Burcu KARADUMAN, Ahu URAZ, Süleyman BOZKAYA, Cem YILDIZ, Kaya EREN

Periodontal Flep Cerrahisinde Bioadeziv Bir Materyal Olan Etil-2-Siyanoakrilat’ın Klinik Etkinliğinin Değerlendirilmesi

Bu çalışmanın amacı, etil-2-siyanoakrilat ve konvansiyonel ipek süturlerin periodontal flep cerrahisinde kullanımlarının yara iyileşmesi üzerine etkilerini incelemektir. Faz I periodontal tedavi sonrası, maksiller anterior bölgelerinde 5mm ve üzeri sondlanabilen cep derinliği olan, 15 kronik periodontitis hastası çalışmaya dâhil edildi. Test bölgelerinde flepler etil2-siyanoakrilat E-SA ile kapatılırken n = 15 , kontrol bölgelerinde 3/0 ipek süturler kullanıldı n = 15 . Plak indeksi ve gingival indeks başlangıçta ve operasyonu takiben 1., 3., 7., 14. ve 21. günlerde kaydedildi. Ayrıca ağrı, ödem, eritem ve nekroz skorları da değerlendirildi. Çalışma boyunca siyanoakrilat uygulanan grupta ipek süturlara kıyasla daha az inflamasyon gözlendi p0.05 . Siyanoakrilat grubunda 1. ve 3. günlerde istatistiksel olarak anlamlı daha az postoperatif ağrı bulgulandı p

Anahtar Kelimeler:

Siyanoakrilatlar, Periodontal Flep Cerrahisi, Sütur, Doku iyileşmesi

Clinical Evaluation of the Efficacy of Ethyl-2-Cyanoacrylate as a Bioadhesive Material in Periodontal Flap Surgery

The purpose of this study was to compare the effects of ethyl-2-cyanoacrylate E-SA and conventional silk sutures on wound healing in periodontal flap surgery. 15 patients with chronic periodontitis with probing depth ≥5 mm in maxillar anterior region were included in the study. On the test site ethyl-2-cyanoacrylate was applied for flap closure after periodontal flap surgery n = 15 and on the control site silk sutures were used n = 15 . The plaque and gingival indices were recorded at baseline and 1 day, 3 days, 7 days, 14 days and 21 days after surgery. The following parameters were also recorded: pain, edema, erythema and necrosis. The cyanoacrylate was associated with less amount of inflammation during the healing period when compared with silk sutures p0.05 . Postoperative pain in cyanoacrylate group was less significant than in control group on the first and third day after surgery p

Keywords:

Cyanoacrylates, Periodontal Flap Surgery, Sutures, Tissue Healing,

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