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Materials
Volume 14
Issue 22
10.3390/ma14227009
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Article

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

by
Carlota Castro-Gaspar
1,2,
Maria Victoria Olmedo-Gaya
1,
Maria Nuria Romero-Olid
1,
Maria Jesús Lisbona-Gonzalez
1,2,
Marta Vallecillo-Rivas
1,2 and
Candela Reyes-Botella
1,*
1
Department of Stomatology, Faculty of Dentistry, Campus de Cartuja s/n, University of Granada, 18071 Granada, Spain
2
Medicina Clínica y Salud Pública PhD Programme, Faculty of Dentistry, University of Granada, 18071 Granada, Spain
*
Author to whom correspondence should be addressed.
Materials 2021, 14(22), 7009; https://doi.org/10.3390/ma14227009
Submission received: 23 October 2021 / Revised: 9 November 2021 / Accepted: 15 November 2021 / Published: 19 November 2021
(This article belongs to the Special Issue Advances in Biomaterials of Oral and Maxillofacial Surgery and Implant Dentistry)
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Abstract

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.
Keywords: wound healing; guided periodontal tissue regeneration; cyanoacrylate; autografting; suture; bleeding wound healing; guided periodontal tissue regeneration; cyanoacrylate; autografting; suture; bleeding

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MDPI and ACS Style

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

AMA Style

Castro-Gaspar C, Olmedo-Gaya MV, Romero-Olid MN, Lisbona-Gonzalez MJ, Vallecillo-Rivas M, Reyes-Botella C. Comparison between Tissue Adhesive Cyanoacrylate and Suture for Palatal Fibromucosa Healing: A Randomized Controlled Study. Materials. 2021; 14(22):7009. https://doi.org/10.3390/ma14227009

Chicago/Turabian Style

Castro-Gaspar, Carlota, Maria Victoria Olmedo-Gaya, Maria Nuria Romero-Olid, Maria Jesús Lisbona-Gonzalez, Marta Vallecillo-Rivas, and Candela Reyes-Botella. 2021. "Comparison between Tissue Adhesive Cyanoacrylate and Suture for Palatal Fibromucosa Healing: A Randomized Controlled Study" Materials 14, no. 22: 7009. https://doi.org/10.3390/ma14227009

APA Style

Castro-Gaspar, C., Olmedo-Gaya, M. V., Romero-Olid, M. N., Lisbona-Gonzalez, M. J., Vallecillo-Rivas, M., & Reyes-Botella, C. (2021). Comparison between Tissue Adhesive Cyanoacrylate and Suture for Palatal Fibromucosa Healing: A Randomized Controlled Study. Materials, 14(22), 7009. https://doi.org/10.3390/ma14227009

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