Attached Oral Mucosal Wound Closure using Blue Glue - A Prospective Clinical Study.

Autor:	Narsingyani RG; Department of Oral and Maxillofacial Surgery, AMC Dental College and Hospital, Gujarat University, Ahmedabad, Gujarat, India., Patel SM; Department of Oral and Maxillofacial Surgery, AMC Dental College and Hospital, Gujarat University, Ahmedabad, Gujarat, India., Sood RA; Department of Oral and Maxillofacial Surgery, AMC Dental College and Hospital, Gujarat University, Ahmedabad, Gujarat, India., Bhimani KK; Department of Oral and Maxillofacial Surgery, AMC Dental College and Hospital, Gujarat University, Ahmedabad, Gujarat, India., Makwana SV; Department of Oral and Maxillofacial Surgery, AMC Dental College and Hospital, Gujarat University, Ahmedabad, Gujarat, India., Savani RR; Department of Oral and Maxillofacial Surgery, AMC Dental College and Hospital, Gujarat University, Ahmedabad, Gujarat, India.
Jazyk:	angličtina
Zdroj:	Annals of maxillofacial surgery [Ann Maxillofac Surg] 2023 Jan-Jun; Vol. 13 (1), pp. 31-36. Date of Electronic Publication: 2023 Jul 28.
DOI:	10.4103/ams.ams_2_23
Abstrakt:	Introduction: Traditionally, sutures have been widely used to close intraoral wounds. Various alternatives have been developed amongst which newer tissue adhesives such as N-butyl-2-cyanoacrylate having accepted clinical properties are gaining popularity. The primary purpose of the present study is to evaluate the efficacy of N-butyl-2-cyanoacrylate for intraoral attached mucosal wound closure following alveoloplasty. Materials and Methods: In this prospective split-mouth study, 25 patients requiring alveoloplasty in either maxillary or mandibular arch bilaterally with a total of 50 sites were divided into two equal groups, namely silk suture (Group 1) and cyanoacrylate (Group 2). Each patient was evaluated on the first, third, seventh, 14 th and 21 st post-operative days. Parameters evaluated were time taken to close incision and to achieve haemostasis, pain, oedema, post-operative wound healing, patient discomfort and possible complications. Results: Time taken to close incision, time taken to achieve haemostasis, post-operative pain and oedema were found to be less in Group 2. Wound healing too was found to be better in Group 2. There was one case of adhesive peel off on the first post-operative day which was managed by reapplying the tissue adhesive. The incidence of wound dehiscence and wound infection was observed more in Group 1 on the third post-operative day. Suture breakage (16%) and adhesive dislodgement (8%) were reported on the seventh post-operative day. Discussion: The use of cyanoacrylates' inherent benefits, such as improved wound seal off in attached mucosa, quick polymerisation and bacteriostatic characteristics can be beneficial when performing minor oral surgical procedures on elderly, young and mentally challenged patients. Competing Interests: There are no conflicts of interest. (Copyright: © 2023 Annals of Maxillofacial Surgery.)
Databáze:	MEDLINE
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