Healing Efficiency Unveiled : Comparing Cyanoacrylate and Sutures In Third Molar Extractions

Objective - This prospective clinical study compared the clinical outcomes of N-butyl-2- cyanoacrylate tissue adhesive and 3-0 silk sutures for wound closure following mandibular third molar surgeries. Material and Methods: Ten patients aged 18–35 years with symmetrical impacted mandibular third molars were randomly divided into two groups: Group A (tissueadhesive) and Group B (Silk Sutures). Clinical parameters, including pain, bleeding, swelling, and wound healing, were assessed postoperatively on Day 1 and Day 7 using visual analog scales and standardized criteria. Statistical analysis was conducted using independent t-tests and chisquare tests. Results: On Day 1, the adhesive group demonstrated significantly lower pain and bleeding scores compared to the suture group, indicating superior immediate outcomes. Wound healing was also significantly better in the adhesive group, with 100% of cases showing good healing, in contrast to 40% in the suture group. By Day 7, swelling reduction was significantly greater in the adhesive group, reflecting faster recovery and improved patient comfort. Longterm healing outcomes were comparable between the two groups. N-butyl-2-cyanoacrylate tissue adhesive provided several advantages, including reduced operating time, easier application, and improved postoperative comfort due to its bacteriostatic properties, superior hemostasis, and reduced swelling. Additionally, the adhesive eliminated the risk of needle prick injuries, contributing to greater patient satisfaction and better cosmetic results. Conclusions : These findings suggest that N-butyl-2-cyanoacrylate tissue adhesive is a reliable and efficient alternative to silk sutures for wound closure in mandibular third molar surgeries, offering benefits for both clinical outcomes and patient recovery.