Cyanoacrylate Adhesive Agent for Coronally Advanced Flap Stability

Introduction: Gingival recession, characterized by displacement gingival margin below the cemento enamel junction. Many surgical procedures have been attempted to obtain gingival recession. Acellular dermal matrix (ADM) grafts can be used as a substitute for connective tissue graft during root coverage procedures. A carefully planned surgery needs proper immobilization of the flap can be achieved by proper wound closure technique with appropriate material such as sutures or tissue adhesives. Cyanoacrylate tissue adhesives have been proposed as a suitable alternative for surgical wound closure. The aim of this study was to evaluate the potential of cyanoacrylate tissue adhesive for coronally advanced flap surgical stability.
Case Report: A 57-year-old female came to the Periodontics Specialist Clinic in Dental Hospital Universitas Airlangga with complaint dental sensitivity resulting from exposed root surfaces in upper right molar and premolar. The recession on buccal teeth 15 and 16 (FDI notation was 3 mm (Miller class 1).
Case management: Coronally advanced flap (CAF) by tunneling procedure combined with acellular dermal matrix was applied of gingival recession. Acellular dermal matrix (SureDerm® was sutured with blue nylon 5.0 (Polyamide). Furthermore, the cyanocrylate adhesive (PeriAcryl® 90HV) was applied. Clinical examinations were performed at 7. 14. 30 days and 3 months after surgery. After a 2-week healing period, the sutures were removed. At the 3 months, the patient presented with stabilization of marginal tissue.
Conclusion: Cyanoacrylate tissue adhesive has potential for coronally advanced flap surgical stability.