Evidence map›Paper›PMID 40542661›Full record

SynthesisJournal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.]2025

Cyanoacrylate Adhesive Versus Sutures for Free Gingival Graft Fixation: A Systematic Review and Meta-Analysis of Clinical Outcomes.

Axelle Negre, Kadiatou Sy, Hamoun Sabri, Khushboo Kalani, Hom-Lay Wang, Kevimy Agossa

Abstract readSystematic ReviewMeta-AnalysisComparative Study
In one paragraph

Synthesis in Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.], 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Cyanoacrylate Adhesive Versus Sutures for Free Gingival Graft Fixation: A Systematic Review and Meta-Analysis of Clinical Outcomes.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2025
    Pooled it
  2. Article
  3. Article
  4. 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

6 authors.

Axelle NegreDepartment of Oral and Maxillofacial Surgery, Univ. Lille, CHU Lille, Lille, France.
Kadiatou SyUniversité de Lyon, Lyon, Université Lyon 1, Laboratoire Des Multimatériaux et Interfaces UMR CNRS 5615, Faculté D'odontologie, Lyon, France.
Hamoun SabriDepartment of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan, USA.ORCID 0000-0001-6581-2104
Khushboo KalaniDepartment of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan, USA.ORCID 0009-0008-3842-6150
Hom-Lay WangDepartment of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan, USA.ORCID 0000-0003-4238-1799
Kevimy AgossaDepartment of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan, USA.ORCID 0000-0003-4305-1353

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare clinical outcomes of cyanoacrylate adhesive (GLU) and sutures (SUT) for the fixation of free gingival grafts (FGG) around natural teeth. MATERIALS AND

methodsA systematic search of MEDLINE, Embase, Cochrane Library, Scopus, and Google Scholar was conducted up to March 2025. Randomized controlled trials (RCTs) comparing GLU and SUT as fixation methods for FGG were included in a meta-analysis. Potential moderators, including publication year, follow-up duration, sample size, baseline clinical parameters, and study-level covariates, were investigated.

resultsTen RCTs were included. No significant differences were observed between GLU and SUT for recession reduction (mean difference [MD] = 0.49 mm; 95% CI: -0.53 to 1.50; p = 0.08), keratinized tissue (KT) height gain (MD = 0.01 mm; 95% CI: -1.58 to 1.59; p = 0.99), or graft shrinkage (MD = 0.26; 95% CI: -0.13 to 0.66; p = 0.15). A statistically significant but clinically negligible difference favored GLU for probing depth reduction (MD = 0.063 mm; 95% CI: 0.007 to 0.118; p = 0.044). Meta-regression identified smoking, tissue thickness, graft dimension, and follow-up duration as moderators of treatment outcomes.

conclusionNo significant differences were observed between GLU and SUT in clinical outcomes following FGG procedures around natural teeth.

Indexed as

CyanoacrylatesGingivaGingival RecessionSuturesTissue AdhesivesHumansRandomized Controlled Trials as TopicTreatment OutcomeCyanoacrylatesTissue Adhesives

Identifiers

PMID40542661
PMCPMC12538201

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.