Evidence map›Paper›PMID 38907642›Full record

Trial reportMedicina oral, patologia oral y cirugia bucal2024

Cyanoacrylate versus suture as flap closure methods in mandibular third molar surgery: a split-mouth randomized controlled clinical study.

M Santmartí-Oliver, S Bazal-Bonelli, L Sánchez-Labrador, T Beca-Campoy, F Pérez-González, C-M Cobo-Vázquez, C Madrigal Martínez-Pereda, C Meniz-García

Registry-linked trialAbstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Medicina oral, patologia oral y cirugia bucal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07198282 (The Effect of Different Flap Closure Techniques on Postoperative Morbidity), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07198282 narecruitingnot on this mapstarted 2026, after this paper: background citation

The Effect of Different Flap Closure Techniques on Postoperative Morbidity: A Randomized Controlled Trial for Impacted Third Molar Surgery

TypeinterventionalSponsorRecep Tayyip Erdogan UniversityRan2026 to 2026Enrolled148ConditionsImpacted Mandibular Third Molar, Postoperative Morbidity, Oral SurgeryArmsConventional Suturing, Sutureless Technique, Surgical Drain, Cyanoacrylate Tissue Adhesive
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

M Santmartí-OliverFaculty of Dentistry Complutense University of Madrid Plaza Ramón y Cajal, s/n 28040, Madrid, Spain luissanc@ucm.es.
S Bazal-Bonelli
L Sánchez-Labrador
T Beca-Campoy
F Pérez-González
C-M Cobo-Vázquez
C Madrigal Martínez-Pereda
C Meniz-García

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSutures have been the standard flap closure method of choice following mandibular third molar surgery but can lead to some complications. Tissue adhesives, including cyanoacrylate, have emerged as alternative flap closure method in this surgery to overcome such drawbacks. However, limited clinical trials can be found. Therefore, the aim of this clinical study was to compare two methods of flap closure in mandibular third molar surgery, cyanoacrylate and 4/0 silk sutures, by assessing post-operative outcome measures (pain, swelling, trismus, and healing) and patient-reported outcome measures (PROMs). MATERIAL AND

methodsA randomized split-mouth clinical trial was designed, in which mandibular third molar (M3M) extractions were performed, where the control side flap was closed with 4/0 silk sutures and the test side flap with cyanoacrylate. Swelling, pain, trismus, healing, and PROMs were recorded post-operatively. These variables were analyzed by means of the nonparametric Mann-Whitney U test, using SPSS statistical software version 28.0.0 (IBM® SPSS®, Chicago, IL, USA). For all results, a 95% confidence interval was recorded (significance level p < 0.05, two-tailed).

resultsA total of 17 patients were recruited and 34 mandibular third molar extractions were performed. No statistically significant differences were found in terms of swelling, pain, trismus, healing, and PROMs between both groups (p<0.05).

conclusionsNo statistically significant differences were found between flap closure with 4/0 silk sutures and cyanoacrylate, in terms of surgical post-operative outcomes and PROMs. However, further studies with larger sample sizes are required to be able to affirm it with greater certainty.

Indexed as

CyanoacrylatesMandibleMolar, ThirdSurgical FlapsAdultFemaleHumansMaleSuturesSuture TechniquesTooth ExtractionYoung AdultCyanoacrylates

Identifiers

PMID38907642
PMCPMC11249375

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.