org/10.3390/ma14227009
Resumen
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 (p = 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.