With the described applications of the cyanoacrylates the real advantages of the material is not shown yet. The adhesive properties on damp and flexible materials allow a wound treatment at injuries of the skin and mucosa. If there is no tension to the wound the sutures can be replaced by some dosed drops of cyanoacrylate. In doing so, the wound edges are put together and the surfaces gets sealed with several layers. After polymerization the wound edges are well closed and can heal without scar formation. Compared with sutures it is not necessary to remove the threads.
When cyanoacrylates are used in the dental field, the wound edges adapt free of tension in many cases, i. e. after incisions past the removal of root remains, root resection or fixation of small tissue flaps during a periodontal treatment. In these cases a suture may be partially or even completely omitted if the facial muscles do not exert extreme tension during mastication or facial expressions.
If indicated during the extraction of a tooth the opened maxillary antrum is covered with an interpolated or advancement flap in the alveolar area. The truly tight closure in the approximate area of the two adjacent teeth usually presents a problem. Upon a conventional flap fixation with suture the wound edges are adapted with a few drops of cyanoacrylate in the approximate area where suture is not possible. This preventive measure is not necessary for small defects, but imperative during large openings especially when it was not prior possible to make a wound dressing, which is the rule in the daily practice with mouth-an-trum-connections.
8 April 2025