Miranda Michele, Gianfreda Francesco, Molica Graziana, Martelli Mirko, Gargari Marco, Bollero Patrizio
Department of Clinical Sciences and Translational Medicine, University of Rome "Tor Vergata", 00133 Rome, Italy.
Department of Systems Medicine, University of Rome "Tor Vergata", 00133 Rome, Italy.
Materials (Basel). 2025 Jun 4;18(11):2642. doi: 10.3390/ma18112642.
Cyanoacrylate-based adhesives have gained increasing attention in dentistry for their rapid polymerization, biocompatibility, and antimicrobial activity. This review analyzes the clinical use of cyanoacrylate adhesives-particularly the Glubran II formulation-in dental procedures, including wound closure, tissue management, and bleeding control. A comprehensive literature search was conducted across PubMed, Scopus, and Web of Science databases for studies published between 2000 and 2024, using specific inclusion criteria (clinical and in vitro studies focusing on dental applications of cyanoacrylates) and exclusion criteria (non-dental uses, insufficient data). The findings indicate that compared to traditional sutures, cyanoacrylates, especially n-butyl and octyl derivatives, significantly reduce operative time, postoperative pain, and infection rates. However, differences among formulations-such as degradation rate and cytotoxicity-require further exploration. Glubran II, in particular, shows promising results in hemostasis and wound stability. This review highlights the potential of cyanoacrylate adhesives as effective, minimally invasive alternatives in dental surgery and underlines the need for standardized protocols and long-term comparative studies.
基于氰基丙烯酸酯的粘合剂因其快速聚合、生物相容性和抗菌活性而在牙科领域越来越受到关注。本综述分析了氰基丙烯酸酯粘合剂(特别是Glubran II配方)在牙科手术中的临床应用,包括伤口闭合、组织管理和出血控制。通过对PubMed、Scopus和Web of Science数据库进行全面的文献检索,查找2000年至2024年发表的研究,使用特定的纳入标准(专注于氰基丙烯酸酯牙科应用的临床和体外研究)和排除标准(非牙科用途、数据不足)。研究结果表明,与传统缝线相比,氰基丙烯酸酯,尤其是正丁基和辛基衍生物,可显著缩短手术时间、减轻术后疼痛并降低感染率。然而,不同配方之间的差异,如降解速率和细胞毒性,需要进一步探索。特别是Glubran II在止血和伤口稳定性方面显示出有前景的结果。本综述强调了氰基丙烯酸酯粘合剂作为牙科手术中有效、微创替代方案的潜力,并强调了标准化方案和长期比较研究的必要性。