Objectives: The need for proper wound closure is of paramount importance after any intra-oral surgery. Various wound closure techniques have been described in literature using traditional non-absorbable suture materials. These include like synthetic absorbable sutures, surgical staples and tissue adhesives. Cyanoacrylates are among the most commonly used biocompatible tissue adhesives. To evaluate and compare intraoral wound healing using 3-0 silk sutures and n-butyl-2-cyanoacrylate after alveoloplasty. Materials and Methods: A total of 20 patients requiring bilateral alveoloplasty in the same arch (upper or lower) were included in this study. Patients with any pre-existing pathology or systemic disease were excluded. After alveoloplasty was performed, the wound was closed using 3-0 braided silk sutures on one side, and using n-butyl-2-cyanoacrylate bio adhesive on the other side. Patients were evaluated based on the following parameters: time required to achieve wound closure; the incidence of immediate and postoperative hemostasis; the time to the use of the first rescue medication; the side where pain first arises; and the side where wound healing begins first. Results: Compared to 3-0 silk sutures, cyanoacrylate demonstrated better hemostatic properties, reduced operative time, reduced postoperative pain and better wound healing. Conclusion: These data suggest that cyanoacrylate glue is an adequate alternative to conventional sutures to close the surgical wound after alveoloplasty, and better than are 3-0 silk sutures.

Background: Stress is generally known as a silent killer which manifests as increased anxiety, pertaining to a particular event. Surgery of any kind leads to stress which is inevitable for the patient. The reduction of stress is vital for patient satisfaction and successful clinical practice. One of the ways to reduce presurgical stress is listening to music. The aim of the study was to compare the effectiveness of classical piano music (PM) and Gayatri mantra (GM) on presurgical vital parameters of patients undergoing major maxillofacial surgery under general anesthesia. Patients and Methods: Forty patients requiring maxillofacial surgery under general anesthesia were included. They were divided into two groups. In Group 1, patients listened to PM and in Group II to GM before being induced. Patients were chosen alternatively and connected to noninvasive blood pressure monitor. Readings of vital parameters, i.e., pulse rate, respiratory rate, and blood pressure, were recorded and statistically evaluated. Results: Pulse showed a 3%–5% decrease in value for the PM group versus a 0.4%–3.3% decrease for the GM group. Systolic blood pressure showed a maximum decrease of up to 4.3% for PM group as against 3.8% decrease for GM group. PM showed a greater decrease in the vital parameters compared to GM. Conclusion: Listening to classical PM 30 min before induction of general anesthesia results in reduced patient anxiety and a smoother induction for the anesthetist.