A comparative study of cyanoacrylate tissue adhesive and silk suture for closure of surgical wound following removal of an impacted mandibular third molar: a randomized controlled study.
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Unilag Press, 2018
Background: Suturing is the conventional method of wound closure following third molar surgery. However, it increases surgical time, causes trauma to soft tissue and there is usually need for second appointment to remove the sutures. Objective: To evaluate and compare postoperative sequelae and wound healing outcome following closure of surgical wound with either cyanoacrylate tissue adhesive or silk suture. Methods: Patients with impacted mandibular third molar who presented in the clinic for therapeutic extraction, met the inclusion criteria and gave informed consent were recruited for the study. Surgical extraction was done using buccal guttering technique under local anaesthesia. Subjects were randomized into 2 groups; silk suture (group A) and cyanoacrylate (group B), with 60 in each group. Post-operative pain, swelling, trismus, bleeding, wound dehiscence and wound infection were evaluated. Results: There was no statistically significant difference in the age and gender distribution between the 2 groups. No significant difference was observed in the mean post-operative pain, swelling and mouth opening ability between the 2 groups. There was statistically significant difference in bleeding between the 2 groups on post-operative day 1, with more bleeding in group A. The incidence of wound infection and dehiscence was not statistically significant between the 2 groups. Conclusions: This study shows that cyanoacrylate tissue adhesive compares favourably with silk suture as a wound closure material. It may therefore be a suitable alternative to suturing for wound closure following extraction of an impacted lower third molar. In addition, cyanoacrylate tissue adhesive seems to have beneficial haemostatic effect on post-operative bleeding. Keywords: Silk suture; Cyanoacrylate tissue adhesive; Impacted third molar
Sutures , Cyanoacrylate tissue adhesive , Impacted third molar , Molar surgery , Research Subject Categories::ODONTOLOGY
Oladega AA, James O. Adeyemo WL. A comparative study of cyanoacrylate tissue adhesive and silk suture for closure of surgical wound following removal of an impacted mandibular third molar: a randomized controlled study. 13th Annual Conference and Fair, University of Lagos. August 2018. (Poster presentation).