CASE REPORTS   

Chirurgia 2014 February;27(1):55-9

Copyright © 2014 EDIZIONI MINERVA MEDICA

language: English

Cyanoacrylate surgical glue as an alternative to suture threads for connective tissue graft in gingival recession: a case report

Mueller Storrer C. L., Cardoso G., Zielak J. C., Miranda Deliberador T., Rychuv Santos F., Ricardo Lopes T.

Unit of Dentistry, Department of Periodontology Positivo University, Curitiba, Brazil

Although suture threads has been widely used to stabilization of the graft on the surgical bed, it is not the only option during connective tissue graft (CTG) procedure. A new method to maintain the graft over the root surface is reported in this paper with the use of a cyanoacrylate glue as a surgical adhesive. The gingival recession is defined as the apical displacement of the gingival margin, with consequent root exposure, dental sensitivity and aesthetic compromise. The root coverage, that brings back the normal characteristics of the gingival outline, depends on surgical procedures. CTG is a surgical procedure with good chance of success, but it requires great skill from the dentist. The total stabilization of the graft on the surgical bed is necessary to succeed in the procedure. The current case report examines the use of the cyanoacrylate membrane that acts as surgical glue (Glubran®2), replacing the graft suture in stabilizing the subepithelial CTG. Miller Class I recession defect on the facial gingival tissue from the maxillary first right molar was grafted with connective tissue and stabilized with Glubran 2. The outcomes suggest that it is possible to stabilize the subepithelial CTG with surgical glue instead of the use of sutures.