Soft Tissue Atrophy Clinical Trial
Official title:
Cyanoacrylate Tissue Adhesive Assisted Soft Tissue Stabilization: a Novel Technique for Free Gingival Graft Fixation (Case Series Study)
fixation of FGG with sutures alone is not sufficient,we use cyanoacrylate beside sutures for fixation
Inadequate zone of attached mucosa around implants, gingival recession, inadequate ridge
width or height despite there is enouph bone for implant placement are problems that face
periodontists and can be treated by soft tissue graft Studies have demonstrated the
importance of the tissues stability for the first hours when support is provided by
underlying osseous or dental structures.
Movement of the graft during mastication and phonation will disturb healing procedures. Most
of the clinicians prefer a protective device during the healing phase.
Transitional dentures are not stable themselves, and hence are not suitable for stabilizing.
Circummandibular wiring and impact posts are seemingly very aggressive for patients and need
extra clinical practices, skills, and equipment.
Studies proved that the maximum tissue shrinkage (approximately 20%-40%) occurs during the
first 3 months post operation and will proceed until 12 postsurgical months with a
persistent, significantly lower rate.
In this study we give more stabilization for free gingival grafts by using cyanoacrylate
tissue adhesive beside sutures Its autogenous character, maintenance of keratinization,
predictability, ease of technique tlead CTG to be accepted as the golden standard to increase
attached gingival dimensions Cyanoacrylate is a simple, inexpensive haemostatic and
biocompatible material It is used as tissue adhesives in paediatric surgery general surgery
and also dentistry.
it has been applied intraorally with different purposes such as periodontal dressing,for
sealing sinus membrane perforations for stabilizing bone fragments during fracture fixation,
and in closing peripheral nerve anastomosis it seems promising in the intraoral field due to
their strong sealing, bacteriostatic, and hemostatic properties. Multiple studies examined
the use of cyanoacrylate glues as an alternative to suturing intraoral and extraoral wounds
concluding that cyanoacrylates are faster, more reliable ,and less painful and cause better
hemostasis .
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