Is tissue glue an alternative to sutures in impacted third molar surgeries?

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Is tissue glue an alternative to sutures in impacted third molar surgeries?

Journal Title: Indian Journal of Dental Advancements - Year 2017, Vol 9, Issue 1

Abstract

Background: Achieving a good primary closure in the third molar region is critical in avoiding complications like infection, dry socket and pocket formation distal to the second molar. But this closure provides a challenge due to the low accessibility and difficulty in manipulating the tissues. As such there is a need to find easier and more reliable methods for achieving the closure. Objective: To compare the efficacy of cyanoacrylate (tissue glue) with Vicryl sutures for closure of extraction socket following the surgical removal of impacted mandibular third molars. Materials and Methods: Sixty patients with bilaterally impacted mandibular third molars were selected in this study. Vicryl sutures were used for closure on one side after surgical removal ofthird molar while cyanoacrylate was utilized for closure on the other. All the patients were evaluated for bleeding, pain, and swelling, time taken for wound closure, wound healing /dehiscence, and sensitivity distal to the second molar at 1st, 2nd, 3rd, 7th & 14th day after surgical extraction. Results: The results showed that postoperative bleeding was not seen with cyanoacrylate. Reduced postoperative pain and swelling after the use of tissue glue was noted as compared to sutures because of less tissue handling and less tissue inflammation. The remaining data was analyzed using Paired t test, Mann-Whitney U test, two independent sample tests. Conclusion: Isoamyl 2 cyanoacrylate may promote early initial healing, achieve rapid and easy closure, and may also reduce sensitivity on the distal aspect of second molar when compared with the Vicryl.

Authors and Affiliations

Pavan Kumar B, Venkatesh V, Hari Priya Chari, Yashwanth Yadav

Keywords

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EP ID EP472677
DOI 10.5866/2017.9.10008
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