Comparison of effectiveness of cyanoacrylate over conventional sutures in Implant stage II recovery procedure. A randomized controlled clinical study

Aim Cyanoacrylates have been used in various areas of dentistry. With the growing interest in these tissue adhesives, our study aimed to compare the effectiveness of Isoamyl 2-Cyanoacryl with conventional silk sutures in Implant stage II recovery procedures.

Materials and methods Twenty systemically healthy patients requiring stage 2 Implant recovery following single posterior mandibular molar tooth implant placement were recruited in the single blinded randomized controlled clinical study. Group I comprised of 10 patients (flap approximated with Black silk sutures) and Group II (flap approximated with Isoamyl 2-cyanoacrylate) comprised of 10 patients. Wound healing was assessed using Early wound Healing Index (EHS) at day 3 and day 7. Mann Whitney U test was used to assess the early wound healing index scores at day 3 and at day 7 between the groups. Visual analog scale values were also recorded at day 0 and at day 3 between the groups.

Results When comparing the rate of healing at day 3 between the groups there was no statistically significant difference  (P=0.10) and when comparing the healing at day 7 between the groups the healing was significantly better in the cyanoacrylate group (P= 0.01). There was a significant difference in the VAS score at day 0 (P=0.001) and no statistically significant difference was noted at day 3 (P= 0.31) between the two groups. 

Conclusion Cyanoacrylate had shown to aid in early soft tissue healing around dental implants than black silk sutures for implant stage 2 recovery procedures.