Cyanoacrylate tissue adhesive or silk suture for closure of surgical wound following removal of an impacted mandibular third molar: A randomized controlled study

Publication date: Available online 12 November 2018

Source: Journal of Cranio-Maxillofacial Surgery

Author(s): Afisu A. Oladega, Olutayo James, Wasiu L. Adeyemo

Summary

Aim

The aim of the study was to compare postoperative sequelae and wound healing outcome following closure of surgical wound with either cyanoacrylate tissue adhesive or silk suture.

Methods

Subjects with mesio-angularly impacted mandibular third molar were allocated randomly into 2 equal groups. The control group had wound closure with silk suture and study group with cyanoacrylate tissue adhesive. Subjects were followed up for 7 postoperative days. Post-operative pain, swelling, trismus, bleeding, wound dehiscence and wound infection were evaluated.

Results

Sixty subjects in each group completed the study. No significant difference was observed in the mean post-operative pain, swelling, trismus, wound dehiscence and infection between the 2 groups. There was a statistically significant difference in post-operative bleeding between the 2 groups on post-operative day 1, with more bleeding in the control group.

Conclusions

This study shows that cyanoacrylate tissue adhesive compares favourably with silk suture as a wound closure material. In addition, cyanoacrylate tissue adhesive seems to have beneficial haemostatic effect on post-operative bleeding.

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