Abstract

INTRODUCTION: Wound closure is a part of any surgical procedure and the objective of laceration repair or incision closure is to approximate the edges of a wound so that natural healing process takes place. Over the years new biomaterials have been used as an alternate to conventional suture materials. Cyanoacrylate bio adhesives are one among them. They carry the advantage of rapid application, patient comfort, resistance to infection, hemostatic properties, and no suture removal anxiety. Hence this study was undertaken to study the effect of long chain cyanoacrylate as an adhesive for intraoral wound closure and also to explore its hemostatic and antibacterial effects.The aim of this study is to compare the efficacy of cyanoacrylate and black braided silk for the closure of surgical incision after removal of impacted third molars. SEARCH STRATEGY Databases searched: PubMed CENTRAL, Google Scholar, Cochrane, Bibliographies of Clinical Studies and Reviews. Hand search done from 1988 till October 2016. SELECTION CRITERIA: Clinical trials evaluating the severity of pain and hemostasis in the closure of incisions after s urgically removed third molars. RESULTS: The reviews found some clinical evidence that, there is significant difference between sutures and cyanoacrylate on postoperative pain following mandibular third molar surgery. There is also significant difference between sutures and cyanoacrylate on haemostasis following mandibular third molar surgery. CONCLUSION: The clinical evidence in this review is adequate to state that, there is a difference in postoperative pain and haemostasis following mandibular third molar surgery between black braided silk and cyanoacrylate. DOI: 10.21276/AABS.1685

Highlights

  • Wound closure is a part of any surgical procedure and the objective of laceration repair or incision closure is to approximate the edges of a wound so that natural healing process takes place

  • The clinical evidence in this review is adequate to state that, there is a difference in postoperative pain and haemostasis following mandibular third molar surgery between black braided silk and cyanoacrylate

  • After removal of an impacted third molar the conventional method of suturing the surgical wound is by using black braided silk and leaving the wound to heal by primary intention

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Summary

Introduction

Wound closure is a part of any surgical procedure and the objective of laceration repair or incision closure is to approximate the edges of a wound so that natural healing process takes place. After removal of an impacted third molar the conventional method of suturing the surgical wound is by using black braided silk and leaving the wound to heal by primary intention. Black braided silk has an effect known as ‘wicking’ which makes the operated site to retain bacteria which is followed by secondary infection, because the knots become a favorable place for bacterial colonies. To overcome these difficulties more effective method of surgical wound closure has been found with better efficiency and fewer complications

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