PDF(Pubmed)
Abstract：
Introduction As the incidence of periodontal diseases continues to surge, there is a concurrent elevation in the demand for periodontal treatment. Periodontal surgical therapy is done to control and eliminate disease activity. Conventionally, silk sutures have been considered the gold standard for post-operative flap closure that leads to biofilm accumulation and tissue trauma. Cyanoacrylates are alternate options to avoid the limitations. Objective The objective of the study was to assess clinical outcomes by comparing the healing after periodontal flap surgery when secured with 3-0 braided silk suture versus cyanoacrylate. Methodology Twenty surgical sites from 10 patients with moderate to severe periodontitis were selected and randomly divided into two groups after phase-1 therapy: the test group (isoamyl 2-cyanoacrylate) and the control group (3-0 silk braided suture). Post-operative wound healing, pain assessment using a verbal rating scale (VRS), and analgesic tablets taken were evaluated on the third, fifth, seventh, and 14th days. Statistical analysis was done using the ANOVA test with the post-hoc Bonferroni test. Results There was no statistically significant difference between the VRS and wound healing index at different levels of intervals during intergroup comparison, but the number of analgesics consumed post-operatively was less in the test group as compared to the control group. Conclusion The present study concluded that isoamyl 2-cyanoacrylate can be used as an alternative to conventional silk sutures as it decreases post-operative pain and discomfort.
摘要：
简介随着牙周病的发病率持续激增，牙周治疗的需求同时上升。进行牙周手术治疗以控制和消除疾病活动。传统上,丝线缝线被认为是导致生物膜积聚和组织创伤的术后皮瓣闭合的黄金标准。氰基丙烯酸酯是避免这些限制的备选方案。目的通过比较3-0编织丝线与氰基丙烯酸酯固定的牙周皮瓣手术后的愈合情况，评估临床疗效。方法选择10例中重度牙周炎患者的20个手术部位，经过1期治疗后随机分为两组：试验组（2-氰基丙烯酸异戊酯）和对照组（3-0丝编织线）。术后伤口愈合,使用言语评定量表(VRS)进行疼痛评估，和服用的止痛片在第三次进行了评估，第五，第七,第14天使用ANOVA检验和事后Bonferroni检验进行统计分析。结果组间比较,VRS和创面愈合指数在不同水平间隔期间差异无统计学意义。但与对照组相比,试验组术后消耗的镇痛药数量较少.结论本研究得出结论，2-氰基丙烯酸异戊酯可作为传统丝线的替代品，因为它可以减少术后疼痛和不适。
