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Clinical Oral Investigations

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Open Access 01-01-2024 | Research

A comparative study of cyanoacrylate-based tissue adhesive and surgical sutures on marginal flap stability following coronally advanced flap

Authors: Andreas Pabst, Philipp Becker, Robert Kuchen, Sven Schumann, Adrian Kasaj

Published in: Clinical Oral Investigations | Issue 1/2024

Abstract

Introduction

The present study evaluated the biomechanical characteristics of cyanoacrylate-based tissue adhesive (TA) compared to surgical sutures in coronally advanced flap (CAF) procedures using an ex-vivo model.

Material and methods

Thirty-six half-pig mandibles were divided into three groups, n=12 each: (I) CAF fixed with sutures (sling and tag suture technique), (II) CAF fixed with TA, and (III) CAF fixed with sutures and TA. At mandibular premolars, gingival recession defects extending 3 mm apical to the cemento-enamel junction (CEJ) were created. CAF procedures were performed using a split-full-split approach, with coronal advancement of the flap to 1 mm above the marked CEJ and stabilization according to the respective groups I–III. Marginal flap stability against pull-of forces (maximum tensile force) was measured with a universal material testing machine until the CEJ became visible.

Results

The comparison between groups I–III demonstrated a significantly increased maximum tensile force for the TA (II) compared to the suture group (I) (p<0.001). A significantly increased maximum tensile force was found for the suture and TA (III) compared to the suture group (I) (p<0.001). There was also a significantly increased maximum tensile force in the suture and TA (III) compared to the TA group (II) (p<0.001).

Conclusion

The results suggest that cyanoacrylate-based TA can increase marginal flap stability compared to sutures in CAF procedures.

Clinical relevance

Cyanoacrylate-based TA can be considered a useful and valuable adjunct to conventional suturing techniques in periodontal plastic surgery, especially in cases where high flap stability is required. The results of this ex-vivo study can only be transferred to the clinical situation with limitations. Clinical long-term follow-up data must be generated.

Online source: https://periacryl.com, last online access on September 2, 2023

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Title: A comparative study of cyanoacrylate-based tissue adhesive and surgical sutures on marginal flap stability following coronally advanced flap
Authors: Andreas Pabst
Philipp Becker
Robert Kuchen
Sven Schumann
Adrian Kasaj
Publication date: 01-01-2024
Publisher: Springer Berlin Heidelberg
Published in: Clinical Oral Investigations / Issue 1/2024
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-023-05390-8

2024 ASCO Annual Meeting

Springer Medicine

A comparative study of cyanoacrylate-based tissue adhesive and surgical sutures on marginal flap stability following coronally advanced flap

Abstract

Introduction

Material and methods

Results

Conclusion

Clinical relevance

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Introduction

Material and methods

Results

Conclusion

Clinical relevance

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