Suture-less closure for the management socket preservation

Introduction: After tooth loss, the new edentulous area of the ridge will undergo some adaptive modifications due to changes in function in and around the socket. Socket preservation can reduce and eliminate the need for additional augmentation procedures by preventing hard and soft tissue collapse after tooth extraction. Periodontal surgical procedures that are in the aesthetic zone, sutureless can be an alternative to closing the flap. The objective of this case report is to describe socket preservation using cyanoacrylate material for flap fixation. Case report: A 65-year-old man came to the Periodontics Specialist Clinic in Dental Hospital Universitas Airlangga with a complaint of wanting to remove the left front of the mandible. Case management: The first step was to perform extraoral and intraoral asepsis with povidone-iodine 10% before local anesthesia. Local anesthesia with infiltration technique, followed by atraumatic extraction of tooth 33 using a periotome and luxator, curettage of tooth 33 sockets. Then a sulcular incision was made with blade number 15c on tooth 33 by full-thickness until there was no tension on the flap, application of PRF on the pericardium membrane containing bone graft to be applied in the socket of tooth 33. Reposition the tensionless flap until the entire surgical area is closed and then fixed using cyanoacrylate material (no suturing). Conclusion: Sutureless closure using cyanoacrylate material can be used as an alternative to suturing for flap repositioning in socket preservation.