J Korean Assoc Oral Maxillofac Surg 2020; 46(1): 28~35
Comparing intra-oral wound healing after alveoloplasty using silk sutures and n-butyl-2-cyanoacrylate
Pratik Suthar, Sonal Shah, Pushkar Waknis, Gandhali Limaye, Aditi Saha, Pranav Sathe
Department of Oral and Maxillofacial Surgery, Dr. D. Y. Patil Vidyapeeth, Pune, India
Sonal Shah
Department of Oral and Maxillofacial Surgery, Dr. D. Y. Patil Vidyapeeth, Sant Tukaram Nagar, Pimpri, Pune 411018, India
TEL: +91-98-33459822 FAX: +91-20-27423427
E-mail: sonalbshah@rediffmail.com
ORCID: https://orcid.org/0000-0001-8424-0105
Received December 17, 2018; Revised April 19, 2019; Accepted April 24, 2019.; Published online February 29, 2020.
© The Korean Association of Oral and Maxillofacial Surgeons.. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 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.
Keywords: Alveoloplasty, Cyanoacrylate, N-butyl-2-cyanoacrylate, Tissue adhesive, Silk


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29 February 2020
Vol. 46
No. 1 pp. 1~84

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