Gingival Recession Treatment by Free Graft Fixed with Silk Sutures vs Vicryl Plus

Abstract

Aim: This study aimed to compare the clinical outcomes of free gingival grafts (FGGs) stabilized by silk sutures and Vicryl Plus sutures in the treatment of gingival recession in periodontal surgery Subjects and methods: A total of 60 patients with gingival recession were randomly allocated into two groups: FGGs fixed using silk sutures (n=30) and FGGs fixed using Vicryl Plus sutures (n=30). Graft healing, infection rates, and patient-reported outcomes (pain, comfort, and satisfaction) were assessed at one week, one month, and three months postoperatively. Results: At the three-month follow-up, the Vicryl Plus sutures group demonstrated significantly better graft healing compared to the silk sutures group (p < 0.05). The infection rates were significantly lower in the Vicryl Plus sutures group at all follow-up time points (p < 0.05). Patients in the Vicryl Plus sutures group reported lower pain levels, greater comfort, and higher satisfaction with the surgical outcomes compared to the silk sutures group (p < 0.05). Conclusion: FGGs stabilized by Vicryl Plus sutures resulted in improved clinical outcomes compared to those fixed with silk sutures, including better graft healing, lower infection rates, and superior patient-reported outcomes. Vicryl Plus sutures may be considered a more favorable option for FGG fixation in periodontal surgery.