Cyanoacrylate With or Without Suture?
- Conditions
- Wound Heal
- Interventions
- Device: Gelatin sponge stabilization with suture and cyanoacrylateProcedure: Gelatin sponge stabilization with cyanoacrylate
- Registration Number
- NCT06083259
- Lead Sponsor
- Hacettepe University
- Brief Summary
An epithelialized gingival graft will be harvested from the palate for the treatment of various mucogingival deformities. The donor site will be treated with either a combination of a collagen sponge and cyanoacrylate or a collagen sponge, cyanoacrylate, and suspending sutures. Intraoperatively, measurements will be taken for palatal tissue thickness, graft dimensions, working time, and primary bleeding time. Data regarding pain perception will be gauged using a visual analog scale, and the number of analgesics, secondary bleeding, epithelization level, and color match will be assessed prospectively. These outcomes will be evaluated on the first 7 days and subsequently on the 14th, 21st, and 28th days. Patient-reported outcomes will be recorded using the Oral Health Impact Profile-14 questionnaire.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 37
Inclusion Criteria:
- age ≥18;
- mucogingival surgical treatment indication that needs connective tissue graft in the anterior mandible;
- stable periodontium after phase I therapy;
- full-mouth plaque and bleeding scores <15%
- previous palatal harvesting history;
- unstable endodontic conditions;
- tooth mobility at the surgical site;
- systemic disease;
- pregnancy;
- use of medications with potential adverse effects on periodontal tissues
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description gelatin sponge + cyanoacrylate + suspending sutures Gelatin sponge stabilization with suture and cyanoacrylate After administration of local anesthesia (2% articaine hydrochloride with epinephrine 1:100,000), palatal thickness will be measured by perpendicularly inserting a Michigan-O periodontal probe from the corners of the rectangular donor area. Epithelialized gingival graft will be harvested. After a rectangular-shaped initial incision, a graft with 1-1.5 mm thickness will be harvested approximately 1.5 to 3 mm away from the gingival margins of the upper teeth. The donor site will be closed with a gelatin sponge + cyanoacrylate + suspending sutures. gelatin sponge + cyanoacrylate Gelatin sponge stabilization with cyanoacrylate After local anesthesia (2% articaine hydrochloride with epinephrine 1:100,000) administration, palatal thickness will be measured by perpendicularly inserting a Michigan-O periodontal probe from the corners of the rectangular donor area and the mean value will be recorded as palatal tissue thickness. The epithelialized gingival graft will be harvested using 15 knives. After a rectangular-shaped initial incision, a graft with 1-1.5 mm thickness will be harvested approximately 1.5 to 3 mm away from the gingival margins of the upper teeth. The donor site will be closed with a gelatin sponge and cyanoacrylate without sutures.
- Primary Outcome Measures
Name Time Method Donor site pain perception everyday in first week Patients score their daily donor site pain perception using visual analog score level by giving numbers from 0 to 10 according to the visual analog scale (0: no pain, 1: minimal pain, 10: severe pain)
Secondary bleeding time during first week Patients will record presence or absence of secondary bleeding (presence=1 or absence=0).
- Secondary Outcome Measures
Name Time Method Graft thickness during surgery Dimensions will be measured during surgery by clinician using Michigan O probe (will be reported in mm)
Graft height during surgery Dimensions will be measured during surgery by clinician using Michigan O probe (will be reported in mm)
Color match first week, second week, third week, fourth week. Color match with the adjacent tissue was determined by researcher using a Visual Analog Pain Scale scale (0: absence of harmony, 10: excellent harmony)
The Oral Health Impact Profile-14 is a questionnaire that measures how oral disorders impact a patient's quality of life. first week The questionnaire has 14 items with answers rated on a 5-point Likert scale (from 1 = never to 5 = very often) to indicate a level of different problems related to oral health
Working time during surgery Harvesting process will be recorded by an blinded research assistant
Quantity of analgesics first week Patients recorded the quantity of analgesics taken will be reported as quantity of pill
Sensation loss first week, second week , third week, fourth week. Sensation loss will be scored by the help of clinician comparing with the symmetrical side an will be recorded as no-loss, medium loss or severe loss
Graft width during surgery Dimensions will be measured during surgery by clinician using Michigan O probe.(will be reported in mm)
Epithelization level first week, second week, third week, fourth week. Epithelization level was scored by researcher as none, partial or full epithelization by means of bubble formation after dripping hydrogen peroxide (3%) to the wound surface.
Trial Locations
- Locations (1)
Hacettepe University
🇹🇷Ankara, Turkey