Use of fibrin glue in periodontal flap surgery

Abstract

In the changing era of perio surgeries one innovative remedy has ended the inconvenience of suturing and has allowed the clinician to meet growing expectations and demands of today's dental patient, and the remedy is fibrin glue. When periodontal plastic surgical procedures done or implants placed in esthetic zone, fibrin sealants may be variable alternative to closing flaps with sutures and with histologic benefits and has potential uses in field of medicine. Fibrin sealant is an excellent beginner in the era of sutureless periodontal flap surgery, and this article is a humble effort to prove it.

Keywords: Fibrin glue; periodontal flap closure; sutureless periodontal surgery.

Figure 1

Fibrin glue kit

Figure 2

Fibrin glue kit with fibrinotherm

Figure 3

Fibrinotherm heating and duploject syringe and stirring device

Figure 4

Duploject syringe

Figure 5

Filling of duploject syringes

Figure 6

Fibrin glue application; Case 1: After debridement, fibrin glue being applied on bone and both facial and lingual flaps followed by flap approximation for 3 minutes under finger pressure

Figures 7 and 8

Right side flap approximation with fibrin glue is compared with sutures on left side. Note the stoppage of bleeding immediately after 30 seconds on fibrin glue side

Figure 9

After 3 days, case 1

Figure 10

After 3 days, case 2

Figure 11

After seven days, case 1

Figure 12

After seven days, case 2

Figure 13

After seven days, case 2, plaque retention below sutures. At the time of suture removal bleeding points are clearly seen at the site of needle insertion.

Figure 14

After 20 days, case 1

Figure 15

After 20 days, case 2

Figure 16

After three months, case 1

Figure 17

After three months, case 2