The Efficacy Of Adhesive Tissue Iceberg-Gluein Reducing Post-Operative Bleeding And Pain After Surgical Removal Of Impacted Lower Third Molars: A Randomized Clinical Trial

Background: There is various wound closure techniques have been used in medical literatures like traditional non-absorbable sutures and advanced modalities, suchas synthetic absorbable sutures, surgical staples and tissue adhesives. Suturing has been the conventional method for approximating wound margins. However,suturing has many disadvantages leading to various alternative material closure options. This need to an interest in tissue adhesives such as new generation of cyanoacrylate which has unique properties lead us to focus on this technique in our study. Aim: Evaluation the efficacy of the adhesive tissue(iceberg-glue) in minimizing the post-operative bleeding and pain after surgical removal of impacted lower third molars. Materials and Methods: Sample size consisted of 19 patients with bilateral and symmetrical impacted lowers third molars were included in this randomized, split-mouth study. Patients with any pre-existing pathology or systemic disease were excluded. On one random side were surgically closure using silk suture (3-0) (group A), and using an adhesive tissue on the contralateral side (groupB). The comparison of the post-operative bleedingevaluation rated from (3hours, 6hours, 9hours, 12hours) post surgically, and post-operative pain evaluation in (one, third, and seven days) post surgically, the bleeding and pain assessment according to VAS scales. Result: Bleeding assessment according to Mann-Whitney U test,the outcome reveals statistically significant differences for adhesive group in the (3 hours, 6 hours, 9 hours) after surgery in adhesive tissue group (p<0.05) where as there is no significant difference in (12 hours) after surgery between two groups (p>0.05), pain assessed according to T-student test which reveals statistical significant differences in the one and third days post surgically for adhesive group and there is no differences in the seven days between the two groups. Conclusion: The iceberg-gluehas a significant and effective effect on hemostasis after surgical extraction of impacted lower molars compared with traditional suture with 3-0 silk thread.