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Surgical extraction of impacted third molars has become a routine procedure in most of dental clinics . N-butyl cyanoacrylate based tissue adhesive is employed as a non-suture method for intra-oral postsurgical wound closure THE AIM OF THIS STUDY: was to evaluate clinically the post-operative complications after the use of N-butyl cyanoacrylate soft tissue adhesive in closure of muco-periosteal flaps after the surgical extraction of impacted mandibular third molars compared to the use of conventional silk sutures . MATERIALS AND METHODS: This study was conducted on twenty patients of both sexes ranging from 20 to 30 years of age . Patients were divided equally into two groups ( Study and control groups ) each with mesioangular impacted mandibular third molar ( class II position B according to Pell and Gregory’s classification ) . After the surgical extraction of impacted teeth the flaps were closed using PeriAcryl 90 *soft tissue adhesive in study group and using 3/0 silk sutures in control group . Patients were evaluated for pain , bleeding , trismus , facial swelling , wound dehiscence and local reaction. RESULTS : There was a statistically significant reduction of pain , bleeding , trismus , wound reaction on using the N-butyl cyanoacrylate ( PeriAcryl 90 ) compared to sutures , concerning wound dehiscence and facial swelling , the results of both materials were nearly the same . CONCLUSION : The use of the N-butyl cyanoacrylate ( PeriAcryl 90 ) for the closure of muco-periosteal flaps is a reliable method that can overcome most of complications faced on using conventional silk sutures in addition to ease of manipulation , time saving and safety factors . Key words : impacted third molar , muco-periosteal flap , cyanoacrylate adhesive , PeriAcryl 90

THE USE OF N-BUTYL CYANOACRYLATE ADHESIVE IN THE CLOSURE OF MUCOPERIOSTEAL FLAP AFTER THE SURGICAL EXTRACTION OF IMPACTED MANDIBULAR THIRD MOLAR