Comparison of Polymeric Cyanoacrylate Adhesives with Suturing in Free Gingival Graft Stability: A Split Mouth Trial

The aim is to compare the use of Cyanoacrylate adhesives (CAA) to the conventional suturing technique in terms of free gingival grafts (FGG) stability and healing in lower anterior and premolar regions. A split mouth design was initiated on 22 participants. Each side (from 2nd premolar to central in...

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Bibliographic Details
Published in:Polymers 2021-10, Vol.13 (20), p.3575
Main Authors: AlJasser, Reham N., AlSarhan, Mohammed A., AlOtaibi, Dalal H., AlOraini, Saleh, AlNuwaiser, Rand, AlOtaibi, Alanoud, Alduraihem, Hessah, Habib, Syed Rashid, Zafar, Muhammad Sohail
Format: Article
Language:English
Subjects:
Adhesives
Cost effectiveness
Cyanoacrylates
Dentistry
Grafting
Healing
Pain
Parameters
Shrinkage
Soft tissues
Stability
Sutures
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Summary:The aim is to compare the use of Cyanoacrylate adhesives (CAA) to the conventional suturing technique in terms of free gingival grafts (FGG) stability and healing in lower anterior and premolar regions. A split mouth design was initiated on 22 participants. Each side (from 2nd premolar to central incisor) was randomized to either the control or test groups. In the control group, sutures were used to stabilize the FGG, while, in the test group, the FGG was stabilized with butyl-cyanoacrylate. Full-periodontal clinical parameters were employed to assess the periodontal health. FGG-related parameters assessed included the keratinized tissue width (KTW), gingival tissue thickness (GTT), FGG shrinkage% and pain using the VAS score. No significant differences in the mean values of the KTW nor FGG shrinkage% across six time points (p < 0.05) were observed, whereas highly significant differences in the mean values of GTT across six time points (F = 3.32; p = 0.008) were observed. The use of CAA in FGG stability and healing is comparable to conventional suturing for soft tissue grafts in terms of success outcomes. With its cost effectiveness, lesser time consumption, post-operative pain and comparable graft stability and dimensions, the use of CAA may be a promising alternative for conventional and microsurgical techniques for the stabilization of FGG in the oral cavity.
ISSN:2073-4360
2073-4360
DOI:10.3390/polym13203575