Closure of Periodontal Flap with N Butyl Cyanoacrylate: A Report of Three Cases with Literature Review

Introduction: The periodontal flap is one of the most frequently employed procedures, particularly for moderate to deep pockets. The tight adaptation of tissues following flap surgery is conventionally achieved by sutures. Sutures have a phenomenon of 'wicking' which makes it a site for secondary infection. Tissue adhesives have been developed as alternatives to overcome these problems. Case report: This case series consist of three cases. After completion of phase I therapy the patients were assigned for flap surgery depending on the pocket depth. At the end of flap surgery flap closure was done by N butyl cyanoacrylate tissue adhesive material. Evaluation of the cases were done at 1week, 3 week and 6 week for the progress of healing. Conclusion: No adverse reaction and uneventful healing is observed when Cyanoacrylate is used as tissue adhesive for the adaptation of flap after periodontal flap surgery. Keywords: Cyanoacrylate, periodontal flap, flap surgery, suture.