iDentistry The Journal September-December 2017 | Page 28

The Journal
the application of the fibrin glue, the tissues
were positioned by the gentle pressure with the
wet gauze for 20 to 30 seconds. An interesting
observation during wound closure was that
bleeding subsided earlier after the application
of fibrin glue than after suturing.
There was no need for any further intervention
in case of fibrin glue, whereas area treated with
sutures required another intervention. (Fig 2)
Conventional suturing provides only a marginal
fixation,whereas the fibrin-sealing system
makes the tissues adhere on its entire surface
area. Besides above, fibrin glue system
consumed less time and was very easy to fix.
The time taken for fibrin glue to stick to the
position was about 1-2 min whereas to suture
the tissue with conventional procedure, was
time consuming. (Fig.1)
Fig 2 (a, b) : View of the operative site after
a) one week, b) one month
Fig 1 : Immediate Post-operative view
On the 7th day of postoperative review,
operated area healed uneventfully and there
was no evidence of necrosis or ulceration.
Edema was negligible on both sides. However
the patient noticed discomfort and pain during
the removal of sutures.In view of close
adaptation of tissues to the underlying
periosteal surface, there was minimal
accumulation of food debris/ dental plaque at
the site where fibrin glue was used,as
compared to the conventional suture procedure
site, where the suture material attracted more of
food debris and dental plaque. Tissues were
inflamed from where the suture was removed.
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Re-epithelialization occurred onboth the
operated sides. No post-operative pain,
hemorrhage, infection orscarring occurred in
any of the sites. The healing was uneventful. At
this stage, patient accepted both the
procedures equally.
Vol. 13 No. 3
Sep-Dec 2017