A Comparative Clinical Study to Evaluate the Healing of Surgical Periodontal Wound Closure using Fibrin Glue and Silk Suture

Aim of this study is to compare the healing of surgical periodontal wound closure using Fibrin glue and Surgical silk suture. A total of ten subjects aged 25-54 years were divided into 2 groups; Group I where surgical flap closure was done with Fibrin glue on one sextant and Group II where surgical flap closure was done with Silk Suture on other sextant. Time taken for flap closure was recorded on the day of procedure. Post-operative clinical parameters pain, wound healing index and plaque index were recorded at 1st week, 4th week and 12th week for both groups. On inter-group comparison, statistically significant differences were seen in time taken for flap closure and pain score. Statistically significant difference between the groups was observed in wound healing index and plaque index at the end of 1st week and 4th week. At the end of 12th week, wound healing index between the groups showed no differences and no statistically significant difference was observed in plaque index. This study shows the beneficial results of using Fibrin sealant for fixing tissues after periodontal flap surgery. Both sutures and fibrin sealant were effective in bringing about healing following periodontal surgical procedure. However, fibrin sealant was found to be a more favorable approach which enhance wound healing when compared to sutures. Thus, fibrin sealant can be considered as an alternative to sutures for surgical periodontal wound closure. Keywords: Fibrin glue, Reliseal, Silk suture, Wound healing