NCT02935426

Brief Summary

Cyanoacrylate tissue adhesives have been successfully used for wound closure. The purpose of this clinical trial is to compare cyanoacrylate tissue adhesives to polytetrafluoroethylene (PTFE) sutures in the donor site of connective tissue grafts. Two groups of volunteers will randomly assigned to one of the two study groups. The wound closure at the palatal donor area will be achieved with polytetrafluoroethylene (PTFE) sutures in one group and with high viscosity cyanoacrylate tissue adhesives on the other group. The surgical procedure will be performed by one of three calibrated periodontics residents. Data will be collected at baseline-day of the surgery and in one week post-operatively. The primary outcome is patient's discomfort from the donor site during the first week after the surgery. Secondary outcomes is the time required for suture placement or cyanoacrylate application, patient's pain from donor and recipient site one week post-operatively, painkillers intake, presence or absence of inflammation and modified EHI early-wound healing index.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
32

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jan 2017

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

October 13, 2016

Completed
4 days until next milestone

First Posted

Study publicly available on registry

October 17, 2016

Completed
3 months until next milestone

Study Start

First participant enrolled

January 9, 2017

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2018

Completed
Last Updated

October 26, 2017

Status Verified

October 1, 2017

Enrollment Period

1.6 years

First QC Date

October 13, 2016

Last Update Submit

October 24, 2017

Conditions

Keywords

cyanoacrylatesutures

Outcome Measures

Primary Outcomes (1)

  • Patient's discomfort from the donor site

    VAS questionnaire

    During the first week after the surgery

Secondary Outcomes (6)

  • Operative time

    A baseline-during the surgery

  • Pain from the donor site

    one day after the surgery

  • Pain from donor site

    During the first week after the surgery

  • Painkillers intake

    during the first week after the surgery

  • modified EHI early-wound healing index

    one week post-operatively

  • +1 more secondary outcomes

Study Arms (2)

Cyanoacrylate group

EXPERIMENTAL

Wound closure after harvesting of connective tissue graft in the donor site will be achieved with application of cyanoacrylate tissue adhesive

Device: n-butyl cyanoacrylate and 2-octyl cyanoacrylate

Suture group

ACTIVE COMPARATOR

Wound closure after harvesting of connective tissue graft in the donor site will be achieved with polytetrafluoroethylene (PTFE) continuous interlocking sutures

Device: 5-0 Polytetrafluoroethylene (PTFE) suture

Interventions

used in cyanoacrylate group

Also known as: PeriAcryl®90
Cyanoacrylate group

used in suture group

Suture group

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients of the Graduate Periodontics Clinic, College of Dentistry, University of Manitoba that require harvesting of subepithelial connective tissue graft from the palate from October 2016 to December 2017 and have signed the consent form.

You may not qualify if:

  • Patients with coagulation disorders (Hemophilia a/b, von Willebrand disease, liver disease, anticoagulative therapy), patients on corticosteroids, patients with uncontrolled diabetes mellitus or with any systematic disease that periodontal surgery is contraindicated, and patient with history of contact dermatitis to formaldehyde will be excluded from the trial.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Graduate Periodontics Clinic University of Manitoba

Winnipeg, Manitoba, R3E 0W2, Canada

RECRUITING

Related Publications (26)

  • Caffesse RG, Guinard EA. Treatment of localized gingival recessions. Part II. Coronally repositioned flap with a free gingival graft. J Periodontol. 1978 Jul;49(7):357-61. doi: 10.1902/jop.1978.49.7.357.

  • Guinard EA, Caffesse RG. Treatment of localized gingival recessions. Part I. Lateral sliding flap. J Periodontol. 1978 Jul;49(7):351-6. doi: 10.1902/jop.1978.49.7.351.

  • Langer B, Langer L. Subepithelial connective tissue graft technique for root coverage. J Periodontol. 1985 Dec;56(12):715-20. doi: 10.1902/jop.1985.56.12.715.

  • Cortellini P, Tonetti MS. Clinical performance of a regenerative strategy for intrabony defects: scientific evidence and clinical experience. J Periodontol. 2005 Mar;76(3):341-50. doi: 10.1902/jop.2005.76.3.341.

  • Pini Prato G, Tinti C, Vincenzi G, Magnani C, Cortellini P, Clauser C. Guided tissue regeneration versus mucogingival surgery in the treatment of human buccal gingival recession. J Periodontol. 1992 Nov;63(11):919-28. doi: 10.1902/jop.1992.63.11.919.

  • Chambrone L, Tatakis DN. Periodontal soft tissue root coverage procedures: a systematic review from the AAP Regeneration Workshop. J Periodontol. 2015 Feb;86(2 Suppl):S8-51. doi: 10.1902/jop.2015.130674.

  • Pandit N, Khasa M, Gugnani S, Malik R, Bali D. Comparison of two techniques of harvesting connective tissue and its effects on healing pattern at palate and recession coverage at recipient site. Contemp Clin Dent. 2016 Jan-Mar;7(1):3-10. doi: 10.4103/0976-237X.177099.

  • Fickl S, Fischer KR, Jockel-Schneider Y, Stappert CF, Schlagenhauf U, Kebschull M. Early wound healing and patient morbidity after single-incision vs. trap-door graft harvesting from the palate--a clinical study. Clin Oral Investig. 2014 Dec;18(9):2213-9. doi: 10.1007/s00784-014-1204-7. Epub 2014 Feb 23.

  • Vastani A, Maria A. Healing of intraoral wounds closed using silk sutures and isoamyl 2-cyanoacrylate glue: a comparative clinical and histologic study. J Oral Maxillofac Surg. 2013 Feb;71(2):241-8. doi: 10.1016/j.joms.2012.08.032. Epub 2012 Oct 22.

  • Gumus P, Buduneli E. Graft stabilization with cyanoacrylate decreases shrinkage of free gingival grafts. Aust Dent J. 2014 Mar;59(1):57-64. doi: 10.1111/adj.12149. Epub 2014 Feb 4.

  • Costa HJ, Pereira CS, Costa MP, Fabri FS, Lancellotti CL, Dolci JE. Experimental comparative study in rabbits of three different ways of cartilage graft fixation: suture, gelatin-resorcin-formaldehyde and butyl-2-cyanoacrylate. Acta Otolaryngol. 2007 Sep;127(9):947-51. doi: 10.1080/00016480601089689.

  • Yoo J, Chandarana S, Cosby R. Clinical application of tissue adhesives in soft-tissue surgery of the head and neck. Curr Opin Otolaryngol Head Neck Surg. 2008 Aug;16(4):312-7. doi: 10.1097/MOO.0b013e3283018209.

  • Leggat PA, Kedjarune U, Smith DR. Toxicity of cyanoacrylate adhesives and their occupational impacts for dental staff. Ind Health. 2004 Apr;42(2):207-11. doi: 10.2486/indhealth.42.207.

  • Toriumi DM, Raslan WF, Friedman M, Tardy ME. Histotoxicity of cyanoacrylate tissue adhesives. A comparative study. Arch Otolaryngol Head Neck Surg. 1990 May;116(5):546-50. doi: 10.1001/archotol.1990.01870050046004.

  • Forrest JO. The use of cyanoacrylates in periodontal surgery. J Periodontol. 1974 Apr;45(4):225-9. doi: 10.1902/jop.1974.45.4.225. No abstract available.

  • Herod EL. Cyanoacrylates in dentistry: a review of the literature. J Can Dent Assoc. 1990 Apr;56(4):331-4.

  • Habib A, Mehanna A, Medra A. Cyanoacrylate: a handy tissue glue in maxillofacial surgery: our experience in alexandria, egypt. J Maxillofac Oral Surg. 2013 Sep;12(3):243-7. doi: 10.1007/s12663-012-0433-z. Epub 2012 Sep 15.

  • Ghoreishian M, Gheisari R, Fayazi M. Tissue adhesive and suturing for closure of the surgical wound after removal of impacted mandibular third molars: a comparative study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 Jul;108(1):e14-6. doi: 10.1016/j.tripleo.2009.03.001. Epub 2009 May 22.

  • Sachs HA, Farnoush A, Checchi L, Joseph CE. Current status of periodontal dressings. J Periodontol. 1984 Dec;55(12):689-96. doi: 10.1902/jop.1984.55.12.689.

  • Kulkarni S, Dodwad V, Chava V. Healing of periodontal flaps when closed with silk sutures and N-butyl cyanoacrylate: a clinical and histological study. Indian J Dent Res. 2007 Apr-Jun;18(2):72-7. doi: 10.4103/0970-9290.32424.

  • Kondoh S, Matsuo K, Yuzuriha S, Kikuchi N, Ban R. Dressing for alveolopalatal wounds after alveolar bone grafting. Ann Plast Surg. 2003 Sep;51(3):290-3. doi: 10.1097/01.SAP.0000063757.61972.54.

  • Perez M, Fernandez I, Marquez D, Bretana RM. Use of N-butyl-2-cyanoacrylate in oral surgery: biological and clinical evaluation. Artif Organs. 2000 Mar;24(3):241-3. doi: 10.1046/j.1525-1594.2000.06519.x.

  • Al-Belasy FA, Amer MZ. Hemostatic effect of n-butyl-2-cyanoacrylate (histoacryl) glue in warfarin-treated patients undergoing oral surgery. J Oral Maxillofac Surg. 2003 Dec;61(12):1405-9. doi: 10.1016/j.joms.2002.12.001.

  • Lorenzana ER, Allen EP. The single-incision palatal harvest technique: a strategy for esthetics and patient comfort. Int J Periodontics Restorative Dent. 2000 Jun;20(3):297-305.

  • Wachtel H, Schenk G, Bohm S, Weng D, Zuhr O, Hurzeler MB. Microsurgical access flap and enamel matrix derivative for the treatment of periodontal intrabony defects: a controlled clinical study. J Clin Periodontol. 2003 Jun;30(6):496-504. doi: 10.1034/j.1600-051x.2003.00013.x.

  • Ronis ML, Harwick JD, Fung R, Dellavecchia M. Review of cyanoacrylate tissue glues with emphasis on their otorhinolaryngological applications. Laryngoscope. 1984 Feb;94(2 Pt 1):210-3. doi: 10.1288/00005537-198402000-00012.

MeSH Terms

Interventions

Sutures

Intervention Hierarchy (Ancestors)

Surgical Fixation DevicesSurgical EquipmentEquipment and Supplies

Study Officials

  • Chrysi Stavropoulou, DDS

    University of Manitoba

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Chrysi Stavropoulou, DDS

CONTACT

Anastasia Cholakis, DMD, MDent

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Periodontics Resident

Study Record Dates

First Submitted

October 13, 2016

First Posted

October 17, 2016

Study Start

January 9, 2017

Primary Completion

August 1, 2018

Study Completion

August 1, 2018

Last Updated

October 26, 2017

Record last verified: 2017-10

Locations