{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:00:11Z","timestamp":1787169611884,"version":"build-2736575974"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,1]]},"abstract":"\n Context:<\/jats:title>\n Gingival recession is the most common mucogingival defect and is susceptible to tooth hypersensitivity, root caries, and esthetic problems if left untreated. A lateral pedicle flap is used to cover denuded roots that have adequate donor tissue laterally and adequate vestibular depth. A carefully planned surgery needs proper immobilization of the flap at the recipient site and this can be achieved by proper wound closure technique with appropriate material such as sutures or tissue adhesives.<\/jats:p>\n <\/jats:sec>\n \n Aim:<\/jats:title>\n The aim of the present study is to evaluate the clinical outcomes of lateral pedicle flap stabilized with cyanoacrylate tissue adhesive and resorbable sutures.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n \n Twenty-two patients with Miller's class I and class II gingival recession were randomly divided into two groups: lateral pedicle flap stabilized with cyanoacrylate tissue adhesive (test) and lateral pedicle flap stabilized with resorbable sutures (control). Plaque index, gingival index, probing pocket depth, clinical attachment level, recession depth and width, height and thickness of keratinized gingiva were evaluated at baseline and 1\n st<\/jats:sup>\n and 3\n rd<\/jats:sup>\n month postoperatively. The percentage of root coverage was evaluated at the end of 3\n rd<\/jats:sup>\n month postoperatively.\n <\/jats:p>\n <\/jats:sec>\n \n Statistical Analysis Used:<\/jats:title>\n Intergroup comparisons for the clinical attachment level, recession depth, recession width, thickness of keratinized gingiva, and height of keratinized gingiva were made by Mann\u2013Whitney test by analyzing the difference of two time periods. Intragroup comparisons were made by the Kruskal\u2013Wallis test. Mann\u2013Whitney test was used to compare the difference between various time periods within the group for all the selected variables.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n The mean plaque index and gingival index at the 1\n st<\/jats:sup>\n and 3\n rd<\/jats:sup>\n month were found to be statistically significant and did not present any significant influence over other clinical parameters evaluated. A partial root coverage was observed in both the groups (71.97% for the test group and 61.36% for the control group).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Cyanoacrylate tissue adhesive is clinically effective in the stabilization of the lateral pedicle flap and can be used as an alternative to resorbable sutures.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ccd.ccd_338_20","type":"journal-article","created":{"date-parts":[[2022,3,23]],"date-time":"2022-03-23T11:10:58Z","timestamp":1648033858000},"page":"24-29","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Clinical Evaluation of Lateral Pedicle Flap Stabilized with Cyanoacrylate Tissue Adhesive"],"prefix":"10.4103","volume":"13","author":[{"given":"M.","family":"Jeevitha","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chandra Sekhara","family":"Prabhahar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Narendra","family":"Reddy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V. K.","family":"Vijay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Navarasu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Umayal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-5-20240901","doi-asserted-by":"crossref","first-page":"69","DOI":"10.4103\/2231-0762.109374","article-title":"Epidemiology of gingival recession and risk indicators in dental hospital population of Bhimavaram","volume":"2","author":"Manchala","year":"2012","journal-title":"J Int Soc Prev Community Dent"},{"key":"R2-5-20240901","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1902\/annals.1996.1.1.671","article-title":"Mucogingival therapy","volume":"1","author":"Wennstr\u00f6m","year":"1996","journal-title":"Ann Periodontol"},{"key":"R3-5-20240901","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1902\/jop.1956.27.2.92","article-title":"Repair of gingival defects by a sliding flap operation","volume":"27","author":"Grupe","year":"1956","journal-title":"J Periodontol"},{"key":"R4-5-20240901","first-page":"95","article-title":"Comparison between silk sutures and cyanoacrylate adhesive in human mucosa A clinical and histological study","volume":"5","author":"Kumar","year":"2013","journal-title":"J Int Oral Health"},{"key":"R5-5-20240901","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1111\/j.1834-7819.1997.tb00130.x","article-title":"Clinical and electron microscope comparison of silk sutures and n-butyl-2-cyanoacrylate in human mucosa","volume":"42","author":"Giray","year":"1997","journal-title":"Aust Dent J"},{"key":"R6-5-20240901","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1111\/prd.12078","article-title":"Influence of suturing on wound healing","volume":"68","author":"Burkhardt","year":"2015","journal-title":"Periodontol 2000"},{"key":"R7-5-20240901","doi-asserted-by":"crossref","first-page":"121","DOI":"10.3109\/00016356408993968","article-title":"Periodontal disease in pregnancy. II. Correlation between oral hygiene and periodontal condition","volume":"22","author":"Silness","year":"1964","journal-title":"Acta Odontol Scand"},{"key":"R8-5-20240901","doi-asserted-by":"crossref","first-page":"533","DOI":"10.3109\/00016356309011240","article-title":"Periodontal disease in pregnancy. I. Prevalence and severity","volume":"21","author":"Loe","year":"1963","journal-title":"Acta Odontol Scand"},{"key":"R9-5-20240901","doi-asserted-by":"crossref","first-page":"756","DOI":"10.1111\/jcpe.12440","article-title":"The assessment of the influence of vertical incisions on the aesthetic outcome of the Miller class I and II recession treatment: A split-mouth study","volume":"42","author":"Skurska","year":"2015","journal-title":"J Clin Periodontol"},{"key":"R10-5-20240901","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1902\/jop.2009.080253","article-title":"Clinical evaluation of a modified coronally advanced flap alone or in combination with a platelet-rich fibrin membrane for the treatment of adjacent multiple gingival recessions: A 6-month study","volume":"80","author":"Aroca","year":"2009","journal-title":"J Periodontol"},{"key":"R11-5-20240901","doi-asserted-by":"crossref","first-page":"770","DOI":"10.1902\/jop.1997.68.8.770","article-title":"Development and clinical evaluation of a root coverage procedure using a collagen barrier membrane","volume":"68","author":"Shieh","year":"1997","journal-title":"J Periodontol"},{"key":"R14-5-20240901","doi-asserted-by":"crossref","first-page":"32","DOI":"10.4103\/0972-124X.128196","article-title":"Effect of citric acid, tetracycline, and doxycycline on instrumented periodontally involved root surfaces: A SEM study","volume":"18","author":"Chahal","year":"2014","journal-title":"J Indian Soc Periodontol"},{"key":"R15-5-20240901","first-page":"46","article-title":"Efficacy of lateral pedicle graft in the treatment of isolated gingival recession defects","volume":"3","author":"Rajkarnikar","year":"2014","journal-title":"Inter J of Pharm Sci Inven"},{"key":"R16-5-20240901","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1902\/jop.1974.45.8.2.619","article-title":"A study of tissue response to cyanoacrylate adhesive in periodontal surgery","volume":"45","author":"Binnie","year":"1974","journal-title":"J Periodontol"},{"key":"R17-5-20240901","first-page":"710","article-title":"Sutures and suturing-current concepts","volume":"36","author":"Macht","year":"1978","journal-title":"J Oral Surg"},{"key":"R18-5-20240901","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1016\/S0011-8532(22)02848-8","article-title":"Periodontal suture materials and surgical dressings","volume":"24","author":"Levin","year":"1980","journal-title":"Dent Clin North Am"},{"key":"R19-5-20240901","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1590\/S0365-05962009000600003","article-title":"Cyanoacrylate adhesives for the synthesis of soft tissue","volume":"84","author":"Saska","year":"2009","journal-title":"An Bras Dermatol"},{"key":"R20-5-20240901","doi-asserted-by":"crossref","first-page":"752","DOI":"10.1902\/jop.1985.56.12.752","article-title":"Cell and fiber attachment to demineralized dentin from normal root surfaces","volume":"56","author":"Hanes","year":"1985","journal-title":"J Periodontol"},{"key":"R21-5-20240901","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1902\/jop.1992.63.4.303","article-title":"Root dentin morphology after different modes of citric acid and tetracycline hydrochloride conditioning","volume":"63","author":"Labahn","year":"1992","journal-title":"J Periodontol"},{"key":"R22-5-20240901","doi-asserted-by":"crossref","first-page":"590","DOI":"10.1902\/jop.1976.47.10.590","article-title":"Laterally positioned mucoperiosteal pedicle grafts in the treatment of denuded roots. A clinical and statistical study","volume":"47","author":"Smukler","year":"1976","journal-title":"J Periodontol"},{"key":"R23-5-20240901","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1902\/jop.1978.49.7.351","article-title":"Treatment of localized gingival recession part-I lateral sliding flap","volume":"49","author":"Guinard","year":"1978","journal-title":"J Periodontol"},{"key":"R24-5-20240901","first-page":"30","article-title":"Comparison of the results obtained with the laterally positioned pedicle sliding flap-revised technique and the lateral sliding flap with a free gingival graft technique in the treatment of localized gingival recessions","volume":"1","author":"Espinel","year":"1981","journal-title":"Int J Periodontics Restorative Dent"}],"container-title":["Contemporary Clinical Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ccd.ccd_338_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:11:08Z","timestamp":1787166668000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ccd.ccd_338_20"}},"subtitle":["A Randomized Controlled Clinical Trial"],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":22,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/ccd.ccd_338_20","relation":{},"ISSN":["0976-237X"],"issn-type":[{"value":"0976-237X","type":"print"}],"subject":[],"published":{"date-parts":[[2022,1]]}}}