coverage procedures: A case series report with 5 years follow up.
A variety of periodontal plastic surgery techniques have been proposed to correct aesthetic and functional problems caused by gingival recession, with root coverage using connective tissue grafts being the one most commonly performed. These surgeries, however, are partially dependent on tissue graft stability. In this case series, we describe the use of a tissue adhesive (cyanoacrylate) as a solution for graft stabilization. Two patients with Cairo’s type 1 gingival recession were treated with an envelope technique using connective tissue graft stabilized with cyanoacrylate alone. The results were a faster procedure and complete root coverage, even after 5 years of follow-up. Our findings suggest that cyanoacrylates can be an alternative to standard graft stabilizing procedures, leading to a stable root coverage in RT1 recessions.
A variety of periodontal plastic surgery techniques have been proposed to correct aesthetic and functional problems of periodontal tissues. The most common procedure uses the connective tissue graft from the palate. However, patient discomfort and the limited quantity of palatal tissue results in many cases where the surgeon uses connective tissue substitutes. In this case report, we describe the use of a human dermal matrix for gingival volume augmentation in the lower incisors with a novel modified VISTA technique stabilizing the flap with sutures and cyanoacrylates, avoiding comorbidity of a second surgical site. The follow up at 6 months showed an increase in gingival thickness and a reduction in recessions length.
Clinical Trial: Cyanoacrylate Tissue Adhesives in Donor Site of Connective Tissue Grafts
Cyanoacrylate performs similarly to sutures and can be used for wound closure of the donor site of CTG. The application was about 5 minutes faster than conventional suture placement, reducing the total time of the surgical procedure.
Flapless Implant Surgery With Aesthetic Temporaries
During the past 10 years, dental implant therapy has progressed considerably. For the replacement of teeth, single-tooth implants have become the standard of care in dentistry. Development and advances to the restorative armamentarium have significantly improved the clinician’s ability to deliver predictable and reliable treatment. Dental implants placed by raising a surgical…
The use of the tissue adhesive was assessed as compared with that of conventional sutures in the healing process following the performance of a third molar surgical procedure.
The Er,Cr:YSGG laser has indications for use in cutting bone, enamel, dentin, and soft tissue. In a study using rabbits, the reported advantage for this laser use with soft tissues is a reduction in bleeding.1 A recent clinical study with implant patients discussed further soft tissue benefits from laser surgery of less postoperative pain and swelling.2 In studies using animal tissue…
N-butyl cyanoacrylate is an effective tissue adhesive which is hemostatic and bacteriostatic. It can be considered an alternative to conventional sutures in soft-tissue surgery. The author presents two cases demonstrating the use of the material. Case One shows its use in free gingival graft surgery. Case Two shows its use post-biopsy. Extensive research is available from…