Clinical Outcomes of Root Coverage Using Lateral Pedicle Grafts with Suture and Isoamyl Cyanoacrylate Stabilisation - A Comparative Study

Abstract Background: Gingival recession is a mucogingival deformity affecting teeth causing dentinal hypersensitivity. Although many techniques are there for root coverage procedures, the present study is to evaluate the clinical outcomes of lateral pedicle graft stabilised by using either resorbable sutures or isoamyl-2-cyanoacrylate tissue adhesive. Materials and Methods: A total of 10 systemically healthy subjects were recruited with complaints of Millers Class I and Class II gingival recession in the lower anterior. Subjects were randomly allocated into two groups: control group (graft stabilised with resorbable sutures) and test group (graft stabilised with isoamyl 2-cyanoacrylate tissue adhesive). Parameters such as recession height (RH), recession weight (RW), width of keratinised gingiva, width of attached gingiva, and clinical attachment level were measured at baseline 3 months post-surgery. Results: The outcome measures were statistically significant at baseline and 3 months, but there is no significant difference between the groups. The mean reduction in RH and RW was significant at baseline to 3 months from both control and test groups. Conclusion: Isoamyl-2-cyanoacrylate showed a better intimate healing with no gaps compared to use of silk suture, and thus, it was concluded that the use of isoamyl-2-cyanoacrylate reduces patient discomfort and irritation, and it is an easy and effective way in managing intra-oral wounds. Isoamyl-2-cyanoacrylate tissue adhesive results in faster initial wound healing as compared to sutures.