J Korean Assoc Oral Maxillofac Surg.  2020 Feb;46(1):28-35. 10.5125/jkaoms.2020.46.1.28.

Comparing intra-oral wound healing after alveoloplasty using silk sutures and n-butyl-2-cyanoacrylate

• Suthar P
• Shah S
• Waknis P
• Limaye G
• Saha A
• Sathe P

• KMID: 2471109
• DOI: http://doi.org/10.5125/jkaoms.2020.46.1.28

Abstract

OBJECTIVES
The need for proper wound closure is of paramount importance after any intra-oral surgery. Various wound closure techniques have been described in literature using traditional non-absorbable suture materials. These include like synthetic absorbable sutures, surgical staples and tissue adhesives. Cyanoacrylates are among the most commonly used biocompatible tissue adhesives. To evaluate and compare intraoral wound healing using 3-0 silk sutures and n-butyl-2-cyanoacrylate after alveoloplasty.
MATERIALS AND METHODS
A total of 20 patients requiring bilateral alveoloplasty in the same arch (upper or lower) were included in this study. Patients with any pre-existing pathology or systemic disease were excluded. After alveoloplasty was performed, the wound was closed using 3-0 braided silk sutures on one side, and using n-butyl-2-cyanoacrylate bio adhesive on the other side. Patients were evaluated based on the following parameters: time required to achieve wound closure; the incidence of immediate and postoperative hemostasis; the time to the use of the first rescue medication; the side where pain first arises; and the side where wound healing begins first.
RESULTS
Compared to 3-0 silk sutures, cyanoacrylate demonstrated better hemostatic properties, reduced operative time, reduced postoperative pain and better wound healing.
CONCLUSION
These data suggest that cyanoacrylate glue is an adequate alternative to conventional sutures to close the surgical wound after alveoloplasty, and better than are 3-0 silk sutures.

Keyword

Alveoloplasty; Cyanoacrylate; N-butyl-2-cyanoacrylate; Tissue adhesive; Silk

MeSH Terms

Adhesives
Alveoloplasty*
Cyanoacrylates
Enbucrilate*
Hemostasis
Humans
Incidence
Operative Time
Pain, Postoperative
Pathology
Silk*
Sutures*
Tissue Adhesives
Wound Closure Techniques
Wound Healing*
Wounds and Injuries*
Adhesives
Cyanoacrylates
Enbucrilate
Silk
Tissue Adhesives

Figure

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  Fig. 1 Comparing the time to achieve wound closure. (Group 1: using silk sutures, Group 2: using n-butyl-2-cyanoacrylate)

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  Fig. 2 Comparing the time to achieve hemostasis. (Group 1: using silk sutures, Group 2: using n-butyl-2-cyanoacrylate)

• 

  Fig. 3 Comparing postoperative pain between groups. (Group 1: using silk sutures, Group 2: using n-butyl-2-cyanoacrylate)

• 

  Fig. 4 Comparing postoperative wound healing. (Group 1: using silk sutures, Group 2: using n-butyl-2-cyanoacrylate)

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