| Autor: |
Pradhan, Neha, Anup Belludi, Sphoorthi, R, Sreeparvathy, HR, Veena, James, Rani |
| Předmět: |
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| Zdroj: |
Journal of Biomaterials Applications; Sep2023, Vol. 38 Issue 3, p412-423, 12p |
| Abstrakt: |
Background: Fibrin glue has shown to be a pioneering remedy to overcome the inconvenience of suturing. Autologous products reduce the risk of contamination and immunological responses compared to commercial fibrin glue. Hence using autologous fibrin glue (AFG) as a tissue sealant in periodontal flap closure would be of added value for a predictable outcome. Objective: To evaluate and compare the efficacy of AFG with 4-0 silk sutures in periodontal flap closure and healing. Material and methods: Total of 17 patients diagnosed with generalized periodontitis in the age group of 18 to 60 years with probing pocket depth of ≥ 6 mm and clinical attachment level of ≥5 mm in at least two quadrants were categorized into test group (AFG) and control group (4-0 silk sutures). Primary outcome measures [modified gingival index (MGI), early wound index (EHI) and interleukin 1 beta (IL-1ß) and secondary outcome measures (oral hygiene index, plaque index and visual analog scale (VAS) were recorded at baseline, 1, 2, 3 and 4 weeks. Results: A statistically significant reduction of IL-1ß value (p =.005); MGI (p =.02); EHI (p =.004), VAS scores (p <.001) and a positive Spearman's correlation (rho = 0.15) was seen between EHI scores & IL-1ß levels in test group at 1week period in comparison to control group. Conclusion: AFG showed promising results as an alternative to sutures. The use of AFG significantly improved clinical parameters and reduced the levels of pro-inflammatory cytokines making it an effective adhesive with healing properties in the era of suture-less periodontal flap surgery. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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