Comparison of four different suture materials in respect to oral wound healing, microbial colonization, tissue reaction and clinical features—randomized clinical study

Background/Aim. Suture materials play an important role in healing, enabling reconstruction and reassembly of tissue separated by the surgical procedure or trauma, and at the same time facilitating and promoting healing and hemostasis. Suture materials are used daily in oral surgery, and are considered to be substances most commonly implanted in human body. The aim of this clinical study was to examine the speed of wound healing and complications incidence, after the use of three different absorbable synthetic suture materials in oral surgery (catgut, Dexon and Vicryl rapide), and to ascertain which one is the most suitable for oral surgery. Methods. The study was conducted on 96 patients undergoing root resection or surgical extraction of third molars. Each of the suture materials (catgut, Dexon and Vicryl rapide) was used for 8 root resections and 8 surgical third molar extractions in the maxilla, as well as in the mandible (a total of 32 surgical interventions for each suture material). Results. The faster wound healing was obtained with Vicryl rapide compared to other two suturing material tested. There was no significant difference regarding the presence of local reaction in all the three groups of patients on the 21st postoperative day. Conclusion. The results of our clinical study point out that Vycrilrapid contributes more than catgut or Dexon to faster healing of human wounds, with fewer incidences of wound dehiscence and milder local reactions.

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Oral Soft Tissue Wound Healing After Laser Surgery With or Without a Pool of Amino Acids and Sodium Hyaluronate: A Randomized Clinical Study

Photomedicine and Laser Surgery ◽

10.1089/pho.2013.3509 ◽

2014 ◽

Vol 32 (1) ◽

pp. 10-16 ◽

Cited By ~ 11

Author(s):

Umberto Romeo ◽

Fabrizio Libotte ◽

Gaspare Palaia ◽

Alexandros Galanakis ◽

Gianfranco Gaimari ◽

...

Keyword(s):

Amino Acids ◽

Wound Healing ◽

Clinical Study ◽

Soft Tissue ◽

Laser Surgery ◽

Sodium Hyaluronate ◽

Randomized Clinical Study ◽

Oral Soft Tissue

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Wound Healing of Animal and Human Body Sport and Traffic Accident Injuries Using Low-Level Laser Therapy Treatment: A Randomized Clinical Study of Seventy-Four Patients with Control Group

Journal of Clinical Laser Medicine & Surgery ◽

10.1089/clm.2000.18.67 ◽

2000 ◽

Vol 18 (2) ◽

pp. 67-73 ◽

Cited By ~ 41

Author(s):

ZLATKO SIMUNOVIC ◽

ANTHONY D. IVANKOVICH ◽

ARSEN DEPOLO

Keyword(s):

Wound Healing ◽

Clinical Study ◽

Human Body ◽

Traffic Accident ◽

Low Level Laser Therapy ◽

Control Group ◽

Randomized Clinical Study ◽

Level Laser ◽

Accident Injuries ◽

Therapy Treatment

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Tissue Reactions to Various Suture Materials Used in Oral Surgical Interventions

ISRN Dentistry ◽

10.5402/2012/762095 ◽

2012 ◽

Vol 2012 ◽

pp. 1-6 ◽

Cited By ~ 10

Author(s):

Fawad Javed ◽

Mansour Al-Askar ◽

Khalid Almas ◽

Georgios E. Romanos ◽

Khalid Al-Hezaimi

Keyword(s):

Wound Healing ◽

English Language ◽

Tissue Reaction ◽

Suture Materials ◽

Polyglactin 910 ◽

Oral Surgical Procedures ◽

Surgical Interventions ◽

Positive Effects ◽

Materials Used ◽

Tissue Reactions

A variety of suture materials are available for primary wound closure following oral surgical procedures. The aim was to review the tissue reactions to the various suture materials used in oral surgical interventions. Databases were searched using the following keywords: cotton, nylon, polyglecaprone 25, polytetrafluoroethylene (ePTFE), Polyglactin 910, polyglycolic acid (PGA), polylactic acid, silk, surgery, suture, and tissue reaction. Articles published only in English language were included. Seventeen studies were included. Two studies reported that polyglecaprone 25 had positive effects on wound-healing as compared to silk. Six studies reported that silk elicits more intense tissue inflammatory response and delayed wound healing as compared to other suture materials (including ePTFE, polyglecaprone-25, PGA, and nylon). Polyglactin 910 sutures were associated with the development of stitch abscess in one clinical study. Eight studies reported that tissue reactions are minimal with nylon sutures. Tissue reactions to suture materials used for oral surgical interventions may vary depending on the surface properties and bacterial adherence properties of the material.

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