Clinically Compare the Efficacy of n-butyl Cyanoacrylate and Vicryl Suture in Intra Oral Wound Closure-An Invivo Study

Background Intra oral mucosal incision is the common procedure for removal of impacted tooth, removal of teeth, alveoloplasty procedure and removal of any pathology in maxilla and mandible. Usually intra oral mucosal incision closed with vicryl suture material. Usually incision is closed with suture but patient has more apprehension with sutures, so we need alternative procedure like tissue adhesive for closure of intra oral mucosal incision. Cyanoacrylate reduces the patient apprehension as well as good biocompatibility material to close the intra oral mucosal incision. Objectives The present study was undertaken to compare the efficacy of N Butyl 2 cyanoacrylate and vicryl suture in intra oral wound closure. This study also investigate pain and wound dehiscence in closure of intra oral mucosal incision. Methods Fifty patients were included in this study. Vicryl suture and N Butyl 2 cyanoacrylate is used in patients. Intra oral mucosal incision placed for the purpose of extraction and alveoloplasty procedures. After the required procedure has been performed, closure of wound is achieved with flap. After flap is approximated passively wound is closed with vicryl suture on one side and on other side wound is closed with N Butyl 2 cyanoacrylate. Then the patient is recalled on1st, 3rd, 5th and 7thpost operative day for evaluation of pain and wound dehiscence at surgical site. Results The results showed that there was no statistically significant difference between suture and cyanoacrylate for occurrences of pain and wound dehience in closure of oral mucosal incision. HoweverThe N butyl 2 cyanoacrylate has the advantage of reduce patient apprehension and patient compliance. Conclusion It may be concluded that efficacy of closure of passively approximated intra oral mucosal incision is same for vicryl suture and N Butyl 2 cyanoacrylate. But, n Butyl 2 cyanoacrylate has the advantage of haemostatic, bacteriostatic properties and time consuming also less. Moreover it reduces patient apprehension and better patient compliance than the incision closure with the vicryl suture material.