Comparison of Postoperative Healing Using Commercially Available Fibrin (Reliseal®) and Vicryl Suture Following Periodontal Flap Surgery: A Split-mouth Study
Keywords :
Commercially available fibrin glue, Periodontal flap, Vicryl suture
Citation Information :
Nachimuthu KP, Balakrishnan B, Vyloppillil R, Peter MR, Suresh R, Srinivasan S, Menon P. Comparison of Postoperative Healing Using Commercially Available Fibrin (Reliseal®) and Vicryl Suture Following Periodontal Flap Surgery: A Split-mouth Study. World J Dent 2023; 14 (1):62-66.
Aim: To evaluate commercially available fibrin glue (Reliseal®) as an alternative material for absorbable Vicryl sutures in closing non-tension flaps after periodontal flap surgery.
Materials and methods: In this split-mouth study, six patients were selected from the Department of Periodontics. After getting consent from the patients, they were randomly allocated into two groups. The test group (group I) is a commercially available fibrin glue (Reliseal®), and the control group (group II) is an absorbable Vicryl suture. On the 2nd day and 7th day, clinical parameters like plaque index (PI), gingival index (GI), early wound healing index (EWHI), visual analog score (VAS), and patient compliance were evaluated.
Results: The test group (Reliseal®) has shown statistically significant improvement in PI, GI, patient compliance, and decreased postoperative (post-op) pain when compared to the control group (absorbable Vicryl sutures). However, in terms of EWHI, there were no statistical differences noted.
Conclusion: This result showed that commercially available fibrin glue could be used as an alternative to absorbable Vicryl sutures in the approximation of non-tension periodontal flaps following periodontal flap surgery.
Clinical significance: The use of fibrin glue in surgical procedures has significantly increased as it helps to achieve hemostasis following flap surgery, acceptable patient compliance, and improved wound healing process.
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