title: Healing of periodontal flaps when closed with silk sutures and N-butyl cyanoacrylate: a clinical and histological study.
abstract: BACKGROUND
  The closure of the periodontal flaps post-surgery is a necessity for attainment of a primary union between the flap margins and the establishment of a healthy dentogingival junction. N-butyl cyanoacrylate is a tissue adhesive, which can be used for the closure of the incised wounds to overcome the problems associated with conventional suture materials like silk.
  
  
  OBJECTIVE
  The present study was carried out to assess the healing of the periodontal flaps when closed with the conventional silk sutures and N-butyl cyanoacrylate.
  
  
  METHODS
  The study was carried out on 24 patients who needed flap surgical procedure for pocket therapy.
  
  
  RESULTS
  It was found that healing with the cyanoacrylate is associated with less amount of inflammation during the first week when compared with silk. However, over a period of 21 days to 6 weeks, the sites treated with both the materials showed similar healing patterns.
  
  
  CONCLUSIONS
  It can be concluded that cyanoacrylate aids in early initial healing.
authors.affiliation: Dept. of Periodontics, S. D. M. College of Dental Sciences and Hospital, Dharwad, India. drsudhindrak@rediffmail.com
authors.forename: Sudhindra
authors.initials: S
authors.lastname: Kulkarni
authors.forename: Vidya
authors.initials: V
authors.lastname: Dodwad
authors.forename: Vijay
authors.initials: V
authors.lastname: Chava
mesh_terms: D000328:Adult; D004659:Enbucrilate / Q000627:therapeutic use*; D005881:Gingiva / Q000166:cytology / Q000187:drug effects / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D019647:Oral Surgical Procedures / Q000379:methods; D010514:Periodontal Pocket / Q000473:pathology / Q000601:surgery*; D047011:Silk; D013524:Surgical Flaps / Q000473:pathology / Q000502:physiology*; D013536:Suture Techniques; D014014:Tissue Adhesives / Q000627:therapeutic use*; D014945:Wound Healing / Q000187:drug effects*
chemical_list: D047011:Silk; D014014:Tissue Adhesives; D004659:Enbucrilate