8- Closure of intra-oral surgical incisions

Objective:

the aim of the study was 10 compare the routinely used 3/0 black silk suture material with one of the most recently used tissue adhesives (N-butyl Cyanoacrylate) in intra-oral surgical incisions closure and un1il complete wound healing is clinically evident.

Patients and Methods:

Twenty patients who attended the Oral and Maxillofacial Surgery Outpatient Clinics, College of Dentistry, King Saud University, were included in this study. Those patients were divided randomly into two equal groups according to the material used for nap (incision) closure . Group I (suture group): comprised 10 patients in whom the incisions were closed using 3/0 black silk sutures in a 3/8 circle cutting needle Group II (cyanoacrylate group): comprised 10 patients in whom the incisions were closed using synthetic Cyanoacrylatesurgical glue (Glubran 2).

Result:

The clinical results revealed that the difference in the discomfort score of the suture and the cyanoacrylate sites was statistically significant (P<0.05). Also, the difference in the irritation score of the suture and the cyanoacrylate sites was statistically significant (P<0.05). While the difference in pain score of the suture and the cyanoacrylate sites was not statistically significant (P>0.05).

Conclusion:

The use of (Glubran 2) in closure of intra-oral surgical incisions is an easy and effective way in tissue adhesion. Wound healing is not different from using suturing. On the other hand, it greatly reduces the patient psychological stress and anxiety during suturing, plus eliminating the possibility of self-injury. Patients and surgeons were completely satisfied by using this material in incision closure. The only disadvantage of this material is its high cost in comparison to black silk sutures (about 5 folds) which should be kept in mind before its use.